Treatment of long bone fractures using SIGN standard nail.

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Presentation transcript:

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