Early Experience with the Trochanteric Fixation Nail-Advanced (TFN-A): A Descriptive Review of Thirty-Four Cases from a Single Center.

Indian Journal of Orthopaedics
Joshua De Castro UnsayErnest Kwek Beng Kee

Abstract

The Trochanteric Fixation Nail-Advanced (TFN-A) is offered as a "next-generation" solution to the ever-increasing incidence of pertrochanteric and intertrochanteric fractures. It aims to build upon the success of earlier-generation proximal femur implants, while at the same time attempting to address complications, like varus collapse, cut-out, implant failure and anterior cortical perforation/impingement. It also aims to provide the surgeon with flexibility by offering varied options under a single implant system. This descriptive study looked at the early outcomes of the TFN-A as used in a single trauma centre. It attempts to shed light on the question of whether the TFN-A is at least equivalent to more established proximal femur implants in terms of fixation while reducing complication rates. Thirty-four patients who underwent fixation using the TFN-A at a single centre from October 2016 to July 2018 were retrospectively reviewed for this study. All surgeries were done by experienced orthopaedic surgeons. The decision for cement augmentation of the femoral head element was made on a case-to-case basis. Radiographs of the hip, pelvis and femora were taken to monitor fracture healing and evaluate post-fixation neck-shaft angle...Continue Reading

References

Sep 9, 2010·The Cochrane Database of Systematic Reviews·Martyn J Parker, Helen Hg Handoll
Oct 19, 2013·Journal of Orthopaedic Surgery and Research·Andrej N NikoloskiPiers J Yates
Dec 4, 2013·Archives of Orthopaedic and Trauma Surgery·C KammerlanderM Blauth
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Mar 31, 2016·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Senthil Nathan SambandamCyril Mauffrey
May 11, 2016·SICOT-J·Ahmed Hamed Kassem AbdelaalHiroyuki Tsuchiya
May 3, 2019·The Journal of Bone and Joint Surgery. American Volume·Anton LambersPiers Yates

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