title: Prevention of cement leakage into the hip joint by a standard cement plug during PFN-A cement augmentation: a technical note.
abstract: 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.
authors.affiliation: Department of Orthopaedic and Trauma Surgery, University of Bern, Inselspital, Freiburgstrasse 3, 3010, Bern, Switzerland.
authors.forename: M
authors.initials: M
authors.lastname: Hanke
authors.affiliation: Institute of Anatomy, University of Bern, Bern, Switzerland.
authors.forename: V
authors.initials: V
authors.lastname: Djonov
authors.affiliation: Department of Orthopaedic and Trauma Surgery, University of Bern, Inselspital, Freiburgstrasse 3, 3010, Bern, Switzerland.
authors.forename: M
authors.initials: M
authors.lastname: Tannast
authors.affiliation: Department of Orthopaedic and Trauma Surgery, University of Bern, Inselspital, Freiburgstrasse 3, 3010, Bern, Switzerland.
authors.forename: M J
authors.initials: MJ
authors.lastname: Keel
authors.affiliation: Department of Orthopaedic and Trauma Surgery, University of Bern, Inselspital, Freiburgstrasse 3, 3010, Bern, Switzerland. johannesbastian@gmx.de.
authors.forename: J D
authors.initials: JD
authors.lastname: Bastian
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001843:Bone Cements / Q000009:adverse effects*; D001858:Bone Nails; D002102:Cadaver; D005119:Extravasation of Diagnostic and Therapeutic Materials / Q000517:prevention & control*; D005260:Female; D005270:Femur Head / Q000601:surgery; D006620:Hip Fractures / Q000601:surgery*; D006621:Hip Joint / Q000601:surgery*; D006801:Humans; D008297:Male; D011474:Prosthesis Design
chemical_list: D001843:Bone Cements
keywords: Cement augmentation; Cut-through; Intramedullary nail; Low demand; Proximal femur fracture; Salvage