BACKGROUND: The Surgical Implant Generation Network (SIGN) intramedullary nailing system was designed to treat @entity3330 in developing countries where real-time imaging, power equipment, and @entity174 tables are often not available. We performed a retrospective analysis of prospectively collected data on femoral shaft @entity174 treated with the SIGN intramedullary nailing system. METHODS: Seventy consecutive @entity1 with a closed @entity3330 were treated with the SIGN intramedullary nail at Mulago National Hospital in Uganda between February 2007 and March 2008, and fifty of these @entity1 (the study cohort) were followed for at least six months or until @entity174 -healing. RESULTS: The mean time to surgery was 13.2 days (range, zero to thirty-three days). All @entity174 healed, although two required dynamization for treatment of delayed union. No hardware failures occurred. An interlocking screw missed the nail in two @entity1 , but both @entity174 healed without complications. One superficial and one @entity281 developed; the latter required nail removal after @entity174 union. Including these @entity1 , complications requiring further treatment occurred in 14% (seven) of the fifty @entity1 . CONCLUSIONS: The SIGN intramedullary nailing system promotes predictable @entity3330 in settings with limited resources including lack of real-time imaging, lack of power reaming, and delayed presentation to the operating room.

XXXX fixation in developing countries: an evaluation of the Surgical Implant Generation Network (SIGN) intramedullary nail.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity281 :: ('MESH:D007239', 'Disease') :: ['deep infection'] @entity3330 :: ('MESH:D005264', 'Disease') :: ['diaphyseal femoral fracture', 'femoral fractures', 'healing of femoral fractures'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fractures', 'fracture']
@entity3330 :: (MESH:D005264,Disease) :: ['Femoral fracture']
