Instruments Set for PFN / Recon Nails – PS079M Proximal Femoral Nail and Reconstruction Nail Instrumentation

The Instruments Set for PFN / Recon Nails from Peak Surgicals (SKU: PS-OP-3851, set code PS079M) is a comprehensive proximal femoral nail and reconstruction nail instrumentation set in stainless steel, designed for the complete intraoperative workflow of PFN and femoral reconstruction nail fixation — covering femoral medullary canal preparation with a Diamond Pointed Bone Awl, Tissue Protector, Flexible Reaming Shaft with Fixed Reamer Ø8.0mm, two Flexible Reamer Shafts for reamer heads up to 13mm, a third shaft for reamer heads 13.5–15mm, and a full 13-piece reamer head set spanning Ø9mm to Ø15mm; guide wire management with a Reaming Rod 2.5mm, Guide Rod 2.5mm, Guide Wire Sleeve 2.0×7.0mm, Guide Wire Sleeve 2.0×9.0mm, Guide Rod / Reaming Rod Introducer, and six Threaded Guide Wires 2.0mm; distal locking with Cannulated Step Drill Bits for 6mm and 8mm locking bolts, Protection Sleeves for 4.5mm, 6mm, and 8mm bolts, Drill Sleeve for 4.5mm bolt, Threaded Guide Wires ×6, Hex Cap, Cannulated Hexagonal Screwdrivers (3.5mm tip + 4.5mm bolt), Depth Gauge, Spanners (10mm ×2), and Universal Socket Wrench 10mm; nail insertion with four Jig / Insertion Handle configurations (Long Left, Long Right, Short, and Handle for PFN and Recon Nails), Nail Holding Bolt, Trocar 4mm, Soft Tissue Separators Short and Long, Extractor-Impactor, and Medullary Tube; all in an empty container. It is used by orthopedic and trauma surgeons performing PFN or cephalomedullary reconstruction nail fixation for intertrochanteric, peritrochanteric, and subtrochanteric femoral fractures, as well as complex femoral fractures with simultaneous femoral neck fixation.

PFN and Reconstruction Nail Fixation: Clinical Indications and Nail Design

A Proximal Femoral Nail (PFN) and a reconstruction nail are cephalomedullary nails that enter the femoral medullary canal at the tip of the greater trochanter or in the piriformis fossa and extend distally along the femoral shaft, while simultaneously accepting one or two screws or pins directed proximally into the femoral head and neck. The PFN design is used for unstable intertrochanteric and peritrochanteric femoral fractures and subtrochanteric femoral fractures, providing simultaneous intramedullary femoral shaft stabilisation and femoral head-neck screw fixation in a single implant construct. The reconstruction nail design additionally addresses femoral shaft fractures where there is coexisting femoral neck fracture or pathological proximal femoral bone requiring reconstruction nail head-neck fixation — the reconstruction nail extends the screw trajectory capability to reach the femoral neck and head in a controlled bilateral or double-screw geometry. The PS079M set provides the complete instrument inventory for both nail designs in a single set, including the four insertion handle configurations (Long Left, Long Right, Short, and the standard Insertion Handle for PFN and Recon Nails) that accommodate both nail designs and both left and right femoral sides.

Flexible Reaming System: Three Shafts and 13 Reamer Heads from Ø9mm to Ø15mm

The medullary canal reaming sequence begins with the Diamond Pointed Bone Awl (507.01) and Tissue Protector (507.02) establishing the proximal femoral entry portal. The Flexible Reaming Shaft with Fixed Reamer Ø8.0mm (507.038) performs the initial diaphyseal reaming at the minimum diameter required for the PFN or reconstruction nail to enter the canal, providing the first pass reaming without requiring a separate reamer head attachment. The two Flexible Reamer Shafts for heads up to Ø13mm (507.03 ×2) and the single Flexible Reamer Shaft for heads Ø13.5–15mm (507.23 ×1) accept the individual reamer heads for progressive diameter enlargement of the medullary canal to the final reaming diameter. The nine Medullary Reamer Heads Ø9/9.5/10/10.5/11/11.5/12/12.5/13mm (510.9 to 510.13, 1 set of 9) and four Reamer Heads Ø13.5/14/14.5/15mm (510.135 to 510.15, 1 set of 4) provide the complete reaming progression from Ø9mm to Ø15mm in 0.5mm increments, accommodating the full range of adult femoral canal diameters encountered in PFN and reconstruction nail surgery. The flexible reamer shafts accommodate the curved trajectory of the femoral canal from the proximal trochanteric entry through the femoral bow without cortical engagement. The Reaming Rod 2.5mm (507.05M) and Guide Rod 2.5mm (507.08M) provide the guide wire infrastructure for cannulated reamer advancement over the guide wire.

