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Vision: Creating Equality of Fracture Care Throughout the World. Impetus. Femur Fracture-3 years in traction. To be effective, teaching must be combined with implants. The Need for SIGN Nail. 80% of Severe Fractures Occur in Developing Countries. Mission.
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Vision: Creating Equality of Fracture Care Throughout the World
Impetus • Femur Fracture-3 years in traction To be effective, teaching must be combined with implants Miami talk version 1
The Need for SIGN Nail 80% of Severe Fractures Occur in Developing Countries Miami talk version 1
Mission Enable orthopaedic treatment to the poor around the world by providing: • Ongoing education and communications • Continuous supply of implants that can be used with their equipment Miami talk version 1
Steps to Supplying Implants Include: • Design instruments and implants that can be used in developing countries • Manufacture these instruments and implants • Test these instruments and implants • Obtain FDA clearance for use in the US as a certificate of quality Miami talk version 1
Biggest Challenge: Obtaining interlock without a C-arm Slot Finder$50 C-Arm$150,000 Miami talk version 1
Design Technology had to be incorporated in the instruments and implants. Miami talk version 1
Manufacture The instruments and implants had to be manufactured with skill and precision. Miami talk version 1
Result-SIGN Nail • Implants are designed for developing world operating room conditions, anatomy and fracture types • High quality, FDA Cleared • Consistent supply • Database to track results • Use Database to evaluate treatments and determine best methods for each region Demand for SIGN is on the increase throughout the developing world Miami talk version 1
Protocol Watch one, do one, teach one. Miami talk version 1
Evaluation 140+ hospitals have reported more than 15,000 cases Miami talk version 1
Revision-SIGN Database Follow-up ease: Patient contact information Miami talk version 1
Develop your own reports Miami talk version 1
Clinical results Full weight bearing at 3 months Miami talk version 1
First Designed as Tibia Nail Miami talk version 1
Retrograde-Approaching a Floating Knee Miami talk version 1
Antegrade Approach to Femur Miami talk version 1
Humerus Case 1 Miami talk version 1
Ankle Arthrodesis-Antegrade Miami talk version 1
Ankle Arthrodesis-Retrograde Miami talk version 1
Fig 8 Cross section of fins seated in bony canal Fin Nail-Stable Interlock Miami talk version 1
Fin Nail Retrograde Femur Miami talk version 1
Fin Nail Antegrade Miami talk version 1
Fin Nail-Humerus Miami talk version 1
140+ SIGN Programs Current SIGN programs in established countries New countries with new programs in 2006 Established Countries with new programs 2006 Anticipated new countries and programs in 2007 Miami talk version 1
Disaster Relief-First Responders Pakistan Miami talk version 1
3,000 Surgeons Miami talk version 1
28,000+ Happy Patients Return home within weeks Reduced burden on hospital Surgeons gain confidence Raising the standard hospital wide Miami talk version 1
Education • Onsite visits • Database • Regional conferences • Annual SIGN conference • Internet blog Miami talk version 1
Education- National Conferences Miami talk version 1
Education—Annual SIGN Conference Miami talk version 1
Progressive Innovation Existing SIGN System Extractor Compressor Miami talk version 1
Progressive Innovations-Curved Slot Finder Remove Target Arm First Miami talk version 1
GSW in Iraqi Civilian Miami talk version 1
Progressive Innovation-Bone Transport Miami talk version 1
Progressive Innovation-Bone Transport Miami talk version 1
Thank You Current SIGN programs in established countries New countries with new programs in 2006 Established Countries with new programs 2006 Anticipated new countries and programs in 2007 Miami talk version 1