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PFNA Intertrochanteric Fracture-76 Xyoos

Views: 0 Author: Site Editor Publish Time: 2026-05-26 Keeb Kwm: Qhov chaw

PFNA Intertrochanteric Fracture Treatment: A Case Study from m Tajikistan

$Preoperative X-ray comminuted intertrochanteric fracture varus displacement-CZMEDITECH$

Tus neeg mob Background

Lub tsev kawm ntawv: HOSPITAL #1, Tajikistan

Surgeon: Dr. Pab neeg phais mob Aliser

Tus neeg mob: Txiv neej, 76 xyoo

Mechanism ntawm kev raug mob: Hauv tsev poob los ntawm qhov siab

Sab cuam tshuam: Sab hip

Cov xwm txheej uas twb muaj lawm (xav tias): Osteoporosis

Fracture Type: Txoj cai comminuted intertrochanteric puas nrog varus hloov chaw (AO/OTA 31-A2)

Cov txheej txheem: Kaw txo + PFNA intramedullary ntsia thawv fixation

Cov txiaj ntsig: Kev kho lub cev rov qab; rov qab tsis zoo; tag nrho qhov hnyav-cov kabmob ntawm 6 lub lis piam

Preoperative Imaging Findings

Preoperative radiographs qhia:

Comminuted txoj cai intertrochanteric puas
Varus hloov chaw ntawm proximal femur
Kev cuam tshuam ntawm lateral femoral phab ntsa
Me me trochanter fragment sib cais (xws li instability)

Preoperative duab

Kev soj ntsuam tom qab kev phais tam sim

Postoperative X-ray - anatomical alignment rov qab nrog PFNA nyob rau hauv qhov chaw

Lub caj dab-ncej kaum rov qab mus rau 130 °
Helical hniav positioned optimally (center-inferior quadrant)
Tsis muaj teeb meem intraoperative

Surgery Summary & PFNA System

Tus neeg mob tau kho nrog kev txo qis thiab PFNA intramedullary ntsia thawv fixation. Lub sijhawm ua haujlwm yog kwv yees li 55 feeb nrog cov ntshav tsawg tsawg. Postoperative radiographs pom anatomical alignment; caj dab-shaft lub kaum sab xis tau rov qab mus rau 130 °.

PFNA system siv nyob rau hauv cov ntaub ntawv no suav nrog cov ntsia hlau intramedullary, helical hniav, aiming caj npab, guidewires, reamers, thiab distal locking instruments.

PFNA intramedullary ntsia thawv teeb nrog helical hniav-CZMEDITECH

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