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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. - PowerPoint PPT Presentation
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Vision:
Creating Equality of Fracture Care
Throughout the World
Miami talk version 1
Miami talk version 1
Impetus
To be effective, teaching mustbe combined with implants
•Femur Fracture-3 years in traction
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
C-Arm$150,000
Slot Finder$50
Biggest Challenge:
Obtaining interlock without a C-arm
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Design
Technology had to be incorporated in the instruments and implants.
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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 reportedmore than 15,000 cases
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Follow-up ease: Patient contact information
Revision-SIGN Database
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Develop your own reports
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Clinical results
Full weight bearing at 3 months
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First Designed as Tibia Nail
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Retrograde-Approaching a Floating Knee
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Antegrade Approach to Femur
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Humerus
Case 1
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Ankle Arthrodesis-Antegrade
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Ankle Arthrodesis-Retrograde
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Fin Nail-Stable Interlock
Fig 8Cross section of fins seated in bony canal
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Fin Nail Retrograde Femur
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Fin Nail Antegrade
Miami talk version 1
Fin Nail-Humerus
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140+ SIGN Programs
Current SIGN programs in established countries
Established Countries with new programs 2006
New countries with new programs in 2006
Anticipated new countries and programs in 2007
Miami talk version 1
Disaster Relief-First Responders
Pakistan
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3,000 Surgeons
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28,000+ Happy Patients
Return home within weeksReduced burden on hospitalSurgeons gain confidenceRaising the standard hospital wide
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Education
• Onsite visits
• Database
• Regional conferences
• Annual SIGN conference
• Internet blog
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Education- National Conferences
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Education—Annual SIGN Conference
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Progressive Innovation
Existing SIGN System
Extractor Compressor
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Progressive Innovations-Curved Slot Finder
Remove Target Arm First
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GSW in Iraqi Civilian
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Progressive Innovation-Bone Transport
Miami talk version 1
Progressive Innovation-Bone Transport
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Thank You
Current SIGN programs in established countries
Established Countries with new programs 2006
New countries with new programs in 2006
Anticipated new countries and programs in 2007