SIGN Hip Construct Nail, the Amazing Solutionin HIP Fracture Fixation without using an Image Intensifier

Author(s): Jibananda Halder, Mir Shahidul Hasan, Paresh Chandra Halder

Introduction: Hip fractures within the orthopaedic literature are typically characterized as a drag of High-Income Countries (HICs). The largest growth is arises in developing countries like Africa, Latin America and Asia, due to the aged population and the increasing prevalence of osteoporosis in these countries.

Aim of the study: The main purpose of this study was to evaluate outcomes of using the SIGN Hip Construct (SHC) without the use of an image intensifier to accomplish hip fracture fixation.

Methods: Within 2017 to 2020, an approaching case series of patients with intertrochanteric fractures treated with the SHC was conducted at National Institute of Traumatology & Orthopaedic Rehabilitation (NITOR), Dhaka and Sir Salimullah Medical College Hospital, Dhaka.

Results: Out of 33 patients with trochanteric fractures with SHC were operated on, 21 were admitted for follow-up after 6 weeks. 76% of patients were outpatient within four weeks after surgery. Clinical signs of fracture union were observed in all patients after 6 weeks; all but one of them had radiological evidence of callus formation. In the 6-week follow-up study, 1 (1.5%) cases of infection and 3 (9.09%) collapsed varus were recorded.

Conclusion: With SIGN Hip Construct, it can be safely perform hip fracture fixation without an image enhancer. This implant can a good alternative option for developing countries, where it’s hard to access fluoroscopy with lots of limitation and bindings.