A Proximal Femoral Nail (PFNA) is an intramedullary rod used in the fixation of fractures in the femur, specifically in the proximal region near the hip joint.
The PFNA is primarily used to treat stable and unstable proximal femoral fractures, including intertrochanteric and subtrochanteric fractures.
The PFNA is inserted through a small incision in the thigh, where it is driven into the medullary canal of the femur to provide stabilization and support for the fractured bone.
The PFNA offers several benefits, including reduced surgical trauma, minimal blood loss, and the ability to allow early weight-bearing and mobility for patients.
PFNA implants are typically made from biocompatible materials such as titanium or stainless steel, ensuring strength and durability.
Recovery time can vary based on individual circumstances, but patients may typically expect a healing period of 6 to 12 weeks, depending on the severity of the fracture and adherence to rehabilitation protocols.
As with any surgical procedure, there are risks involved, including infection, bleeding, nerve damage, and non-union of the fracture. Your surgeon will discuss these risks with you prior to surgery.
Post-operative care usually includes pain management, physical therapy, and regular follow-up appointments to monitor the healing process and ensure proper alignment.
Weight-bearing recommendations vary, but many surgeons allow partial weight-bearing shortly after surgery, with full weight-bearing dependent on individual healing progress.
If removal of the PFNA is required, a surgical procedure will be performed to extract the implant, usually under general anesthesia. Follow your surgeon's advice on timing for removal.
The PFNA is specifically designed for proximal femoral fractures and incorporates features that provide optimal stability and alignment, which may differ from other intramedullary nails designed for different types of fractures.
The suitability of the PFNA depends on factors such as the patient's age, overall health, and specific fracture characteristics. A thorough evaluation by a healthcare professional is necessary.
If you experience excessive pain, swelling, or any unusual symptoms post-surgery, contact your surgeon immediately for evaluation and guidance.
Most patients can return to normal activities after full recovery, but high-impact sports and activities may need to be approached with caution. Consult with your healthcare provider for personalized advice.
Lifestyle changes may include maintaining a healthy diet, engaging in physical therapy, and avoiding high-risk activities that could lead to falls or re-injury.
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