Guide Wire System: Introducer, Sleeves, and Six Threaded Guide Wires

The Guide Rod / Reaming Rod Introducer (507.103) advances the guide rod from the entry portal to the distal femoral canal before reaming begins, confirming the guide wire position across the fracture site under fluoroscopy before any reaming instruments are advanced. The two Guide Wire Sleeves — 2.0×7.0mm (507.36) and 2.0×9.0mm (507.37) — protect the soft tissue and guide the trajectory of guide wire insertion for the proximal femoral head-neck screws of the PFN or reconstruction nail, ensuring accurate guide wire placement into the femoral head from the lateral cortex through the nail's proximal screw hole. The six Threaded Guide Wires 2.0mm Dia. (507.34) provide the supply needed for bilateral procedures, revision cases requiring guide wire replacement, and multiplanar guide wire configurations used in dual proximal screw PFN designs. The Medullary Tube (507.04) provides an additional sleeve and guide for reaming and nail advancement. The Extractor-Impactor (507.84) removes the guide rod after nail insertion and provides the impaction interface for final nail seating in the medullary canal.

Distal Locking: Drill Bits, Sleeves, Screwdrivers, and Depth Gauge

Distal locking of the PFN or reconstruction nail secures the construct against rotation and shortening at the fracture site. The Cannulated Step Drill Bit for 6mm Locking Bolt (507.39) and Cannulated Step Drill Bit for 8mm Locking Bolt (507.40) drill the distal cortex over the guide wire for the two locking bolt diameters used with PFN and reconstruction nails — the stepped geometry cuts the outer cortex to the bolt diameter at the bone surface while the inner step tracks the guide wire through the medullary canal. The Protection Sleeve for 6mm Locking Bolts (507.31) and Protection Sleeve for 8mm Locking Bolts (507.32) protect the soft tissue of the thigh during distal drilling in the distally accessed approach. The Protection Sleeve for 4.5mm Locking Bolt (507.61) and Drill Sleeve for 4.5mm Locking Bolt (507.64) address the smaller locking bolt diameter used at specific nail designs and levels. The Cannulated Hexagonal Screwdriver Extra Large 3.5mm Tip (507.48) and Extra Long Hexagonal Screwdriver for 4.5mm Locking Bolt (208.10) seat the respective locking bolts. The Depth Gauge (507.16) measures drill depth for locking bolt length selection. The Universal Socket Wrench 10mm (507.24) and Spanners 10mm (507.110) apply final torque to the locking bolt nut. The Hex Cap (507.106) caps the proximal nail end after final seating.

Insertion Handle System: Four Jig Configurations for PFN and Reconstruction Nails

The four insertion handle configurations accommodate both PFN and reconstruction nail designs on both femoral sides. The Jig / Insertion Handle Bar for PFN and Recon Nails Long Left (505.101) and Long Right (505.105) provide the lateral targeting arm geometry for the proximal screw positions in the longer insertion handle used when the nail requires a longer handle for distal locking targeting access. The Jig / Insertion Handle Bar for PFN Nails Short (505.109) provides the shorter handle for short-nail configurations. The Jig / Insertion Handle for PFN Nails and Recon Nails (505.113) provides the primary handle body. The Nail Holding Bolt (505.117) and Spanner for PFN and Recon Nails (505.121) secure the nail to the insertion handle during advancement into the femoral canal. The Trocar 4mm (505.149) provides the soft tissue portal for the insertion handle and targeting arm. The Soft Tissue Separator Short (505.153) and Soft Tissue Separator Long (505.157) create the soft tissue corridor for nail advancement and targeting arm deployment through the greater trochanteric insertion portal.

CE Mark, ISO 13485, and FDA Certification for PFN and Reconstruction Nail Instrumentation Procurement

The Instruments Set for PFN / Recon Nails is manufactured under CE Mark, ISO 13485, and FDA compliant quality standards. ISO 13485 certification confirms Peak Surgicals operates a documented quality management system covering design control, material traceability, and production consistency for orthopedic surgical instruments. CE Mark confirms conformity with European medical device regulations, and FDA compliance supports procurement for US-based hospitals, trauma centers, and orthopedic departments requiring verified regulatory documentation for cephalomedullary nail instrumentation purchases.

