Proximal Femoral Nail Anti-rotation with Cement Augmentation Reduces the Prevalence of Mechanical Failure for Unstable Type Intertrochanteric fracture in Elderly Patient: A Preliminary Study

Abstract

Volume 4 -Issue 3 suggested a cephalomedullary device because they have determined improved walking ability [16] and tend to offer a shorter recovery [17]. However, there was some mechanical failure from Proximal Femoral Nail Anti-rotation (PFNA) blade cut-out in clinical practice after osteoporotic hip fracture fixation because of discontinuity of principal tensile trabeculae (lack of bone trabeculae to prevent blade cut-out). A few literatures have identified potential of Polymethylmethacrylate (PMMA) cement-augmented helical PFNA blades to improve implant stability only in human cadaveric study [18,19]. Moreover, they lack data demonstrating PFNA with cement augmented blade in clinical study. Therefore, purpose of our study was to undergo the preliminary study whether PFNA with cement augmented blade reduces the