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Views: 0 Author: Site Editor Publish Time: 2026-05-26 Origin: Site
Patient Background Institution：CLINICAL HOSPITAL #1, Tajikistan
Surgeon：Dr. Aliser‘s surgical team
Patient：Male, 76 years old
Mechanism of injury: Domestic fall from standing height
Side affected: Right hip
Pre-existing conditions (suspected): Osteoporosis
Fracture Type：Right comminuted intertrochanteric fracture with varus displacement (AO/OTA 31-A2)
Procedure：Closed reduction + PFNA intramedullary nail fixation
Outcome：Anatomical alignment restored; uneventful recovery; full weight-bearing at 6 weeks
Comminuted right intertrochanteric fracture
Varus displacement of the proximal femur
Disruption of the lateral femoral wall
Small trochanter fragment separation (indicating instability)
Postoperative X-ray — anatomical alignment restored with PFNA in situ
Neck-shaft angle restored to 130°
Helical blade positioned optimally (center-inferior quadrant)
No intraoperative complications
The patient was treated with closed reduction and PFNA intramedullary nail fixation. Operative time was approximately 55 minutes with minimal blood loss. Postoperative radiographs showed anatomical alignment; neck-shaft angle was restored to 130°.
The PFNA system used in this case includes the intramedullary nail, helical blade, aiming arm, guidewires, reamers, and distal locking instruments.
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