Science and Education Publishing American Journal of Public Health Research 2327-6703 3 5A 2015 10 28 SIGN Nail Experience in Manipal Teaching Hospital 115 118 EN Ranjeet N Department of Orthopedics, MTH, Pokhara, Nepal Sapkota K Onta P Thapa P Thapa UJ Gupta MK AJPHR201535A25 10.12691/ajphr-3-5A-25 2015 6 10 2015 8 18 2015 10 26 Fifty-two patients who underwent intramedullary nailing of long bone fractures using the SIGN nail at the Department of Orthopedics, Manipal Teaching Hospital from July 2010 to July 2014 were reviewed. Healing of the fracture, incidence of post-operative complications, implant failures, weight bearing capability were described and analyzed based on the medical records and official website of SIGN. Demographic of patients, fracture configuration, size of nail and screws used, the pre and post-operative radiographs were also reviewed. Post operatively with a mean follow-up of 6 months, 46.1% of the patients had beginning callus, 40.4% of the patients were already healed, 3.8% had infection and outcome was undetermined in 9.7%. No implant failure was noted in this study.