All Courses

SIGN Technique
Please refer to the SIGN Product Catalog. The standard set includes the Standard SIGN Nail Interlocking Screw System. Additional implants such as short Standard Nails, Fin Nails, pediatric nails, FX Plates and SHC are provided based on number of surgeries and number of follow‐up reports submitted to the SIGN database.
Antegrade Femur
The SIGN Technique for antegrade femur.
Distal Femur
Fractures that occur where the canal widens or 5 cm proximally are ideal indications for retrograde approach to femur. We are seeing more and more fractures more proximal in the isthmus being treated with retrograde approach to femur. We also see the Fin Nail used frequently to stabilize these fractures.
Tibia
Plating of the fibula leads to early stability, but may also lead to nonunion of the tibia fracture. Plating the fibula may distract bone healing in the tibia because the fibula often heals quicker.
Humerus
There is a difference of opinion between those who favor plate fixation and nail fixation for humerus fractures.
Pediatric Fractures
The patient must have no infected areas or injuries that preclude surgery. The patient and/or responsible adult should be told about the risks and benefits of surgery, and agree to the insertion of the Pediatric Fin Nail. Please check the patient’s skin the night before surgery.
SIGN Hip Construct (SHC) System
The general medical conditions of the patient must be evaluated and the patient deemed healthy enough for surgery. The patient must have no infected areas or injuries that preclude surgery. Patient should be told about risks, benefits of surgery, and agree to insertion of the SHC.
Retrocalcaneal Fusion
The SIGN IM Nail Retrocalcaneal Fusion technique has been developed in response to requests for
this procedure and patient need in developing countries. The system is designed for use with or
without C-arm image intensification.
Pelvic and Acetabular Fractures
Pelvic fractures are markers of high energy trauma and are associated with significant morbidity and mortality.
Deformity Correction
The goal of treatment or correction is to achieve a well functioning leg with normal alignment and stability and normal range of motion of joints.
Flaps
Microscope is to soft tissue reconstruction what fluoroscopy is to orthopedic fixation. There are more options for soft tissue reconstruction if microsurgery available, but there are plenty of non-micro options.
Infection
Resources to study infection in orthopaedics.
Nonunions
If the patient does not heal well, we must consider the fracture that goes to delayed union, nonunion, and understand when to intervene.
Bone Graft System
The SIGN Bone Graft System instruments include: hand reamers, bone scoops, flute scrapers, and reamer sharpeners.

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