What does TFN stand for in surgery?
TFN – Titanium Trochanteric Fixation Nail System Surgical Technique DePuy Synthes 7. Indications. The Synthes Titanium Trochanteric Fixation Nail (TFN) is intended to treat stable and unstable pertrochanteric fractures, intertrochanteric fractures, basal neck fractures, and combinations thereof.
What is the tfna system?
Comprehensive Surgical Options The TFNA System is designed to solve a wide range of unmet needs for surgeons, OR staff, and administrators. More than five years in the making, this system offers advancement in hip fracture treatment, including outcome-based design, reduced procedural complexity, and comprehensive surgical options.
What is the long TFN used for?
The Long TFN is additionally indicated for subtrochanteric fractures, pertrochanteric frac- tures associated with shaft fractures, pathologic fractures of osteoporotic bone (including prophylactic use) in both tro- chanteric and diaphyseal regions, long subtrochanteric frac- tures, proximal or distal nonunions, malunions, and revisions.
What is TFN-advanced proximal femoral nailing system (tfna)?
The TFN-ADVANCED Proximal Femoral Nailing System (TFNA) is designed to advance hip fracture treatment with: Outcomes-based Design Reduced Procedural Complexity Comprehensive Surgical Options The TFNA System is designed to solve a wide range of unmet needs for surgeons, OR staff, and administrators.
How long does intramedullary nailing surgery take?
The operative time for the nailing in our study was 175 minutes. Treatment goals include allowing early mobilization of the patient, restoration and maintenance of normal length and alignment, the ability to consistently achieve union, and to maintain a normal, functional range of motion in the hip and knee.
How is the TFNA nail inserted surgically implemented?
TFNA short (170 mm, 200 mm and 235 mm) Manually insert the nail into the femoral opening. When using a reaming rod, pass the cannulated nail over the reaming rod and into the femoral opening. Under image intensification, verify fracture reduction and insert the nail as far as possible by hand.
What is intramedullary nailing of femur?
An intramedullary nail is a metal rod that is inserted into the medullary cavity of a bone and across the fracture in order to provide a solid support for the fractured bone. Intramedullary nailing is currently considered the "gold standard" for treatment of femoral shaft fractures (Rudloff 2009).
What is the TFNA's helical blade technology designed to do?
TFNA Helical Blade technology is designed to compress bone during insertion, which enhances implant anchorage and may reduce the risk of cut-out. Oblique lateral end of both blade and screw lies flush to lateral cortex to reduce protrusion on soft tissue.
What is a DHS surgery?
Dynamic hip screw (DHS) or Sliding Screw Fixation is a type of orthopaedic implant designed for fixation of certain types of hip fractures which allows controlled dynamic sliding of the femoral head component along the construct.
What is Cephalomedullary nail?
The Cephalomedullary Nail was designed to help treat fractures of the femur, especially intertrochanteric and subtrochanteric fractures. The nail features a small proximal section that is designed to minimize the amount of bone that must be removed for nail insertion.
How long does it take to fully recover from a broken femur?
At some point, you may need physical therapy to restore strength and flexibility to your muscles. Doing your exercises as prescribed can improve your chances for a full recovery. Most femoral fractures take about 4 to 6 months to heal completely, but you should be able to resume many activities before this time.
Is intramedullary nailing painful?
Background: Anterior knee pain is the most common complication after intramedullary nailing of the tibia. Dissection of the patellar tendon and its sheath during transtendinous nailing is thought to be a contributing cause of chronic anterior knee pain.
How long before you can walk after broken femur?
Full recovery from a femur fracture can take anywhere from 12 weeks to 12 months. But you are not alone. Most people experiencing a femur fracture can begin walking with the help of a physical therapist in the first day or two after injury and/or surgery.
Is TFN an intramedullary?
The TFN permits an intramedullary approach for fixation of proximal femur fractures.
What does TFNA stand for in medical terms?
The Trochanteric Fixation Nail - Advanced (TFNA) can be used to treat stable or unstable pertrochanteric fractures, intertrochanteric fractures or a combination of pertrochanteric and intertrochanteric fractures.
What is proximal femoral nailing?
The proximal femoral nail (PFN) is an osteosynthetic implant designed to treat proximal femoral fractures in the trochanter area with a closed intramedullary fixation method.
What is a TFN nail?
The helical blade of the Titanium Trochanteric Fixation Nail (TFN) System provides increased resistance to cut-out.1
How to measure TFN nail length?
360.255 Measuring Device for Reaming Rod for TFN Nail length may also be determined by using the reaming rod measuring device and a 950 mm reaming rod or guide rod. Insert the reaming rod to hold fracture reduction. Position the image intensifier over the distal femur and take an image to confirm reaming rod insertion depth. Pass the reaming rod measuring device over the proximal end of the reaming rod and through the incision to the bone. Read nail length directly from the measuring device.
What rulers are used for titanium trochanteric nail system?
Use the AO preoperative planner rulers for the Titanium Trochanteric Fixation Nail System to determine nail length, nail diameter, femoral neck angle and head element length. The head element should be centered in the AP and lateral views of the femoral head.
How to use a radiographic ruler for TFN?
With long forceps, clamp the guide wire in the appro- priate neck angle position as previously determined. Place the radiographic ruler over the femur. Adjust the radio- graphic ruler until the guide wire is centered in the femoral head. Mark the skin at the proximal end of the ruler. Move the image intensifier to the distal femur, replace the proximal end of the radiographic ruler at the skin mark and take an AP image of the distal femur. Verify fracture reduc- tion. Read nail length directly from the ruler image, selecting the measurement that places the distal end of the nail at, or just proximal to, the physeal scar, or the chosen insertion depth.
What is the magnification level of a preoperative planner?
Note:Check the magni fication on the specic preoperative planner ruler. Magnification levels are either 0% or 15%. Determine the typical magnification factor at your institution and then adjust measurements accordingly. To do this, divide the measured length by the magnification factor and choose the nearest nail length. Note that this will provide an esti- mated nail length and implant size.
What is fracture fixation?
Fracture fixation providing absolute or relative stability, as required by the patient, the injury, and the personality of the fracture.
How to use an image intensifier for a fracture?
For unimpeded access to the medullary canal, abduct the upper part of the body approximately 10 –15° to the contralateral side (or adduct the affected leg by 10 –15°). Reduce the fracture. The universal large distractor may be useful when not using a fracture table.
Who Performs the Procedure?
An orthopedic surgeon performs the Hip Nailing for Hip Fracture procedure.
What is Hip Nailing for Hip Fracture surgical procedure?
Hip Nailing is a surgical procedure that involves reconnecting the loose bone fragments of the femur, close to the hip joint
What part of the Body does the Procedure involve?
A Hip Nailing for Hip Fracture procedure involves the top of the femur and the pelvis socket joint.
What are some Alternative Choices for the Procedure?
Non - surgical treatment is an option that is generally reserved for patients, who are not medically fit for surgery, or if they were unable to walk prior to injury, and may have been bedridden or wheelchair-bound
What Preparations are needed, prior to the Procedure?
The physician may evaluate the individual’s medical history to gain a comprehensive knowledge of the overall health status of the patient including information related to the medications that are being currently taken
What kind of Anesthesia is given, during the Procedure?
Spinal anesthesia or general anesthesia is administered for this procedure.
What are the possible Risks and Complications during the Hip Nailing for Hip Fracture surgical procedure?
There are general factors that increase the risk of getting complications during surgery and they include:
