Proximal femoral nail (Pfn) – a new stage in the theraPy of extracaPsular femoral fractures

The research was aimed at referring to contemporary problems concerning fractures of the proximal femur that, particularly in older patients, represent not only medical, but also social and nursing difficulties. Within November 2004 to March 2006, 83 patients with proximal femoral fractures were treated using PFN. Except for two cases, the post-operative course was favourable and patients could start early rehabilitation. A careful surgical approach and technique with a stable osteosynthesis have markedly contributed to a more rapid mobilisation of a patient and, thus, to the decrease of post-operative complications. The implantation of a short reconstruction nail produced by Medin company has caused an evident qualitative shift in the therapy for proximal femoral fractures.