Cephalomedullary Nail Breakages in a Multicenter Insertion vs. Retrieval Database Comparison: A Retrospective Cohort Study of 3,882 Patients

CONCLUSIONS: In this large consecutive sample of cephalomedullary nail patients, the TFNA appears to have a higher proportion of reported breakages than one of its predecessors, the PFNA, and this sits outside our previously defined benchmark. Breakages need to be considered in conjunction with other causes of failure and the index diagnosis when making decisions about implant choice in the management of proximal femur fractures. Further studies that are better able to deal with the many...