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PFN-A Intramedullary Nail The PFN-A Nail: is used in the treatment of unstable intertrochanteric fractures. Intertrochanteric femur fractures are common in the elderly population. This is because of osteoporosis. Due to the decrease in bone quality and deterioration of its microstructure, fractures often develop with very low-energy trauma. Lag is the most important feature of the nail. There are three types. They come to the forefront with their features such as screw thread structures, compression, blade features and they have their own unique application forms. Lag Screw: Can be used in low-energy unstable intertrochanteric fractures and in patients with non osteoporosis and younger. Interclaw Lag Screw with Blade: Can be used in high-energy unstable intertrochanteric fractures and in patients with osteoporosis and older Simplelock Lag Screw: May be preferred in high-energy and unstable fractures if more compression is needed. More info please watch video Thanks for watching.