SIGN Interlocking Nail for the Treatment of Infected Nonunion

Shah, Ram Kewal; Singh, Ritesh; Quasem, Md. Faruque; Faruquee, Sajedur Reza; Harrison, Jim

doi:10.1097/bto.0b013e3181bfd597

Cited by 6 publications

(3 citation statements)

References 23 publications

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“…The patient with delayed deep infection and infected nonunion was treated with debridement of the fracture site, reaming of intramedullary canal followed by exchange nailing with larger diameter nail. This treatment has been recommended in an article by Shah et al [16] Patient with aseptic nonunion was treated with the removal of SIGN nail followed by compression plating of the fracture which eventually united. Although one patient had screw breakage and one had distal screw loosening, both of the femurs went on to unite.…”

Section: Discussionmentioning

confidence: 99%

Outcome of Surgical Implant Generation Network Intramedullary Nail in Diaphyseal Femur Fractures at a Tertiary Care Center in Nepal

Shrestha,

Chalise,

Shah

et al. 2018

Clin Res Orthop

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Background: Surgical implant generation network (SIGN) is a USA-based humanitarian organization which invented and provided SIGN solid intramedullary interlocking nail to the low-and middle-income countries (LMICs) in the world including Nepal for free. In a LMIC like Nepal, the necessary implants are not affordable for patients especially in a public hospital setting. The SIGN nail is actually designed for tibia, but for our patients, we have been using the same nail for the femur too -both antegrade and retrograde. In this study, we analyzed cases of diaphyseal femur fracture treated primarily with SIGN nails. We studied about the union rate, time taken for union, and the rate of complications including function from the SIGN database. Method: After the permission from the SIGN office and Ethical Clearance from the institution, we analyzed the cases from our database. A total of 106 cases of femur fracture fixed with SIGN nail were found in our database. Of 106 cases, 63 cases met the inclusion criteria. The data were entered into SPSS 16, and the results were obtained after analyzing the data. Results: Of 63, 61 (96.83%) fracture united. The average time of union of femur fractures in this study was 13.34 weeks. We encountered 2 (3.17%) cases of nonunion. There were 3 (4.76%) cases with minor complications, and 1 (1.59%) patient with non-union was due to deep infection. Conclusion: SIGN nail provides an acceptable union rate in diaphyseal femur fracture fixation with a low rate of complications.

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Section: Discussionmentioning

confidence: 99%

Outcome of Surgical Implant Generation Network Intramedullary Nail in Diaphyseal Femur Fractures at a Tertiary Care Center in Nepal

Shrestha,

Chalise,

Shah

et al. 2018

Clin Res Orthop

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“…In view of these low figures and the probability that followup cases in the database are biased toward difficult and unexpected outcomes, we suggest the data in the SIGN database itself cannot be used for outcome studies. It is, however, a source of cases that were used for followup studies [15,32,33].…”

Section: Resultsmentioning

confidence: 99%

“…The institutions are resupplied with implants after 20 cases have been submitted to the database. The database has also been used extensively for collecting cases for studies on the union rate and complications of this treatment method [15,32,33]; many other studies have been presented to the annual SIGN conferences or in the country of origin. The December 2009 issue of Techniques in Orthopaedics [44] is devoted to reports about the SIGN surgical system [34].…”

Section: Introductionmentioning

confidence: 99%

The Role of SIGN in the Development of a Global Orthopaedic Trauma Database

Clough

Zirkle²,

Schmitt³

2010

Clinical Orthopaedics &Amp; Related Research

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Background The global burden of injury is receiving recognition as a major public health problem but inadequate information delays many proposed solutions. Many attempts to collect reliable data on orthopaedic trauma have been unsuccessful. The Surgical Implant Generation Network (SIGN) database is one of the largest collections of fracture cases from lower and middle income countries. Questions/purposes We describe the information in the SIGN database then address two questions: In the context of the design and implementation of a global trauma database, what lessons does the SIGN database teach? Does the SIGN program have a role in the evolution of a wider global system? Methods The SIGN database is Internet based. After treating a patient with a SIGN nail surgeons enter radiographs and details of the case.

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Nagelosteosynthesen an langen Röhrenknochen ohne BV

Roth

2022

Unfallchirurgie

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SIGN Interlocking Nail for the Treatment of Infected Nonunion

Cited by 6 publications

References 23 publications

Outcome of Surgical Implant Generation Network Intramedullary Nail in Diaphyseal Femur Fractures at a Tertiary Care Center in Nepal

Outcome of Surgical Implant Generation Network Intramedullary Nail in Diaphyseal Femur Fractures at a Tertiary Care Center in Nepal

The Role of SIGN in the Development of a Global Orthopaedic Trauma Database

Nagelosteosynthesen an langen Röhrenknochen ohne BV

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