TFN-ADVANCED™ Proximal Femoral Nailing System (TFNA)

The TFNA System is designed to advance the treatment of trochanteric fractures by providing surgical options that help to preserve bone in insertion area due to reduced critical width, improve anatomical fit1 and increase implant strength.2 It is designed to reduce the risk of cut-out,3,4 distal cortical impingement1 and nail breakage,2 which are common post-operative complications.5,6,7 Several clinical studies have published reporting favourable outcomes in cut-out resistance.8-10*

TFN-ADVANCED™ Proximal Femoral Nailing System (TFNA)

Features & Benefits

  • 1.0 m Radius of Curvature

    1.0 m Radius of Curvature

    May better fit the femoral anatomy.1

  • LATERAL RELIEF CUTTM & Small Proximal Diameter

    LATERAL RELIEF CUTTM & Small Proximal Diameter

    May help preserve bone in the insertion area due to reduced critical width.

  • TIMo Titanium Alloy & Bump Cut Design

    TIMo Titanium Alloy & Bump Cut Design

    May provide improved fatigue strength when compared with existing nails of similar size.2

  • Perforated Blade & Screw Design

    Perforated Blade & Screw Design

    Allows for optional decision to insert PMMA cement around the implant in the femoral head.

  • Instruments

    May improve efficiency and ease-of-use for surgeons and OR staff through design.

Product Resources


Supporting Documentation



*Benchtop testing may not be indicative of clinical performance.

1. Schmutz B, Amarathunga J, Kmiec S, Jr., Yarlagadda P, Schuetz M. Quantification of cephalomedullary nail fit in the femur using 3D computer modelling: a comparison between 1.0 and 1.5m bow designs. Journal of orthopaedic surgery and research. 2016;11(1):53. 
2. DePuy Synthes Trauma. (Data on file) Fatigue strength testing of cephalomedullary nails. 2014. Refs: Windchill 0000131715, Windchill 0000122418.*
3. DePuy Synthes Test Data. Biomechanical Evaluation of Non-Augmented & Augmented TFNA Head Elements in Surrogate Femoral Heads. 2017. Ref: Windchill 0000268245.* 
4. Hofmann L. AO Foundation: Final Report for biomechanics evaluation of a non-augmented nail head element in surrogate femoral heads [Synthes GmbH:USTRA09022 Trochanteric Fixation Nail-Advanced (TFNA)] 2015. 
5. Parker MJ, Handoll HH. Gamma and other cephalocondylic intramedullary nails versus extramedullary implants for extracapsular hip fractures in adults. The Cochrane database of systematic reviews. 2010(9):1-240. 
6. Parker MJ,  Bowers TR, Pryor GA. Sliding hip screw versus the Targon PF nail in the treatment of trochanteric fractures of the hip. JBJS British Volume. 2012;94(3):391-397. 
7. Brammar TJ, Kendrew J, Khan RJ, Parker MJ. Reverse obliquity and transverse fractures of the trochanteric region of the femur; a review of 101 cases. Injury. 2005;36)7:851-857. 
8. Kammerlander C, Gebhard F, Meier C, et al. Standardized cement augmentation of the PFNA using a perforated blade: A new technique and preliminary clinical results. A prospective multicenter trial. Injury. 2011; 42 (12): 1484-1490. 
9. Kammerlander C, Doshi H, Gebhard F, Scola A, Meier C, Linhart W, Garcia-Alonso M, Nistal J, Blauth M. (2014) Long-Term results of the augmented PFNA: a prospective multicenter trial. Arch Orthop Trauma Surg. 134(3):343-9. 
10. Kammerlander C, Hem E, Klopfer T, Gebhard F, Sermon A, Dietrich M, Bach O, Weil Y, Babst R, Blauth M. Cement Augmentation of the Proximal Femoral Nail Antirotation (PFNA) - A Multicenter Randomized Controlled Trial. Injury. 

Indication Statement

For product details such as indications, contraindications, warnings and precautions please consult the IFU and Surgical Technique.