Proximal Femoral Nail Antirotation

PFNA - Long & Short

The Proximal Femoral Nail Antirotation (PFNA) - Long & Short is an advanced orthopedic implant meticulously designed to offer unparalleled stability and support for treating proximal femoral fractures.
Crafted from high-quality titanium, the PFN-A ensures superior biocompatibility and strength, facilitating optimal healing and enhanced patient comfort.
Its versatile design and cutting-edge locking mechanisms provide precise fixation and rotational stability, resulting in accelerated recovery and improved treatment outcomes.
Trust in the reliability and innovation of our PFN-A to meet your patients' orthopedic needs with utmost confidence.
This implant is commonly used in cases where intramedullary fixation is preferred for treating fractures of the proximal femur.

Intertrochanteric Fractures:The PFN-A is frequently used to treat intertrochanteric fractures, which are fractures that occur between the greater trochanter and the lesser trochanter of the femur.
Subtrochanteric Fractures: It is also employed for subtrochanteric fractures, which are fractures that occur just below the lesser trochanter of the femur.
Stable Fractures: The PFN-A is suitable for treating stable fractures, where the fractured bone ends are relatively well-aligned and stable.
Unstable Fractures: In some cases of unstable fractures, the PFN-A can provide better stability and support, allowing for early mobilization and faster recovery.
Comminuted Fractures:It is used for fractures with multiple bone fragments, providing stable fixation for proper healing.

Femoral Non-Union:In cases where fractures do not heal properly (non-union), the PFN-A can be used to promote bone healing and alignment.
Femoral Malalignment: The implant can correct femoral malalignment caused by fractures or other conditions.
Revision Surgery: The PFN-A can be used in revision surgeries to treat complications from previous implant placements or fractures.

Material:Made from high-quality medical-grade titanium alloy for strength and biocompatibility.
Design:Intramedullary nail design specifically shaped to fit the proximal part of the femur, providing rotational stability and fixation.
Nail Length: Different nail lengths available to accommodate various patient anatomies and fracture patterns.
Diameter: Various nail diameters to match the medullary canal size of the femur.
Locking Mechanism: The nail may feature proximal locking options to prevent rotation and maintain stability.
Distal Options: Some PFN-A models offer distal interlocking options for additional stability in certain fracture patterns.

Screw Options: Variable angle screw options for improved fixation in different types of fractures.
Trochanteric Stabilization:Some PFN-A implants may have trochanteric stabilization components to provide additional stability in certain cases.
Radiolucency: Some PFN-A models have radiolucent areas to improve visibility during X-ray imaging.
Sterilization:Supplied in a sterile package to ensure surgical safety.
Surgical Instruments:Manufacturers may offer specific instruments for implantation, such as reamers, drill guides, and targeting devices.

Product Code	Name	Material	Diameter	Lengh	Angled
NT102.09.320.01	PFAN Long Ø9 , L - 320 , Right	Titanium	Ø9.0	320	Right
NT102.09.320.02	PFAN Long Ø9 , L - 320 , Left	Titanium	Ø9.0	320	Left
NT102.09.340.01	PFAN Long Ø9 , L - 340 , Right	Titanium	Ø9.0	340	Right
NT102.09.340.02	PFAN Long Ø9 , L - 340 , Left	Titanium	Ø9.0	340	Left
NT102.09.360.01	PFAN Long Ø9 , L - 360 , Right	Titanium	Ø9.0	360	Right
NT102.09.360.02	PFAN Long Ø9 , L - 360 , Left	Titanium	Ø9.0	360	Left
NT102.09.380.01	PFAN Long Ø9 , L - 380 , Right	Titanium	Ø9.0	380	Right
NT102.09.380.02	PFAN Long Ø9 , L - 380 , Left	Titanium	Ø9.0	380	Left
NT102.09.400.01	PFAN Long Ø9 , L - 400 , Right	Titanium	Ø9.0	400	Right
NT102.09.400.02	PFAN Long Ø9 , L - 400 , Left	Titanium	Ø9.0	400	Left

