PFN Fixation

PFN fixation stabilizes trochanteric fractures, offers biomechanical advantage, enables early mobilization, reduces complications, and uses a minimally invasive approach.
PFN Fixation

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PFN Fixation Services

Comprehensive PFN Fixation care with advanced monitoring and safety protocols

Hip fractures can significantly limit movement, especially in older adults, with trochanteric fractures being a common type affecting the upper femur near the hip. These injuries often occur due to falls, accidents, or weakened bones caused by osteoporosis. To restore strength and stability, PFN fixation of fracture treatment in Chennai is widely used as an advanced surgical option. This minimally invasive technique provides strong internal support, promotes faster bone healing, and helps patients regain mobility sooner. Early rehabilitation further improves functional recovery and independence.

What is a Trochanteric Fracture?

The trochanteric region of the femur consists of two bony prominences—the greater trochanter and the lesser trochanter—located near the hip joint. These areas are crucial for muscle attachment and hip stability. When fractured, patients often experience intense pain, swelling, and an inability to bear weight on the leg. Trochanteric fractures are especially common in elderly individuals with fragile bones but can also affect younger patients after high-impact injuries.

PFN Fixation – The Surgical Solution

PFN fixation is a surgical procedure that stabilizes a trochanteric fracture using a specially designed implant known as a proximal femoral nail. This implant is a strong metal rod inserted into the central canal of the femur to hold the broken bone fragments together.

Steps of the Procedure:

  1. Preoperative Assessment – Imaging tests such as X-rays or CT scans are taken to evaluate the fracture pattern and plan the surgery.
  2. Anesthesia – The procedure is usually performed under spinal or general anesthesia.
  3. Insertion of the Nail – A small incision is made near the hip, and the PFN is guided into the femur using imaging for accuracy.
  4. Fixation with Screws , Blade – Blade and Screws are inserted through the nail into the bone to secure the fracture fragments.
  5. Closure – The incision is closed, and the patient is monitored as recovery begins.

This method provides rigid internal fixation, making it possible for patients to start moving earlier than with traditional methods.

Recovery and Rehabilitation

Recovery after PFN fixation emphasizes early mobilization to reduce complications and improve outcomes.

  • Early Weight Bearing – Patients may begin walking with the support of crutches or walkers within days after surgery, depending on fracture stability.
  • Physiotherapy – A structured rehabilitation program helps restore hip movement, strengthen muscles, and improve balance.
  • Gradual Independence – Most patients progress to independent walking within weeks to months, with full recovery varying based on age, bone quality, and overall health.

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Benefits of PFN Fixation

  • Strong and stable fixation for complex fractures.
  • Smaller incision and less blood loss compared to older techniques.
  • Allows for early mobilization, reducing risks of bed rest complications.
  • Faster recovery and rehabilitation.
  • Lower chance of implant failure in osteoporotic bones.

Conclusion

PFN fixation of trochanteric fractures is a trusted surgical method for stabilizing fractures of the upper femur and restoring hip function. Under the expertise of Dr. Vijay Sohanlal, best Orthopedic surgeon, knee and Hip Replacement specialist in Chennai, PFN fixation of fracture treatment in Chennai offers precise fixation and faster recovery. This technique supports early mobilization, especially in elderly patients, reducing complications related to prolonged immobility. With structured rehabilitation and proper post-operative care, patients can return to daily activities with confidence and improved quality of life.

Read More: Labral Repair PFN Fixation

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Frequently Asked Questions

Common questions about PFN Fixation and our services

PFN (Proximal Femoral Nail) fixation is a surgical procedure used to treat fractures of the proximal femur, particularly intertrochanteric and subtrochanteric fractures. It involves inserting a metal nail into the femur’s marrow cavity, which is secured with screws to stabilize the bone. PFN fixation allows early mobilization, reduces complications, and helps in faster fracture healing compared to traditional methods.

The PFN method is a minimally invasive orthopedic technique where a specially designed intramedullary nail is inserted into the femur to stabilize fractures near the hip. The nail is locked with screws at the proximal and distal ends, providing strong internal support. This method maintains alignment, supports weight-bearing early, and minimizes soft tissue damage and blood loss during surgery.

PNF (Proprioceptive Neuromuscular Facilitation) is a rehabilitation technique used to improve flexibility, strength, and coordination. The four main types of PNF techniques are:

  1. Hold-Relax – stretching the muscle, then isometric contraction, followed by further stretching.

  2. Contract-Relax – contracting the muscle against resistance, then relaxing and stretching.

  3. Hold-Relax with Agonist Contraction (HR-AC) – combining isometric hold and active movement of the opposing muscle.

  4. Rhythmic Initiation – gradually moving from passive to active-assisted and then active movements to improve control and coordination.

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