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Re: Fixion nails
Alexander Chelnokov 13 Март 2006, 00:57
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NL> Diaphyseal fractures within 10 cm of the extermities
I am still uncertain - within what 10 cm and of what extremities? Do you mean lower extremities? And shaft fractures not closer than 10 cm from bone ends? Or zone of shattering not longer than 10 cm? Or something else?
NL> We found fixion superior to interlocking on those fractures where
NL> compression forces induced by weight bearing on the fracture site improve
Really comparative studies are necessary to compare this to dynamically locked nails.
NL> By the other side operating time is much less: we can almost do
Yes, this is substantial.
NL> By the other side, we fount fixion a great implant to treat
NL> pseudarthrosis (reamed) and pathologic fractures (not reamed).
Pseudarthroses are successfully treated by interlocking nails. Again comparison is necessary.
NL> Of course it does not substitute interlocking at all!
Yes, thx for the clearance about indications.
NL> Other inconvenience of Fixion: Patients cannot be cremated with it, with
NL> risk of explosion and destruction of crematory!
You've made my day.
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Re: Fixion nails
Anthony N Brown 15 Март 2006, 20:37
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Dear Alex and List members,
I do not have experience with the fixion nail but it sounds like it is well descibed as an extension of a Kuntscher nail and therefore limited to fractures with some inherent stability and diaphyseal in location.
The gold standard for care of the unstable long bone fx is the locked intramedullary nail. The main drawbacks being cost and the need for reliable fluoroscopic control.
As you are aware, but I think a lot of the list members might not be, the SIGN nail is a low/no cost, us-fda approved, interlocking nail for the femur, tibia and humerus. Most importantly it was designed specifically for use by surgeons without access to fluoroscopic control. It is used by hundreds of surgeons in more than 40 countries.
In addition to bringing the gold standard of care of long bone fxs to those who could not previously afford it, the nail comes with the cumulative expertise of a community of surgeons from throughout the world as well as an ever growing database of cases.
We would like to invite interested/curious surgeons from anywhere to contact us thru the website http://www.sign-post.org/ or at our booth and seminar at AAOS. We are looking for surgeons who will help us toward our goal of creating equality of fracture care throughout the world.
Thanks,
Anthony N Brown
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