alexa Treatment of Long Bones with a Universal Intramedullary Nail-System in a Developing Country at H├┤pital Albert Schweitzer Haiti
ISSN: 2161-0533

Orthopedic & Muscular System: Current Research
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Research Article

Treatment of Long Bones with a Universal Intramedullary Nail-System in a Developing Country at H├┤pital Albert Schweitzer Haiti

Stephen Addington1,2, Jean Louis Rodolpheres1 and Andrej Maria Nowakowski1,3*

1HAS Department of General Surgery, Hôpital Albert Schweitzer, Deschapelles, Haiti

2The Center for Surgery and Public Health, Brigham and Women’s Hospital, Harvard Medical School, 75 Francis St, Boston, MA 02115, United States

3Orthopaedic Department, University of Basel, Spitalstrasse 21, 4031 Basel, Switzerland

*Corresponding Author:
Andrej M Nowakowski
Orthopaedic Department
University of Basel Spitalstrasse 21
4031 Basel, Switzerland
Tel: +41613286007
E-mail: [email protected]

Received Date: May 15, 2014; Accepted Date: June 14, 2014; Published Date: June 20, 2014

Citation: Addington S, Rodolpheres JL and Nowakowski AM (2014) Treatment of Long Bones with a Universal Intramedullary Nail-System in a Developing Country at Hôpital Albert Schweitzer Haiti. Orthopedic Muscul Syst 3: 156. doi: 10.4172/2161-0533.1000156

Copyright: © 2014 Addington S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



Objective: To evaluate long bone fracture care in a resource-poor hospital by a European midterm volunteer
orthopedic surgeon, using a tactile intramedullary nail system without intraoperative image intensifier or fracture
Methods: The first twenty cases treated by a single orthopedic surgeon using a universal intramedullary nail
system (SIGN-nail) were analyzed using six-week to three-month follow-up series. Clinical follow-up occurred two
weeks postoperatively with additional clinical and radiological follow-up at six-week and three-month timepoints.
Results: All twenty cases were negative for signs of infection, broken interlocking screws, or need for revision at
respective three-month timepoints. All patients were at full weight-bearing capacity after six weeks. The SIGN-nail
system also provided succesfull management of a complex 3D-correctionosteotomy case.
Conclusions: The SIGN-nail system is an effective, tactile system that can be used with satisfactory results
without the need for an intraoperative image intensifier or fracture table. Its practical and minimalist nature makes it
a favorable solution for long bone fracture care in resource-poor settings. A six-month time period seems to be
adequate for midterm volunteer orthopedic-surgeons, as it allows adaptation to new settings and unfamiliar systems

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