Prevention of cement leakage into the hip joint by a standard cement plug during PFN-A cement augmentation: a technical note.
Hanke MDepartment of Orthopaedic and Trauma Surgery, University of Bern, Inselspital, Freiburgstrasse 3, 3010, Bern, Switzerland.
Djonov VInstitute of Anatomy, University of Bern, Bern, Switzerland.
Tannast MDepartment of Orthopaedic and Trauma Surgery, University of Bern, Inselspital, Freiburgstrasse 3, 3010, Bern, Switzerland.
Keel MJDepartment of Orthopaedic and Trauma Surgery, University of Bern, Inselspital, Freiburgstrasse 3, 3010, Bern, Switzerland.
Bastian JDDepartment of Orthopaedic and Trauma Surgery, University of Bern, Inselspital, Freiburgstrasse 3, 3010, Bern, Switzerland. johannesbastian@gmx.de.
2016-03-25
Published in:
Archives of orthopaedic and trauma surgery. - 2016
English
Medial penetration of the helical blade into the hip joint after fixation of trochanteric fractures using the proximal femur nail antirotation (PFN-A) is a potential failure mode. In low demand patients a blade exchange with cement augmentation may be an option if conversion to total hip arthroplasty is unfeasible to salvage the cut-through. This article describes a technique to avoid intraarticular cement leakage using a cement plug to close the defect in the femoral head caused by the cut-through.