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PFNA Intertrochanteric Fracture-76 Years old

Views: 0     Author: Site Editor     Publish Time: 2026-05-26      Origin: Site

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PFNA Intertrochanteric Fracture Treatment: A Case Study from Tajikistan

Preoperative X-ray comminuted intertrochanteric fracture varus displacement-CZMEDITECH

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

Preoperative Imaging Findings

Preoperative radiographs revealed:

  • Comminuted right intertrochanteric fracture

  • Varus displacement of the proximal femur

  • Disruption of the lateral femoral wall

  • Small trochanter fragment separation (indicating instability)

Preoperative imaging

Immediate Postoperative Assessment

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

Postoperative X-ray PFNA nail anatomical alignment-CZMEDITECH

Surgery Summary & PFNA System

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.

PFNA intramedullary nail set with helical blade-CZMEDITECH



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