ʻO ka nail PFNA he ʻōnaehana hoʻoponopono intramedullary i hoʻohana nui ʻia no ka mālama ʻana i nā haʻihaʻi femoral proximal, ʻoi aku ka paʻa ʻole a me nā haʻi ʻūhā osteoporotic. Hoʻonui ka lāʻau antirotation i ka paʻa, kākoʻo i ka neʻe mua ʻana, a hōʻemi i ka hemahema o ka hoʻoponopono ʻana, e hana ana i ka PFNA he hopena kūpono i ka mālama ʻana i ka trauma orthopedic hou.