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| Formato: | Recurso digital |
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| Publicado: |
Zenodo
2025
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| Acceso en liña: | https://doi.org/10.5281/zenodo.14889373 |
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Table of Contents:
- <p><span>Background: Tibial shaft fractures are common orthopedic injuries, and their management poses significant challenges in resource-limited settings. The SIGN system has been widely used for fracture fixation due to its cost-effectiveness, minimal soft tissue dissection, and avoidance of advanced imaging tools. This study evaluates the clinical, radiological, and functional outcomes of tibial shaft fractures treated with SIGN nails.</span></p> <p><span>Methods: A retrospective observational study was conducted at Madhesh Institute of Health Sciences (MIHS) from October 2022 to January 2024. A total of 42 patients aged 18-60 years with acute tibial diaphyseal fractures (closed or Grade I/II open fractures) were treated with SIGN nails. Data were collected on patient demographics, fracture characteristics, surgical details, postoperative outcomes, and complications. Follow-up assessments were performed at 2 weeks, 6 weeks, 3 months, and 6 months.</span></p> <p><span>Results: The mean time to clinical union was 10.4 weeks, and radiological union occurred at an average of 14.2 weeks. Functional outcomes, assessed using the Modified Johner and Wruh’s criteria, showed 66.7% excellent and 19.0% good results. The overall union rate was 95.2%, with infection (4.8%), non-union (2.4%), and malunion (7.1%) observed in a small proportion of patients. The Kaplan-Meier analysis indicated that 75% of patients achieved union within 12 weeks. Comparison with conventional hollow nails showed slightly better outcomes with SIGN nails, including faster healing and lower infection rates.</span></p> <p><span>Conclusion: The SIGN nail is a safe, effective, and cost-efficient option for treating tibial shaft fractures, especially in resource-constrained settings. It facilitates early mobilization, has minimal complications, and provides excellent functional outcomes. The use of SIGN nails offers a promising solution for improving fracture care in low-resource environments, contributing to faster recovery and better patient outcomes.</span></p>