A Retrospective Case Series of Surgical Implant Generation Network (SIGN) Placement at the Afghan National Police Hospital, Kabul, Afghanistan
| Autor: | Humayoon Abdul Arzoiey, Safiullah Sadat, Azizullah Shefa, David Royal, Christian W. Ertl, Salim Sultani, Lewis Zirkle, Mohammed Omar Mosafa |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Bone Nails Tertiary care Time-to-Treatment Military medicine law.invention Intramedullary rod Fractures Bone 03 medical and health sciences 0302 clinical medicine Blunt Afghan law medicine Humans 030212 general & internal medicine Retrospective Studies Arm Injuries 030222 orthopedics business.industry General surgery Public health Afghanistan Public Health Environmental and Occupational Health General Medicine Fracture Fixation Intramedullary Surgery Treatment Outcome Surgical implant War-Related Injuries Female Implant business Leg Injuries |
| Zdroj: | Military Medicine. 181:21-26 |
| ISSN: | 1930-613X 0026-4075 |
| DOI: | 10.7205/milmed-d-14-00693 |
| Popis: | In Afghanistan, adequate and cost-effective medical care for even routine conditions is lacking; especially for complex injuries like long-bone fractures. The Surgical Implant Generation Network (SIGN) intramedullary nail is used for treatment of long-bone fractures from blunt injuries and does not require imaging. We are reporting for the first time results of the SIGN intramedullary nail at the Afghan National Police Hospital, a tertiary care facility in Kabul. 71 records from the SIGN Online Surgical Database were reviewed for gender, age, date of injury, implant date, patient's home of record, and type/ mechanism of injury. Mean age was 26.7 years, all but one being male; time from injury to implant ranged 1 to 401 days, with mean of 40.6 days. Long-bone fractures from motor vehicle accidents remained constant, and war injuries peaked in summer. Follow-up is limited because of security and financial burdens of travel. However, personal communication with Afghan National Police Hospital surgeons suggests that patients included in the current study have not experienced any adverse outcomes. While it remains to be seen if the SIGN Online Surgical Database will facilitate more comprehensive outcome studies, our results provide support for the efficacy of SIGN nails in treating long-bone fractures from war injuries. |
| Databáze: | OpenAIRE |
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