1. Treatment of long bone fractures using SIGN standard nail

2. Patients Surgeons SIGN staff

3. SIGN future

4. Perspective

5. Heuristics

6. Interpretation

7. Predictive models

8. The need for SIGN 80% of Severe Fractures Occur in Developing Countries

10. Tsunami

11. Despair

12. 3 Generations

13. Bed Availability

17. 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

18. Tibia

21. Evaluation - ROM

23. Direction of Interlock

24. Bends instead of Arc of Radius Economical Fit canals around the world Lucky-follows the helix in proximal femur canal

25. No Arc of Radius

27. SIGN Standard Nail Humerus

28. Stainless Steel Stronger Lucky – Less Infection

29. Slots Interlock Technique Lucky- Faster healing due to compression distraction

30. Interlock of SIGN nail Design System to Target Interlock without C- arm Slot Finder

31. Reamers No Electricity Bone Graft No Second Hit?

35. Mountains to Climb

36. Patient needs

37. Broken Hip

38. Stabilize until healed

39. Fixtures : Fatigue to Failure

40. Afghanistan

41. Pediatric

42. EVALUATE SIGN SURGERY NOW EVALUATE FRACTURE PRINCIPLES

44. Equality of fracture care for 116,000