Treatment of long bone fractures using SIGN standard nail
Patients Surgeons SIGN staff
SIGN future
Perspective
Heuristics
Interpretation
Predictive models
The need for SIGN 80% of Severe Fractures Occur in Developing Countries
Tsunami
Despair
3 Generations
Bed Availability
Solid Nail Solid-less deflection so easier interlock. Solid-less infection-less surface for bacteria to lodge. Solid-stronger so we can use slots instead of holes. Dynamizing No arc of radius
Tibia
Evaluation - ROM
Direction of Interlock
Bends instead of Arc of Radius Economical Fit canals around the world Lucky-follows the helix in proximal femur canal
No Arc of Radius
SIGN Standard Nail Humerus
Stainless Steel Stronger Lucky – Less Infection
Slots Interlock Technique Lucky- Faster healing due to compression distraction
Interlock of SIGN nail Design System to Target Interlock without C- arm Slot Finder
Reamers No Electricity Bone Graft No Second Hit?
Mountains to Climb
Patient needs
Broken Hip
Stabilize until healed
Fixtures : Fatigue to Failure
Afghanistan
Pediatric
EVALUATE SIGN SURGERY NOW EVALUATE FRACTURE PRINCIPLES
Equality of fracture care for 116,000