Ghulam Atiq, Abdul Satar, Muhammad Inam.
Treatment of long bone fractures with surgical implant generation network (sign) nail.
Rawal Med J Jan ;37(2):176-8.

Objective: To evaluate the results of Surgical Implant Generation Network (SIGN) Nail treatment for long bone fractures. Patients and Methods: This prospective observational study was carried out from April 2009 to December 2010 at the Department of Orthopedics Mercy Teaching Hospital, Peshawar, Pakistan. All patients treated with SIGN Nail were included in this study. Patients presented with trauma and long bone fracture were initially stabilized according to ATLS protocol. Nailing was done on the next available list. All patients were followed for outcome. Results: Out of 89 patients, 24 (27%) were female, while 65 (73%) were male. Fifty nine percent had fracture tibia, 30.3% had fracture femur while 7.9% patients had fracture humerus. In 2 (2.2) patients, both tibia and femur was fractured. Close reduction was performed in 22 (24.7%) patients, while in 67 (75.3%) patients, open reduction was done. Three (3.37%) patients had infection, 3 (3.37%) nonunion and 2 (2.24%) patients had cutout of locking screws. Conclusion: SIGN nail treatment of long bone fractures was the most cost effective method of treatment and had excellent results. It is not only effective in acute fractures but also in fractures which presented late or even with nonunion. (Rawal Med J 2012;37:176-178).

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