PFN Fixation

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 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 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.

• 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.

PFN fixation of trochanteric fracture is a reliable and effective surgical technique for treating fractures in the upper femur. By using a proximal femoral nail to stabilize the bone, this procedure restores hip stability, reduces recovery time, and allows patients to return to daily activities with greater confidence. Especially for elderly individuals, early mobility after PFN fixation plays a vital role in preventing complications and improving overall quality of life. With proper care and rehabilitation, most patients achieve excellent long-term outcomes following this advanced surgical treatment.