Complications in patients with intramedullary nails: a case series from a single Cambodian surgical clinic

Woelber, Erik; Martin, Audrey; Citters, Douglas W. Van; Luplow, Craig; Githens, Michael; Kohn, Charlotte; Kim, Yong Jun; Oy, Heang; Gollogly, James

doi:10.1007/s00264-018-3966-z

Cited by 5 publications

(1 citation statement)

References 24 publications

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“…The availability of surgical implant generation network® (SIGN®) intramedullary nails has revolutionized fracture management in some low-resourced countries [ 10 , 11 ]. SIGN® is a registered non-profit corporation based in Washington State, in the United States of America [ 12 ], which, through donations, develops and distributes implants designed for use in LIMC where resources, including image intensifiers and fracture tables, are limited.…”

Section: Introductionmentioning

confidence: 99%

Standard or Fin SIGN® nail? which option is better for the treatment of femoral fractures in low and middle-income countries?

Perdomo-Lizarraga,

Andrade-Arellano,

Necchi

et al. 2024

International Orthopaedics (SICOT)

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Purpose Femoral fractures are common in low and middle-income countries (LMIC), predominantly caused by high-energy trauma. The surgical implant generation network (SIGN®) program offers two different intramedullary nails in LMIC which are designed to be used without image intensifier free of charge for the patients: the SIGN standard nail (SSN®) and the SIGN Fin nail (SFN®). This study aimed to compare the results of the SSN® and the SFN® for the treatment of middle and distal shaft femoral fractures through a retrograde approach. Material and Methods This was a retrospective, descriptive, and non-experimental study including all consecutive patients who underwent surgical management of middle or distal shaft femoral fracture between January 2017 and May 2022 in an NGO hospital located in Freetown, Sierra Leone. The duration of surgery, type of reduction, complications like screw loosening, implant migration, anterior knee pain and non-union rate at six months of follow up were evaluated. Results A total of 122 patients were included in the study. Group A: 60 patients were managed with SSN® and Group B: 62 patients with SFN®. The mean operative time was 104 min with SSN® and 78 with SFN® (p < 0.001). Open reduction of the fracture was necessary in ten (16.7%) patients with SSN® and 12 (19.4%) patients treated with SFN® (p = 0.69). Non-union was observed in one (1.7%) patient with SSN® and two (3.2%) patients with SFN® (p = 0.57). Conclusions Both options seem equally effective in treating midshaft and distal femoral shaft fractures. The SFN® reduces the surgical time, due to this fact, in polytraumatized patients, patients with bilateral femur fracture or patients with ipsilateral tibia fracture, it can be considered as the best option to be used. There was no statistical difference in the complications presented by the two groups.

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Section: Introductionmentioning

confidence: 99%

Standard or Fin SIGN® nail? which option is better for the treatment of femoral fractures in low and middle-income countries?

Perdomo-Lizarraga,

Andrade-Arellano,

Necchi

et al. 2024

International Orthopaedics (SICOT)

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Can surgical site infections be controlled through microbiological surveillance? A three-year laboratory-based surveillance at an orthopaedic unit, retrospective observatory study

Pawłowska¹,

Ziółkowski²,

Wójkowska‐Mach

et al. 2019

International Orthopaedics (SICOT)

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Objective The aims of the study were to analyse the surgical site infections (SSIs) in patients operated at an orthopaedic ward and to describe the drug-resistance of the aetiology of those infections. Also, analyse the possibility of SSI control through microbiological surveillance. Additionally, we have studied the information inferred by aggregating cumulative antibiograms for the SSIs of the studied orthopaedic unit. Design Cross-sectional studies carried out in 2013–2015. Setting and patients Orthopaedic and Trauma Surgery Unit in Sosnowiec, Poland; 5995 patients, 5239 operations. Methods Retrospective laboratory-based data collection study of surgical site infections. Results SSI incidence rate was 6.6%, in the implantations—hip prosthesis 5.8% and knee prosthesis 5.4%, about 6 times higher compared with European HAI-Net. SSIs were usually caused by Gram-positive bacteria (56%). The prevalence of MDR microorganisms was 22.6%, and mainly concerned the Gram-negative bacilli: 97.6% of Acinetobacter baumannii and 50.0% of Klebsiella pneumoniae were multidrug-resistant. On the basis of what the Formula for Rational Empiric Antimicrobial Therapy analysis has shown, the use of amikacin, imipenem and ciprofloxacin has been recommended as the most efficient in the empirical therapy of SSIs. Conclusions The infection control was a significant problem at the studied orthopaedic unit, as evidenced by the SSI incidence rate significantly higher than expected. We suggest implementing the infection control and prevention based on evidence-based medicine, and a unit-based surveillance. A cumulative unit-based antibiogram reflects the drug-susceptibility pattern for the strains from the infections acquired at the unit.

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Finite element analysis of biomechanical effects of residual varus/valgus malunion after femoral fracture on knee joint

Ding

Yang

Wang

et al. 2021

International Orthopaedics (SICOT)

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Complications in patients with intramedullary nails: a case series from a single Cambodian surgical clinic

Cited by 5 publications

References 24 publications

Standard or Fin SIGN® nail? which option is better for the treatment of femoral fractures in low and middle-income countries?

Standard or Fin SIGN® nail? which option is better for the treatment of femoral fractures in low and middle-income countries?

Can surgical site infections be controlled through microbiological surveillance? A three-year laboratory-based surveillance at an orthopaedic unit, retrospective observatory study

Finite element analysis of biomechanical effects of residual varus/valgus malunion after femoral fracture on knee joint

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