Outcome of tibial diaphyseal fracture fixation with Surgical Implant Generation Network (SIGN) nail

Authors

  • Balakrishnan M. Acharya Patan Academy of Health Sciences, Lalitpur, Nepal
  • Rojan Tamrakar National Trauma Centre, National Academy of Medical Sciences, Kathmandu, Nepal
  • Pramod Devkota Patan Academy of Health Sciences, Lalitpur, Nepal
  • Abhishek K. Thakur Patan Academy of Health Sciences, Lalitpur, Nepal
  • Suman K. Shrestha Patan Academy of Health Sciences, Lalitpur, Nepal

DOI:

https://doi.org/10.3126/jpahs.v6i2.27206

Keywords:

diaphyseal fracture, intramedullary nailing, SIGN nail, tibial fracture

Abstract

Introductions: Fractures of diaphyseal region of the tibial bone are amongst the most commonly seen extremity injuries in the developing countries. The surgical implant generation network (SIGN) intramedullary (IM) nail was designed for the treatment of long bone fractures in the developing nations.

Methods: From March 2008 to December 2018, a total of 104 patients with 104 tibial diaphyseal fractures were treated with SIGN IM nail. The follow-up visits were arranged at 6, 12, 24 weeks and one-year post operatively. During follow-up visits, the signs of fracture union clinically as well as radiologically and the presence of complications any were recorded and analyzed.

Results: The mean age of the patients was 32.81 (16 – 65) years, male 74 (71.2%) and female 30 (28.8%). Majority of the patients 70 (67.3%) had fractures after road traffic accidents. The mean time of surgery was 13.58 (1 – 463) days. Six (5.8%) patients had delayed union and no non-union was detected. We had 10 cases (9.6%) of mal-alignment but were on acceptable range.

Conclusions: In the developing country like Nepal, the SIGN nail is an effective surgical implant for the management of the tibial diaphyseal fractures with good result of fracture union and low rates of nonunion, mal-alignment and manageable complications.

Downloads

Download data is not yet available.
Abstract
291
PDF
239

Author Biographies

Balakrishnan M. Acharya, Patan Academy of Health Sciences, Lalitpur, Nepal

Assoc. Prof., Dept. of Orthopaedics and Trauma Surgery

Rojan Tamrakar, National Trauma Centre, National Academy of Medical Sciences, Kathmandu, Nepal

Consultant Orthopaedic Surgeon Dept. of Orthopaedics and Trauma Surgery

Pramod Devkota, Patan Academy of Health Sciences, Lalitpur, Nepal

Assoc. Prof., Dept. of Orthopaedics and Trauma Surgery

Abhishek K. Thakur, Patan Academy of Health Sciences, Lalitpur, Nepal

Lecturer, Dept. of Orthopaedics and Trauma Surgery

Suman K. Shrestha, Patan Academy of Health Sciences, Lalitpur, Nepal

Prof., Dept. of Orthopaedics and Trauma Surgery

Downloads

Published

2019-12-31

How to Cite

Acharya, B. M., Tamrakar, R., Devkota, P., Thakur, A. K., & Shrestha, S. K. (2019). Outcome of tibial diaphyseal fracture fixation with Surgical Implant Generation Network (SIGN) nail. Journal of Patan Academy of Health Sciences, 6(2), 5–11. https://doi.org/10.3126/jpahs.v6i2.27206

Issue

Section

General Section: Original Articles