Standard or Fin SIGN® nail? which option is better for the treatment of femoral fractures in low and middle-income countries?

Purpose Femoral fractures are common in low and middle-income countries (LMIC), predominantly caused by high-energy trauma. The surgical implant generation network (SIGN®) program offers two different intramedullary nails in LMIC which are designed to be used without image intensifier free of charge...

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Bibliographic Details
Published in:International orthopaedics 2024-08, Vol.48 (8), p.2179-2187
Main Authors: Perdomo-Lizarraga, Juan Carlos, Andrade-Arellano, Dennys J., Necchi, Marco, Zavatta, Marcello, Ryan-Coker, Marcella, Dixon-Cole, Richmond, Muñoz-Mahamud, Ernesto, Combalia, Andrés
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Bone Nails
Developing Countries
Female
Femoral Fractures - surgery
Fracture Fixation, Intramedullary - instrumentation
Fracture Fixation, Intramedullary - methods
Humans
Male
Medicine
Medicine & Public Health
Middle Aged
Operative Time
Original Paper
Orthopedics
Retrospective Studies
Treatment Outcome
Young Adult
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Summary:Purpose Femoral fractures are common in low and middle-income countries (LMIC), predominantly caused by high-energy trauma. The surgical implant generation network (SIGN®) program offers two different intramedullary nails in LMIC which are designed to be used without image intensifier free of charge for the patients: the SIGN standard nail (SSN®) and the SIGN Fin nail (SFN®). This study aimed to compare the results of the SSN® and the SFN® for the treatment of middle and distal shaft femoral fractures through a retrograde approach. Material and Methods This was a retrospective, descriptive, and non-experimental study including all consecutive patients who underwent surgical management of middle or distal shaft femoral fracture between January 2017 and May 2022 in an NGO hospital located in Freetown, Sierra Leone. The duration of surgery, type of reduction, complications like screw loosening, implant migration, anterior knee pain and non-union rate at six months of follow up were evaluated. Results A total of 122 patients were included in the study. Group A: 60 patients were managed with SSN® and Group B: 62 patients with SFN®. The mean operative time was 104 min with SSN® and 78 with SFN® ( p  
ISSN:0341-2695
1432-5195
1432-5195
DOI:10.1007/s00264-024-06192-7