Cohort Studymoderate evidence
The new trochanteric nail TFN-A has a higher complication rate in the treatment of proximal femoral fractures than the predecessor model PFN-A.
European journal of trauma and emergency surgery : official publication of the European Trauma Society·October 15, 2026·PMID 42878747
Why it mattersImplant selection for trochanteric fractures directly affects revision burden. The finding that a newer nail design leads to more major revisions, hidden by similar overall reoperation rates, is critical for orthopedic trauma surgeons choosing fixation devices.

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