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The TOOLMED PFNA Intramedullary Nail Instrument Set is a specialized surgical system designed for the advanced management of proximal femoral fractures, specifically focusing on the Proximal Femoral Nail Antirotation (PFNA) technique. This set is engineered to facilitate the insertion of a helical blade rather than a traditional lag screw, providing superior compaction and rotational stability in osteoporotic bone. The kit includes a robust, high-precision targeting jig, specialized cannulated reamers for the trochanteric entry, and an integrated helical blade impactor system. Manufactured from medical-grade 17-4PH stainless steel and radiolucent carbon fiber, the instruments ensure perfect alignment and clear intraoperative visualization of the femoral neck. The set also features a sophisticated depth measurement system and a quick-locking inserter handle that provides the surgeon with maximum control during nail advancement. Housed in a modular, double-decker sterilization tray, the TOOLMED PFNA Instrument Set is the gold standard for trauma centers treating geriatric hip fractures and complex trochanteric injuries.
1200-22
TOOLMED
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1 Pcs
5-7 days
Product Description
Includes specialized impactors and sleeves designed specifically for the helical blade, which compacts bone rather than removing it, significantly increasing pull-out strength.
Utilizes a high-strength carbon fiber jig that ensures an unobstructed fluoroscopic view of the femoral neck, which is critical for the precise placement of the helical blade.
Features a specialized cannulated reamer that prepares the proximal femur for the nail's lateral flare in a single step, reducing surgical time and bone loss.
Equipped with a precision guide wire aiming system that ensures the helical blade is perfectly centered within the femoral head, minimizing the risk of "cut-out."
The set is primarily indicated for 31-A1 and 31-A2 fractures, where the antirotation helical blade provides maximum stability against rotation and varus collapse.
Specifically indicated for fractures extending into the subtrochanteric region (31-A3), utilizing the set's long nail options and multi-planar distal locking tools.
Indicated for elderly patients with poor bone quality; the set's helical blade technology is the preferred application to prevent hardware migration in soft cancellous bone.
Contains the heavy-duty reamers and reinforced inserters indicated for stabilizing fractures caused by metastatic disease or primary bone tumors in the trochanteric zone.
| Product name | PFNA Intramedullary Nail Instrument Set |
| Material | TA3 |
| Diameter | / |
| Length | / |
| Application | / |
| Certificate | CE Certificate |
| Brand | TOOLMED |
| MOQ | 1 Pcs |
| OEM | Avaliable |
| Package | PE Inner Bag+Carton |
| Payment Method | T/T，Bank transfer, Western Union |
| Delivery Time | 5-7 days |
| Shipping | DHL EMS UPS TNT FEDEX |
The PFNA Intramedullary Nail Instrument Set is a specialized orthopedic toolkit designed for the surgical stabilization of proximal femoral fractures. It is the essential system for performing the Proximal Femoral Nail Antirotation procedure, which utilizes a unique helical blade instead of a standard lag screw. The set acts as the interface between the surgeon and the implant, containing all necessary components from the initial entry awl and guide wire to the final helical blade impactor and end cap driver. Manufactured from medical-grade 17-4PH stainless steel and radiolucent carbon fiber, the set provides the high-precision targeting required to ensure the helical blade is perfectly positioned within the femoral head to maximize rotational stability and prevent fracture displacement.
This instrument set is primarily applied in the treatment of trochanteric fractures, including intertrochanteric and pertrochanteric patterns. It is the preferred application for elderly patients with osteoporotic bone, as the helical blade technology provided by the set offers superior fixation compared to traditional screws. The set is also applied in high subtrochanteric fractures where long nails are required to bridge the fracture zone. In clinical practice, the set is utilized in a supine position on a traction table, where its radiolucent jigs are applied to maintain a clear view during the "one-step" proximal reaming and subsequent blade insertion. Beyond acute trauma, it is applied in the management of pathological fractures and certain femoral neck reconstruction cases.
The primary advantage of the TOOLMED PFNA Instrument Set is its specialized "bone-compacting" delivery system. By using a helical blade impactor, the set allows the blade to be inserted without removing bone, which is a significant advantage in patients with poor bone density. The radiolucent carbon-fiber targeting jig is another major advantage, providing an "invisible" frame that does not obscure the femoral neck during critical X-ray checks. The set’s "one-step" proximal reamer reduces surgical complexity and operative time, while the high-precision fit of the inserter handle ensures that the nail is advanced with minimal rotational error. Additionally, the modular tray design ensures all components are sterilized and organized, facilitating a smooth surgical workflow.
Biomechanically, the instrument set ensures the creation of an "antirotation" construct that is significantly more stable than traditional nailing systems. The targeting jigs are precisely calibrated to place the helical blade in the optimal biomechanical position within the femoral head, resisting the high varus forces and torsional stresses that occur at the hip. The reaming system is designed to create a "press-fit" in the proximal trochanter, which is essential for load-sharing between the nail and the lateral cortex. By facilitating the compaction of cancellous bone around the helical blade, the tools help create a rigid mechanical interface that prevents "cut-out" and hardware migration, even under the stress of early postoperative mobilization.
The surgical technique begins with establishing an entry point at the tip of the greater trochanter using the set's cannulated awl. A guide wire is advanced down the femur, and the proximal canal is prepared using the specialized "one-step" reamer. The PFNA nail is mounted to the inserter handle and advanced into position. The carbon-fiber targeting jig is attached, and a guide wire is placed into the femoral neck. After measuring the required blade length, the helical blade is impacted into the femoral head through the jig. The blade is then locked to prevent rotation. Finally, distal locking screws are placed using the jig or free-hand technique, and the end cap is secured using the set's dedicated drivers.
Postoperative care for the instrument set involves a strict regimen of manual cleaning and high-temperature sterilization to maintain its precision components. After each procedure, the targeting jigs and helical blade impactors must be disassembled and cleaned to remove all biological debris. Cannulated tools, such as reamers and sleeves, require thorough cleaning with specialized wire brushes and ultrasonic processing. All components are then sterilized in a steam autoclave at 134°C. For the hospital, it is critical to regularly check the calibration of the carbon-fiber jig and the functionality of the blade-locking mechanism. Proper maintenance of the PFNA set ensures that its high-precision tolerances are preserved, guaranteeing surgical accuracy for future geriatric trauma cases.
The TOOLMED PFNA Intramedullary Nail Instrument Set is an indispensable tool for the modern trauma surgeon. By providing the precision required for helical blade fixation and antirotation stability, this system ensures that even the most challenging trochanteric fractures are stabilized with anatomical accuracy, leading to superior functional outcomes and faster recovery for geriatric patients.
The helical blade compacts the surrounding bone as it is impacted, which significantly increases the surface area of contact and improves stability in osteoporotic bone, reducing the risk of the screw "cutting out" of the femoral head.
Yes, the set is universal and includes all the targeting arms and distal locking tools required for both short (trochanteric) and long (shaft-extending) PFNA nails.
Our PFNA targeting jig is adjustable and designed to accommodate a wide range of femoral neck-shaft angles, ensuring accurate blade placement regardless of the patient's specific hip geometry.
The set includes a specialized driver that provides a tactile "click" or stop once the blade is fully locked to the nail, ensuring the antirotation mechanism is correctly engaged before concluding the surgery.
Yes, the tray includes a dedicated helical blade extractor and a nail extraction bolt, allowing for the safe removal of the hardware if required after the fracture has healed.
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