Zickel Nail, Gamma Nail, PFNA2 Nail (Implant 221107)

About Zickel Nail, Gamma Nail, PFNA2 Nail (Implant 221107)

Submittede as an unidentified femoral rod implanted in the early 1990s by Holman.  Identification requested.

Submitted by Holman
Presbyterian Espanola Hospital
Espanola, NM. USA

Identified as a Zickel Nail by Stephen Butterworth, Smith & Nephew representative from the Brisbane area, Australia.  Mr. Butterworth's comments on extraction are as follows:
"Zickel Nail - set screw up top - not a lag screw, but a lag rod, so needs backslapping". He also indicated that a Winquist system would provide the instruments needed to explant it.

Dr. Madhu Pandey, an orthopaedic surgeon at the Bhaktapur Hospital commented as follows::
"Proximal Femoral A2" nail.  Used widely in Asia.   Currenly referred to by the name PFNA2.
He says that in older days it was called a "Gamma Nail" or a "Cefalomedullary Nail."

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