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P F N A

P F N A

P F N A

Product catalog summary
Introduction
The document provides detailed information about the Proximal Femoral Nail Antirotation (PFNA) system with an augmentation option, designed for superior anchoring in osteoporotic bone. It emphasizes a simple and reproducible procedure through a standardized technique, allowing intraoperative decisions for augmentation.
Specifications
The PFNA system includes a nail with an anatomical design for optimal fit in the femur, proven in over 450,000 cases. It offers several distal locking options, including static and dynamic locking, and features a medial-lateral angle of 6° for insertion at the greater trochanter. The product range includes PFNA nails in various lengths and sizes, ensuring rotational and angular stability with a single element.
PFNA Blade
The PFNA blade compacts cancellous bone, providing additional anchoring, crucial for osteoporotic bone. It offers increased stability by preventing rotation and varus collapse, with biomechanical tests showing higher cut-out resistance compared to screw systems. The blade is inserted through a lateral incision and automatically locks to prevent rotation.
Instrumentation and Procedure
The guide wire positioning is crucial for correct PFNA blade placement. The system includes a guide wire aiming device for AP orientation and a radiolucent insertion handle for lateral view adjustments. Intraoperative compression is possible with new PFNA blades and a compression instrument.
SureLock System
SureLock is a C-arm guided distal targeting device for precise distal locking of long nails, reducing radiation exposure and increasing working space.
Augmentation Option
The PFNA Augmentation system offers controlled cement augmentation through the implant, enhancing rotational stability and increasing cycles to cut-out. The Traumacem V+ Cement is ready-to-use with no waiting time, providing approximately 27 minutes of application time. The cement kit includes a side-opening cannula for controlled injection and visual control under x-ray imaging.
Ordering Information
For detailed ordering information, refer to the PFNA Technique Guide or the Synthes eCatalog. The publication is not intended for distribution in the USA.
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Catalog excerpts

P F N A-1

PFNA. With Augmentation Option. Superior anchor ducible procedure through standard- ized technique This publication is not intended for approved by the AO Foundation. COMPANIES OF p»»oH^ofc««m

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P F N A-2

PFNA. Proximal Femoral Nail Antirotation. PFNA Nail Optimal fit The anatomical design guarantees an optimal fit in the femur. The nail design has been well proven in over 450,000 cases performed with the PFN and PFNA. The PFNA has a medial-lateral angle of 6° This allows insertion at the tip of the greater trochanter. Optimal stress distribution The flexible PFNA tip eases insertion and reduces stress on the bone at the tip of the PFNA. Several distal locking options Static or dynamic locking can be performed via the aiming arm with PFNA standard, small and xs. The PFNA long additionally allows...

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P F N A-3

PFNA Nail Product range The PFNA is available in 4 sizes PFNA small, length 200 mm PFNA long, length 300 – 420 mm, with 20 mm increments, bending radius 1.5 m

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P F N A-4

PFNA. Proximal Femoral Nail Antirotation. PFNA Blade Rotational and angular stability achieved with one single element Compaction of cancellous bone Inserting the PFNA blade compacts the cancellous bone providing additional anchoring, which is especially important in osteoporotic bone. Bone structure before insertion of the PFNA blade. Bone structure after PFNA blade insertion – cancellous bone is compacted providing additional anchoring to the PFNA blade. PFNA blade unlocked PFNA blade locked Large surface and increasing core diameter guarantee maximum compaction and optimal hold in bone Increased...

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P F N A-5

PFNA. Instrumentation. Easier guide wire positioning and insertion Correct positioning of the guide wire and finally the PFNA blade in the femoral head is crucial. The guide wire aiming device allows for AP orientation, which permits correction of the nail’s insertion depth prior to guide wire insertion. In the lateral view, rotation of the nail can be adjusted with the two orientation lines in the radiolucent insertion handle for PFNA. Intraoperative compression In good bone quality the new PFNA blades (0X.027.010S – 0X.027.021S and 0X.027.030S – 0X.027.041S) together with the compression instrument...

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P F N A-6

PFNA. Augmentation. Fractures of the hip are the most common operatively treated fractures of the elderly (over the age of 70). The number of osteoporotic fractures is growing dramatically causing treatment to become an increasingly challenging issue. The PFNA Augmentation offers a unique system of controlled cement augmentation directly through the implant: – Higher number of cycles to cut-out and increased rotational stability in biomechanical testing – Simple and reproducible procedure through standardized surgical technique – Compatible with PFNA instrumentation and implants – Intraoperative...

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P F N A-7

Cement placement Controlled placement of cement around the implant, through the perforated blade with the side-opening cannula. Traumacem V+ Syringe Kit Traumacem V+ Syringes have wide integrated wings and strong syringe pistons to guarantee excellent force transfer, combined with good tactile feedback. Traumacem V+ Syringe Kit includes a one-way stop-cock for simple, clean and quick filling of the 2 and 1 ml syringes. Traumacem V+ Cement Kit For good visual control during cement application under x-ray imaging, the Traumacem V+ powder contains 40% zirconium dioxide and 15% hydroxyapatite. Therefore...

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P F N A-8

PFNA. With Augmentation Option. Product information This publication is not intended for distribution in the USA. All surgical techniques are available as PDF files at www.synthes.com/lit © DePuy Synthes Trauma, a division of Synthes GmbH. 2015. For ordering information for all implants and instruments associated with the PFNA system (and augmentation option), please refer to the ”PFNA. With Augmentation Option” Technique Guide 036.001.143, or the Synthes eCatalog at catalog.synthes.com.

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*Prices are pre-tax. They exclude delivery charges and customs duties and do not include additional charges for installation or activation options. Prices are indicative only and may vary by country, with changes to the cost of raw materials and exchange rates.