Product Specifications

Frequently Asked Questions

What fractures is the PFN / Recon Nail Instrument Set used for?
The PS079M Instruments Set for PFN / Recon Nails is used for cephalomedullary nail fixation of proximal femoral fractures where the nail spans both the femoral shaft and the femoral head-neck via one or two proximal screws. Primary indications for PFN fixation include unstable intertrochanteric femoral fractures (AO/OTA 31A2 and 31A3), reverse oblique trochanteric fractures, and subtrochanteric femoral fractures where the fracture extends into the subtrochanteric zone. Reconstruction nail fixation extends these indications to include complex femoral shaft fractures with ipsilateral femoral neck fractures, pathological proximal femoral bone requiring reconstruction nail proximal screw fixation through a tumour or cyst, and cases where the anatomy requires a long nail extending to the distal femur while also providing proximal femoral head-neck fixation. The Ø9–15mm reamer head range in this set accommodates the full range of adult femoral canal diameters from narrow femora in smaller patients to the wider canals of larger patients and revision cases.

How does this set differ from the Hip Fracture Nail Instrument Set (PS-091) and the PFNA-II Instrument Set (PS-078) also available from Peak Surgicals?
All three are cephalomedullary nail instrument sets for proximal femoral fractures, but each is configured for a different nail design. The PS-091 Hip Fracture Nail Set ($1,648.90) uses a lag screw — a cylindrical threaded screw screwed into the femoral head — and includes a dedicated lag screw drill, proximal locking lag screw tap, and anti-rotation bar. The PS-078 PFNA-II Set ($1,628.62) uses a helical blade impacted into the femoral head without rotation, and includes a Cannulated Drill Bit Ø17mm and 11mm blade reamer specific to the blade channel. The PS079M PFN / Recon Nail Set ($1,485.22) is the most comprehensive reaming system of the three — with a 13-piece reamer head set from Ø9–15mm spanning the broader diameter range required for long reconstruction nails that traverse the full femoral diaphysis, plus four insertion handle configurations for both PFN and reconstruction nail designs on both femoral sides. It is the appropriate set when the implant is a long PFN or a reconstruction nail requiring the wider reaming capability and bilateral insertion handle options.

What is the difference between the Flexible Reamer Shaft 507.03 and 507.23?
The two flexible reamer shaft designs cover different reamer head diameter ranges. Shaft 507.03 (×2 in the set) accepts reamer heads up to Ø13mm — the standard diameter range for most adult femoral canals in PFN surgery. Shaft 507.23 accepts the larger reamer heads Ø13.5mm, 14mm, 14.5mm, and 15mm — required for reconstruction nail surgery in patients with wide medullary canals, revision cases where the previous nail must be replaced and the canal may be widened, and pathological cases where canal widening is needed. Two units of shaft 507.03 are included because the shorter-diameter reamer shafts experience greater cyclic flex stress and may require replacement during a long reaming sequence in a wide or curved canal. The larger shaft 507.23 is provided as a single unit as the wide-diameter final reaming step is typically performed only once at the end of the progressive reaming sequence.

Why are three different protection sleeve diameters (4.5mm, 6mm, 8mm) included?
The three Protection Sleeves correspond to the three locking bolt diameters used with PFN and reconstruction nails at different nail positions and nail sizes. PFN and reconstruction nails typically use larger locking bolts (6mm and 8mm) at the proximal femoral screw positions where higher mechanical loads are expected and at the distal static locking positions in larger patients. The 4.5mm bolt is used for the dynamic locking position and for smaller patients where the femoral cortex thickness limits the bolt diameter. Each protection sleeve is matched to the outer diameter of the corresponding locking bolt and the cannulated step drill bit for that bolt size — the sleeve protects the soft tissue of the thigh during the cortical drilling step and guides the drill sleeve and locking bolt along the correct trajectory from the skin surface to the nail locking hole.

What certifications does this set carry?
The Instruments Set for PFN / Recon Nails is manufactured under CE Mark, ISO 13485, and FDA compliant quality standards. ISO 13485 certification confirms Peak Surgicals operates a documented quality management system covering design control, material traceability, and manufacturing consistency for orthopedic surgical instruments. CE Mark confirms conformity with European medical device regulations, and FDA compliance supports procurement for US hospitals, trauma centers, and orthopedic departments requiring verified regulatory documentation for cephalomedullary nail instrumentation purchases.