Long Femoral Nail (TFNA)

What is a Long Femoral Nail?

Long femoral nail is a hip fracture fixation using an IM nail, a lag screw or blade, and locking screws.

Trays and Softwares

Trays

  • Major Orthopaedics Tray
  • Stryker 6/7/8
  • Opening Tray
  • Distal Locking Tray
  • Synreams

Softwares

  • DHS/Nail Pack
  • Small ioban
  • 4.2 short drill
  • 3.2 guide pin (have an extra one on standby)
  • 2.5 x 950mm synream rod
  • 1 vicryl
  • 2 polysorb
  • 3 monocryl
  • Skin glue
  • Mepilex
  • Standby:
    • Reduction forceps (heygroves)

Scrub Technique

  1. Fracture reduction using traction table.
  2. Skin preparation and draping.
    • Small ioban
    • Vertical drape
  3. Entry pin.
  4. Entry reamer.
  5. Synream rod.
  6. Nail length measure.
  7. Femoral preparation using synreams.
  8. Nail insertion.
  9. Lag screw/blade insertion.
    • Guide pin
    • Measure
    • Ream.
    • Lag screw/blade insertion.
  10. Distal locking screws.
    • Drill, measure, and locking screws.
  11. Skin closure and dressing.