Product Code	Name	Material	Diameter	Lengh	Angled
NT102.09.420.01	PFAN Long Ø9 , L - 420 , Right	Titanium	Ø9.0	420	Right
NT102.09.420.02	PFAN Long Ø9 , L - 420 , Left	Titanium	Ø9.0	420	Left
NT102.10.320.01	PFAN Long Ø10 , L - 320 , Right	Titanium	Ø10.0	320	Right
NT102.10.320.02	PFAN Long Ø10 , L - 320 , Left	Titanium	Ø10.0	320	Left
NT102.10.340.01	PFAN Long Ø10 , L - 340 , Right	Titanium	Ø10.0	340	Right
NT102.10.340.02	PFAN Long Ø10 , L - 340 , Left	Titanium	Ø10.0	340	Left
NT102.10.360.01	PFAN Long Ø10 , L - 360 , Right	Titanium	Ø10.0	360	Right
NT102.10.360.02	PFAN Long Ø10 , L - 360 , Left	Titanium	Ø10.0	360	Left
NT102.10.380.01	PFAN Long Ø10 , L - 380 , Right	Titanium	Ø10.0	380	Right
NT102.10.380.02	PFAN Long Ø10 , L - 380 , Left	Titanium	Ø10.0	380	Left

Product Code	Name	Material	Diameter	Lengh	Angled
NT102.10.400.01	PFAN Long Ø10 , L - 400 , Right	Titanium	Ø10.0	400	Right
NT102.10.400.02	PFAN Long Ø10 , L - 400 , Left	Titanium	Ø10.0	400	Left
NT102.10.420.01	PFAN Long Ø10 , L - 420 , Right	Titanium	Ø10.0	420	Right
NT102.10.420.02	PFAN Long Ø10 , L - 420 , Left	Titanium	Ø10.0	420	Left
NT102.11.320.01	PFAN Long Ø11 , L - 320 , Right	Titanium	Ø11.0	320	Right
NT102.11.320.02	PFAN Long Ø11 , L - 320 , Left	Titanium	Ø11.0	320	Left
NT102.11.340.01	PFAN Long Ø11 , L - 340 , Right	Titanium	Ø11.0	340	Right
NT102.11.340.02	PFAN Long Ø11 , L - 340 , Left	Titanium	Ø11.0	340	Left
NT102.11.360.01	PFAN Long Ø11 , L - 360 , Right	Titanium	Ø11.0	360	Right
NT102.11.360.02	PFAN Long Ø11 , L - 360 , Left	Titanium	Ø11.0	360	Left

Product Code	Name	Material	Diameter	Lengh	Angled
NT102.11.380.01	PFAN Long Ø11 , L - 380 , Right	Titanium	Ø11.0	380	Right
NT102.11.380.02	PFAN Long Ø11 , L - 380 , Left	Titanium	Ø11.0	380	Left
NT102.11.400.01	PFAN Long Ø11 , L - 400 , Right	Titanium	Ø11.0	400	Right
NT102.11.400.02	PFAN Long Ø11 , L - 400 , Left	Titanium	Ø11.0	400	Left
NT102.11.420.01	PFAN Long Ø11 , L - 420 , Right	Titanium	Ø11.0	420	Right
NT102.11.420.02	PFAN Long Ø11 , L - 420 , Left	Titanium	Ø11.0	420	Left
NT102.12.320.01	PFAN Long Ø12 , L - 320 , Right	Titanium	Ø12.0	320	Right
NT102.12.320.02	PFAN Long Ø12 , L - 320 , Left	Titanium	Ø12.0	320	Left
NT102.12.340.01	PFAN Long Ø12 , L - 340 , Right	Titanium	Ø12.0	340	Right
NT102.12.340.02	PFAN Long Ø12 , L - 340 , Left	Titanium	Ø12.0	340	Left

Product Code	Name	Material	Diameter	Lengh	Angled
NT102.12.360.01	PFAN Long Ø12 , L - 360 , Right	Titanium	Ø12.0	360	Right
NT102.12.360.02	PFAN Long Ø12 , L - 360 , Left	Titanium	Ø12.0	360	Left
NT102.12.380.01	PFAN Long Ø12 , L - 380 , Right	Titanium	Ø12.0	380	Right
NT102.12.380.02	PFAN Long Ø12 , L - 380 , Left	Titanium	Ø12.0	380	Left
NT102.12.400.01	PFAN Long Ø12 , L - 400 , Right	Titanium	Ø12.0	400	Right
NT102.12.400.02	PFAN Long Ø12 , L - 400 , Left	Titanium	Ø12.0	400	Left
NT102.12.420.01	PFAN Long Ø12 , L - 420 , Right	Titanium	Ø12.0	420	Right
NT102.12.420.02	PFAN Long Ø12 , L - 420 , Left	Titanium	Ø12.0	420	Left

