2 DePuy Synthes TFNA – Proximal Femoral Nailing System Surgical Technique TFN-ADVANCED™ PROXIMAL FEMORAL NAILING SYSTEM (TFNA) CLINICAL CASES Case 1* • 72-year-old female • Fracture AO 31A3 fracture (transverse intertrochanteric fracture pattern) which is unstable and would benefit from a cephalomedullary device. Epub 2017 Jul 26. dence and economic burden of osteoporosis-related fractures in the United. Data retrieved, t the time of writing, there were 16 reported cases of TFNA, cation of the original fracture pattern according the OT. ) Parker MJ, Handoll HH. Breakage occurred with both the blade and screw options for, analysis of the nails primarily revealed a tortuous crack, failure path, with all nails showing multiple secon, stemming from the fracture surface. This study predicts the burden of incident osteoporosis-related fractures and costs in the United States, by sex, age group, race/ethnicity, and fracture type, from 2005 to 2025. uoroscopic radiographs at the time of nail insertion. ) Kerver AJ, van Vugt AB. • Intracapsular hip fractures In our relatively small sample of 8 patients treated for, greater than 1-in-3 rate of repeat implant breakage was, observed. * I prezzi non includono tasse, spese di consegna, dazi doganali, né eventuali costi d'installazione o di attivazione. The treatment modality for the breakage was revision nailing in 11 cases, arthroplasty in 3, and nonoperative management in 2. Most local complications were related to suboptimal reduction of the fracture and/or positioning of the implant. 2017 Dec. http://synthes.vo.llnwd.net/o16/LLNWMB8/US%20Mobile/, Synthes%20North%20America/Product%20Support%20Materials/Brochures/. specific pathologic anatomic changes associated with the valgus knee is a prerequisite so as to select the proper surgical method, to optimize component position and restore soft-tissue balance. *Benchtop testing may not be indicative of clinical performance. In 11 cases, breakage was treated with a revision nail: the TFNA implant, was used in 8 of these revision cases; the AFN (Antegrade, Femoral Nail; DePuy Synthes), in 2 cases; and the PFNA, (Proximal Femoral Nail Antirotation; DePuy Synthes), in, 1 case. rehabilitation including transfers, mobility, sitting out of bed, balance, and reducing the risk of falling. 2. This site uses cookies as described in our, TFN - ADVANCED Proximal Femoral Nailing System Technique Guide (Core), TFN - ADVANCED Proximal Femoral Nailing System Technique Guide (Screw Only). Prosthetic joint infection (PJI) is a devastating complication following total joint arthroplasty. We advise close, clinical and radiographic surveillance of patients with unstable hip fracture patterns who undergo osteosynthesis with use. The TRAUMACEM V+ Injectable Bone Cement is indicated for augmentation of the TFN-ADVANCED Proximal Femoral Nailing System (TFNA) through cannulated implants and instruments for patients with poor bone quality (e.g., osteoporosis). Contraindications for TFNA System with PMMA bone cement: Diverse caratteristiche di design sono state incorporate nel sistema per aumentare la visualizzazione del collo femorale, facilitare il posizionamento della lama o della vite e fornire una migliore maneggevolezza: A preview of this full-text is provided by Springer Nature. While all of the fractures initiated, at the thinnest cross-sectional location and generally on the, lateral aspect of the nail, which is similar to that seen with other, devices, there were multiple crack pathways, some of which led, addition, we are aware of no retrieved device other than. This investigation was prompted by a series of cases of observed breakage of the recently introduced TFNA Proximal Femoral Nailing System (TFN [Trochanteric Fixation Nail]-Advanced; DePuy Synthes) in our region. This site is governed solely by applicable U.S. laws and governmental regulations. Total costs by fracture type were vertebral (6%), hip (72%), wrist (3%), pelvic (5%), and other (14%). Objectives AO Principles of Fracture Management. Purpose This study was conducted in order to systematically review the costs of hip fractures globally and identify drivers of differences in costs. cation of Fractures and Dislocations Committee. The decision for cement augmentation of the femoral head element was made on a case-to-case basis. Costs of fragility hip fractures globally: a systematic review and meta-. You are about to leave jnjmedicaldevices.com. Radiopaque design enables visualization under fluoroscopy to detect cement flow. In the present paper, authors present a short literature review on general aspects of promising biocompatible binary Ti-Mo alloys compared with CoCr and stainless steel alloys, as an alternative of the known metallic biomaterials. despite nail breakage declined further surgery. All Rights Reserved. We recognize that the Internet is a global communications medium; however, laws, regulatory requirements, and product information for medical products can vary from country to country. The purpose of this article is to review the valgus knee anatomical variations, to assess the best pre-operative planning and to evaluate how to choose the grade of constraint of the implant. However, the thermodynamic properties of this binary system are not well known and two conflicting descriptions of the \beta-phase stability have been presented in the literature. 2014. Laboratory review of retrieved implants was conducted at the Centre for Implant Technology and Retrieval Analysis (CITRA) in Western Australia. Laboratory analysis and case data are presented, in contribution to post-market surveillance. This study represents the largest series, to our knowledge, of proximal femoral nail breakages in the published English literature and is the first that we are aware of to involve laboratory analysis of the TFNA implant.
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