Injuries in Developing Countries—How Can We Help?: The Role of Orthopaedic Surgeons

Zirkle, Lewis G.

doi:10.1007/s11999-008-0387-0

Cited by 68 publications

(54 citation statements)

References 3 publications

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“…SIGN is a non-profit company which began manufacturing and donating orthopaedic implants in 1999 [17]. The SIGN system is unique because it allows interlocking screws to be placed without fluoroscopy or power instruments.…”

Section: Implant Costsmentioning

confidence: 99%

The Cost of Intramedullary Nailing for Femoral Shaft Fractures in Dar es Salaam, Tanzania

et al. 2016

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Background Femoral shaft fractures are one of the most common injuries seen by surgeons in low-and middleincome countries (LMICs). Surgical repair in LMICs is often dismissed as not being cost-effective or unsafe, though little evidence exists to support this notion. Therefore, the goal of this study is to determine the cost of intramedullary nailing of femoral shaft fractures in Tanzania. Methods We used micro-costing methods to estimate the fixed and variable costs of intramedullary nailing of femoral shaft fractures. Variable costs assessed included medical personnel costs, ward personnel costs, implants, medications, and single-use supplies. Fixed costs included costs for surgical instruments and administrative and ancillary staff. Results 46 adult femoral shaft fracture patients admitted to Muhimbili Orthopaedic Institute between June and September 2014 were enrolled and treated with intramedullary fixation. The total cost per patient was $530

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Section: Implant Costsmentioning

confidence: 99%

The Cost of Intramedullary Nailing for Femoral Shaft Fractures in Dar es Salaam, Tanzania

et al. 2016

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“…Organizations such as the Orthopaedics Overseas in [9]. SIGN Fracture Care International, a nongovernmental organization, uniquely addresses the lack of orthopaedic implants by manufacturing and donating intramedullary nails designed for low-resource environments and training local surgeons in their use [15].…”

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confidence: 99%

Collaborative Partnerships and the Future of Global Orthopaedics

Morshed

Shearer

Coughlin

2013

Clinical Orthopaedics &Amp; Related Research

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“…The Surgical Implant Generation Network (SIGN) [35,43] designs and manufactures IM nails for use in LMICs and distributes them free of charge. Surgeons who use the implants report the cases to the SIGN database [36] over the internet.…”

Section: Introductionmentioning

confidence: 99%

The Role of SIGN in the Development of a Global Orthopaedic Trauma Database

Clough

Zirkle²,

Schmitt³

2010

Clinical Orthopaedics &Amp; Related Research

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Background The global burden of injury is receiving recognition as a major public health problem but inadequate information delays many proposed solutions. Many attempts to collect reliable data on orthopaedic trauma have been unsuccessful. The Surgical Implant Generation Network (SIGN) database is one of the largest collections of fracture cases from lower and middle income countries. Questions/purposes We describe the information in the SIGN database then address two questions: In the context of the design and implementation of a global trauma database, what lessons does the SIGN database teach? Does the SIGN program have a role in the evolution of a wider global system? Methods The SIGN database is Internet based. After treating a patient with a SIGN nail surgeons enter radiographs and details of the case.

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Injuries in Developing Countries—How Can We Help?: The Role of Orthopaedic Surgeons

Abstract: Each year nearly 5 million people worldwide die from injuries, approximately the number of deaths caused by HIV/AIDS, malaria, and tuberculosis combined.

Cited by 68 publications

References 3 publications

The Cost of Intramedullary Nailing for Femoral Shaft Fractures in Dar es Salaam, Tanzania

The Cost of Intramedullary Nailing for Femoral Shaft Fractures in Dar es Salaam, Tanzania

Collaborative Partnerships and the Future of Global Orthopaedics

The Role of SIGN in the Development of a Global Orthopaedic Trauma Database

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