Treatment of Long Bones with a Universal Intramedullary Nail-System in a Developing Country at Hôpital Albert Schweitzer Haiti
- *Corresponding Author:
- Andrej M Nowakowski
University of Basel Spitalstrasse 21
4031 Basel, Switzerland
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 table.
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.