Product Code	Name	Material	Diameter	Lengh
NT100.09.180	PFAN Short Ø9 , L 180	Titanium	Ø9	180
NT100.09.220	PFAN Short Ø9 , L 220	Titanium	Ø9	220
NT100.09.240	PFAN Short Ø12 , L - 240	Titanium	09	240
NT100.10.180	PFAN Short Ø10 , L - 180	Titanium	ø10	180
NT100.10.220	PFAN Short Ø10 , L - 220	Titanium	ø10	220
NT100.10.240	PFAN Short Ø10 , L - 240	Titanium	ø10	240
NT100.11.180	PFAN Short Ø10 , L - 180	Titanium	ø11	180
NT100.11.220	PFAN Short Ø10 , L - 220	Titanium	ø11	220
NT100.11.240	PFAN Short Ø10 , L - 240	Titanium	ø11	240
NT100.12.180	PFAN Short Ø12 , L - 180	Titanium	ø12	180

Product Code	Name	Material	Diameter	Lengh
NT100.12.220	PFAN Short Ø12 , L - 220	Titanium	ø12	220
NT100.12.240	PFAN Short Ø12 , L - 240	Titanium	ø12	240

Medical evaluation:The patient's medical history, including any previous surgeries, allergies, and chronic medical conditions, is reviewed. Preoperative tests, such as blood tests, X-rays, and possibly a CT scan or MRI, may be conducted to assess the extent and characteristics of the fracture.

Preoperative counseling:The patient is informed about the surgical procedure, its risks, benefits, and expected outcomes. The surgeon will discuss the specific details of the surgery, including the type of implant (Proximal Femur Nail Antirotation) and potential complications.

Medications and allergies: The patient should inform the surgical team about any medications they are taking, including prescription drugs, over-the-counter medications, and supplements. Specific instructions will be given regarding which medications to continue or discontinue before the surgery. Any known allergies should be reported to the medical team.

Fasting instructions:The patient will receive specific instructions regarding fasting before the surgery, typically requiring abstaining from food and drink (including water) for a specified period before the procedure. This is done to minimize the risk of aspiration during anesthesia.

Anesthesia consultation:If general anesthesia is planned, the patient may undergo a preoperative anesthesia consultation to evaluate their fitness for anesthesia and to discuss anesthesia options and potential risks.

Preoperative hygiene:Patients are often instructed to take a shower or bath the night before or on the day of the surgery using an antimicrobial soap to reduce the risk of surgical site infections.

Preoperative fasting and medications: The patient will be given specific instructions regarding the timing of last oral intake, including food, drink, and medications, before the surgery.

Preoperative preparation:The patient may be asked to arrive at the hospital or surgical center a few hours before the scheduled surgery time. They will change into a hospital gown and have their vital signs monitored. An intravenous (IV) line may be inserted to provide fluids and medications during the procedure.

Consent and paperwork: The patient will sign a consent form, indicating their understanding of the procedure, associated risks, and potential complications. Any required paperwork and administrative procedures will also be completed.

Support system:It is important for patients to arrange for transportation to and from the hospital or surgical center, as they may not be able to drive themselves home after the procedure. It can be helpful to have a family member or friend available to provide support and assistance during the preoperative and postoperative periods.

It is essential to note that preoperative protocols can vary based on individual patient characteristics, the surgeon's preferences, and the specific policies of the medical facility where the procedure is being performed. Therefore, it is crucial to follow the instructions provided by the surgeon and the medical team involved in the patient's care.

Anesthesia: The patient is typically placed under general anesthesia, although regional anesthesia (e.g., spinal or epidural) may also be used depending on the patient's condition and the surgeon's preference. The chosen anesthesia method will ensure that the patient remains comfortable and pain-free throughout the procedure.

