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Technical Note in Case Series a Novel Recent Technique for the Removal of Broken PFNA-II Blade in Intertrochanteric Fractures is a Technical Challenge.

Year: 2024
Type: article
Study design: Case Report
Abstract: Introduction: Proximal femoral nail antirotation - II (PFNA- II) is a common treatment for intertrochanteric fractures in the elderly. Removing PFNA is difficult in rare circumstances due to blade head stripping or breaking. In this article, we endeavored to explain an easy methodology that can be utilized to remove stripped, damaged anti-rotation blades for which few had been formulated but other procedures have failed. Materials and Methods: In four cases, one case is discussed 15 months following the prior fixation; the individual underwent PFNA removal surgery for a broken implant causing pain. We had trouble removing the anti-rotation blade with the standard equipment. Result: The procedure assisted us in removing the anti-rotation blade and provided a favorable outcome for the patient. Conclusion: The insertion of a DHS guide wire with a coupling screw for inserting DHS screw in conjunction with a proximal femoral anti-rotation blade may be a cost-effective and simple approach to dealing with extraction failure.
Source: PubMed
Authors: Raman Jain, Sanjay Chhawra, Ashok Reddy Karnati, Amit Kumar Nagar, Rishav Anand
Language: English
Subfield: Surgery
Field: Medicine
Open Access status: green
OpenAlex ID: W4404434460
FWCI: 0.383
Cites: 15
Cited by: 1
Related to: 10