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Background: The Proximal Femoral Nail® (PFN) has an extra hip pin in the head–neck fragment, to prevent rotation of the fracture fragments. However, this hip pin brought along two unexpected complications: medial migration and cutout. In order to reduce the risk of migration and cutout, the hip pin should bear no or minimal load. For this reason, a modified PFN (mPFN) prototype was developed,...
For operative treatment of unstable trochanteric fractures two options exist: extramedullary or intramedullary stabilisation. A review of 18 international papers that compared two different treatment methods for trochanteric fractures, in prospective randomised clinical trials, is presented. In view of the overall results, routine use of intramedullary fixation devices is not to be recommended for...
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