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How Effective Is the PFNA2 Nail in Clinical Practice?

  The PFNA2 nail has reshaped the treatment of peritrochanteric and unstable intertrochanteric femur fractures. Developed to address real surgical challenges, its helical blade provides strong fixation, especially in osteoporotic bone, greatly reducing implant-related failures. Compared to traditional options like dynamic hip screws, PFNA2 offers shorter surgical time, less blood loss, and faster recovery—key advantages for elderly and high-risk patients. Clinical studies report excellent results, including very high union rates, sometimes reaching 100% with proper technique. Patients typically experience lower intraoperative risk and early mobilization, which speeds functional recovery and reduces complications. Outcomes measured by the Harris Hip Score frequently fall in the good-to-excellent range. When compared to other intramedullary nails such as the TFN, PFNA2 often shows similar or better stability, fewer complications, and efficient operative performance. Although issues l...

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