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Use of the SIGN IM nail system to stabilize tibiotalocalcaneal arthrodesis in two African hospital settings
OBJECTIVES: To determine the effectiveness and describe the technique of using the Surgical Implant Generation Network (SIGN) nail to augment tibiotalocalcaneal (TTC) arthrodesis in the developing world. DESIGN: Retrospective review of the SIGN database and description of surgical technique. SETTING...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8078145/ https://www.ncbi.nlm.nih.gov/pubmed/33937712 http://dx.doi.org/10.1097/OI9.0000000000000088 |
Sumario: | OBJECTIVES: To determine the effectiveness and describe the technique of using the Surgical Implant Generation Network (SIGN) nail to augment tibiotalocalcaneal (TTC) arthrodesis in the developing world. DESIGN: Retrospective review of the SIGN database and description of surgical technique. SETTING: Two centers in rural Kenya, East Africa. PATIENTS: Fifty-seven patients with ankle/hindfoot arthritis or severe trauma. We were able to follow 17 through complete arthrodesis. INVENTION: TTC arthrodesis stabilized with SIGN nail. MAIN OUTCOME MEASURE: Radiographic arthrodesis and return to function. RESULT: Of the patients with significant follow-up, arthrodesis occurred in an average of 19.3 ± 7.5 weeks from the date of surgery. CONCLUSIONS: Recognizing the obstacles to follow-up, the SIGN nail placed with the Herzog curve apex posterior is shown to be an effective device to stabilize a TTC arthrodesis in a limited subgroup of patients with full follow-up. |
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