title: Intramedullary osteosynthesis of complex proximal femoral fractures with the Targon PF nail.
abstract: We evaluated the performance of the Targon PF nailing system in the treatment of complex proximal femoral fractures with a retrospective analysis of prospectively collected data for 94 patients with a complex proximal femoral fracture (subtrochanteric fracture or fracture with reversed fracture line pattern) treated with a Targon PF nail. There were no intra-operative femoral fractures. Late complications requiring reoperation were one femoral fracture and one fracture around the nail secondary to tumour. Seven nails had to be dynamised and a further six 'self-dynamised' at the site of the distal locking screw. One patient required revision of the distal locking. Only one other patient required secondary surgery for a wound haematoma. There were no cases of implant cut-out or non-union. The Targon PF nail represents a progressive development in the design of intramedullary nails for proximal femoral fractures and the results compare favourably with other intramedullary systems used to treat complex proximal femoral fractures.
authors.affiliation: Ipswich Hospital NHS Trust, Heath Road, Ipswich, Suffolk IP4 5PD, United Kingdom. Gideon.Heinert@doctors.org.uk
authors.forename: G
authors.initials: G
authors.lastname: Heinert
authors.forename: M J
authors.initials: MJ
authors.lastname: Parker
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001858:Bone Nails / Q000592:standards*; D002183:Canes / Q000706:statistics & numerical data; D005260:Female; D005594:Fracture Fixation, Intramedullary / Q000379:methods / Q000534:rehabilitation / Q000592:standards*; D017102:Fracture Healing; D006620:Hip Fractures / Q000150:complications / Q000534:rehabilitation / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D020127:Recovery of Function; D016896:Treatment Outcome