Patient positioning: The patient is positioned on the operating table, usually lying on their back. The affected leg is appropriately positioned and prepped to provide optimal access to the proximal femur.

Incision: The surgeon makes an incision over the proximal femur region. The location and length of the incision may vary depending on the specific fracture pattern and the implant design.

Soft tissue management:The surrounding soft tissues, such as muscles and tendons, are carefully dissected and retracted to expose the fractured area and the femur's medullary canal.

Fracture reduction:The fractured fragments are then realigned (reduced) into their proper anatomical position. This may involve gentle manipulation, traction, or the use of specialized reduction instruments.

Nail insertion: A guide wire is carefully placed through the proximal femur to aid in the insertion of the antirotation nail. Using fluoroscopic guidance (X-ray imaging), the surgeon drills a hole into the femur's medullary canal, which is sized to accommodate the chosen nail.

Nail insertion and placement:The antirotation nail, pre-selected based on appropriate length and diameter, is inserted into the medullary canal. The nail is advanced along the guide wire until it reaches the desired position within the proximal femur.

Locking and stabilization: Once the nail is properly positioned, the surgeon may employ locking screws at the proximal and distal ends of the nail, which provide added stability and prevent rotation of the implant. In some cases, additional screws or bolts may be used to secure the implant further.

Wound closure: The incision is carefully closed with sutures or staples, and sterile dressings are applied to the wound site.

Postoperative care: The patient is then taken to the recovery area, where they are closely monitored. Pain management, antibiotics, and other postoperative care protocols will be administered as per the surgeon's instructions. Physical therapy and rehabilitation may be initiated soon after the procedure to aid in the recovery and restoration of mobility.

It is important to note that postoperative care and rehabilitation play a crucial role in the patient's recovery process. The specific postoperative protocols may vary based on the patient's condition and the surgeon's preferences, so it is important to follow the guidance provided by the medical team.

Recovery and monitoring:The patient is taken to a recovery area where vital signs, pain levels, and any immediate postoperative complications are monitored. Nursing staff will closely observe the patient for signs of surgical site infection, bleeding, or other complications.

Pain management:Adequate pain control is essential for patient comfort and early mobilization. Pain medication may be administered through intravenous (IV) or oral routes as prescribed by the surgeon. The medical team will assess the patient's pain levels and adjust the pain medication accordingly.

Wound care:The surgical incision site should be kept clean and monitored for signs of infection. Dressings may be changed regularly, following the surgeon's instructions. The patient should report any unusual discharge, redness, swelling, or increasing pain around the incision site.

Early mobilization and weight-bearing:Depending on the specific fracture and the surgeon's instructions, early mobilization and partial weight-bearing may be initiated. Physical therapists or rehabilitation specialists will guide the patient through appropriate exercises and activities to promote mobility while minimizing the risk of complications.

Physical therapy and rehabilitation:A structured physical therapy program is crucial for the patient's long-term recovery. Physical therapists will provide exercises and rehabilitation techniques to restore strength, range of motion, and functional mobility. This may include gait training, muscle strengthening exercises, balance training, and other interventions tailored to the patient's specific needs.

Medication and medical management: The patient will be prescribed appropriate medications, such as antibiotics and blood thinners, to prevent infections and complications. It is important to strictly adhere to the prescribed medication regimen and follow up with the surgeon for any necessary adjustments.

Follow-up appointments: The patient will have scheduled follow-up appointments with the surgeon to monitor the healing progress, remove sutures or staples if necessary, assess X-rays, and evaluate overall recovery. The frequency of follow-up visits will vary based on the patient's progress and the surgeon's recommendations.

Precautions and activity restrictions:The patient will be given specific instructions regarding weight-bearing restrictions, limitations on certain activities, and the use of assistive devices such as crutches or walkers. It is crucial to adhere to these instructions to prevent reinjury and support proper healing.

Lifestyle modifications: The patient may receive guidance on lifestyle modifications to promote bone health, such as adequate nutrition, calcium and vitamin D supplementation, and fall prevention strategies.

It is important to note that the postoperative care plan may differ for each patient based on their individual circumstances, fracture severity, and surgeon's preferences. Therefore, it is essential to follow the specific postoperative instructions provided by the surgeon and the medical team involved in the patient's care.