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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Surgical Implant Generation Network (SIGN)Solid Intramedullary Interlocking Nail in theLower Extremity: An ObservationalStudy from Western Nepal
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Surgical Implant Generation Network (SIGN)Solid Intramedullary Interlocking Nail in theLower Extremity: An ObservationalStudy from Western Nepal

机译：手术植入物生成网络（SIGN）下肢的固态髓内互锁钉：来自尼泊尔西部的一项观察性研究

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Background: Intramedullary nail fixation has become the standard of treatment for both femoral and tibial shaft fractures. It functions as internal splints that allow secondary fracture healing. The axial and rotational stability of the conventional hollow interlocking nails depends primarily on the locking screws. Surgical Implant Generation Network (SIGN) was formed in 1999, with the vision of creating an equality of fracture care throughout the world. This system has been utilized at a variety of facilities in low income countries throughout the world. Objective: To evaluate the efficacy of SIGN nailing in the long bones of the lower extremity. Method and Materials: This was a hospital based, retrospective study which was conducted in the Orthopedics Department of the Manipal College of Medical Sciences, Pokhara, Nepal between May, 2010 and August, 2011. A total of 24 cases with fractures of the femur and the tibia were studied. Both closed and open types of fractures were included and the fracture fixation was done by using SIGN interlocking solid nails and instrumentation. The analysis was done by using descriptive statistics and the testing of the hypothesis. The data was analyzed by using Excel 2003, the Statistical Package for the Social Sciences (SPSS) for Windows Version 16.0 (SPSS Inc; Chicago, IL, USA) and the EPI Info 3.5.1 Windows Version. Results: Out of the 24 patients, 16 (66.7%) were males and 8 (33.3%) were females. The average age of the patients was 29.58, with a range of 13-60 years. An intramedullary interlocking SIGN nail was performed in 18 (75%) tibial and 6 (25 %) femoral fractures, with 41.7 % being right sided and 58.3% being left sided. The types of fractures which were included were closed= 66.67 % and open fractures= 33.33%. According to the Gustilo- Anderson classification, 4.17 % were Gustilo I, 25 % were Gustilo II and 4.17 % were Gustilo III a. Open reduction was done in 58.3 % and closed reduction was done in 41.7 % of the cases. Reaming was done in all the cases and no post-operative infections were noted. There was a significant relationship between the type of fracture and factors like the affected side, the method of the fracture reduction and the location of the fracture. Conclusion: The SIGN solid intramedullary interlocking nail shows promising results in comparison to the hollow nail because of its better strength, better accuracy in distal locking and surprisingly better results in infection and non-union
机译：背景：髓内钉固定已成为股骨和胫骨干骨折的治疗标准。它用作内部夹板，可进行二次骨折愈合。传统的空心互锁钉的轴向和旋转稳定性主要取决于锁紧螺钉。外科植入物产生网络（SIGN）成立于1999年，其愿景是在全球范围内实现平等的骨折护理。该系统已在全球低收入国家的各种设施中使用。目的：评估SIGN钉在下肢长骨中的疗效。方法和材料：这是一项基于医院的回顾性研究，于2010年5月至2011年8月之间在尼泊尔博克拉的Manipal医学学院的骨科进行。共计24例股骨骨折。对胫骨进行了研究。闭合型和开放型骨折均包括在内，并使用SIGN互锁实心指甲和器械进行骨折固定。通过使用描述性统计数据和假设检验来进行分析。通过使用Excel 2003，Windows版本16.0（SPSS Inc;美国伊利诺伊州芝加哥）的社会科学统计软件包（SPSS）和EPI Info 3.5.1 Windows版本对数据进行了分析。结果：24例患者中，男性16例（66.7％），女性8例（33.3％）。患者的平均年龄为29.58，范围为13-60岁。髓内连锁SIGN钉在18例（75％）胫骨骨折和6例（25％）股骨骨折中进行，右侧占41.7％，左侧占58.3％。包括在内的骨折类型为闭合型，占66.67％，开放型，占33.33％。根据古斯蒂洛-安德森分类，古斯蒂洛一世占4.17％，古斯蒂洛二世占25％，古斯蒂洛三世占4.17％。在这种情况下，切开复位的发生率为58.3％，而切开复位的发生率为41.7％。所有病例均进行扩孔，未发现术后感染。骨折类型与诸如患侧，骨折复位方法和骨折部位等因素之间存在显着关系。结论：SIGN实心髓内钉与空心钉相比显示出令人鼓舞的结果，因为它具有更好的强度，远端锁定的准确性以及令人惊讶的感染和不愈合效果。

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