PFNA Intertrochanteric Fracture-76 ia ol

Bakgrɔn fɔ di pɔsin we sik

Instityushɔn:KLINIK ƆSPITAL #1, Tajikistan

Sɔjɔn:Dɔkta. Aliser in ɔspitul tim

Patient:Male, 76 ia ol

Mekanism fɔ injuri: Domɛstik fɔdɔm frɔm tinap ayt

Sayd we dɛn afɛkt: Rayt hip

di kכndishכn dεm we bin de bifo (dεn sכspεkt): כstioporosis

Frakshכn Tayp:Rayt kכmminut intatrokanterik frakshכn wit varus displεsmεnt (AO/OTA 31-A2)

di we aw dεn de du am:Klos rεdukshכn + PFNA intramεdul nel fikseshכn

Autkam:Anatomical alaynɛshɔn dɔn kam bak; we nɔ gɛt ɛnitin fɔ du wit di we aw pɔsin kin wɛl; ful wet-bearing na 6 wik

Di tin dɛn we dɛn dɔn fɛn bifo dɛn du di imej

Di rediograf dɛn we dɛn bin tek bifo dɛn du di ɔpreshɔn sho se:

• Comminuted rayt intatrochanteric fraktrɔs

• di varus displεsmεnt fכ di proksimal fεmur

• disrupshכn pan di lateral fεmoral wכl

• Smɔl trochanter fragmɛnt separeshɔn (we de sho se i nɔ stebul) .

Imej we dɛn kin tek bifo dɛn du di ɔpreshɔn

Asɛsmɛnt we dɛn kin du afta di ɔpreshɔn wantɛm wantɛm

Postopεraytiv X-ray — anatomical alaynsmεnt we dεn rεstכr wit PFNA in situ

• Nek-shaft angle we dɛn dɔn briŋ bak to 130°

• Hεlikal bled we dεn posishun fayn fayn wan (sεntr-infεriכr kכdrant) .

• Nɔ intraɔpareshɔn kɔmplikeshɔn dɛn

Surgery Sɔmari & PFNA Sistɛm