Thursday Jan. 10

SIGN Founder & President, Dr. Lewis Zirkle, and SIGN CEO, Jeanne Dillner, are currently in Cap-Haitien, Haiti visiting Hopital Universitaire Justinien. This is SIGN’s sixth trip to the country.

Patient rounds

SIGN is traveling with Dr. Lucien Armand, the Program Director for Project HOPE in Haiti. He has asked Dr Zirkle to consult on cases for repairing old pediatric fractures and deformities. The child below, Stevencia, broke her tibia at age 3. She is now 7 and has not been able to use her tibia since the accident.


Stevencia consult

Stevencia’s physical therapist, Dr. Evan Louis, from Wanament brought her to Cap-Haitien to consult with Dr. Zirkle.

Another patient, Michelle, has a congenital deformity and a bad gastrointestinal problem. Orthopeadically, she has congenital absences of fibula which results in deformed tibia. She is an active little girl and has had to adapt by walking on the knee due to her malformed leg.

Michelle Standing

dress up

Her mother dresses her perfectly for meeting with the doctors. Dr Evans presented the cases to Dr. Armand who then presented them to Dr. Zirkle for consultation. Dr. Zirkle and Dr. Armand will continue to work together to locate the appropriate surgical care for these two girls.

Most of our time here is spent teaching the SIGN technique through lectures, discussions and SIGN surgeries.  We have found that the four residents and Dr. Pierre-Louis are very interested in using SIGN to treat their patients. They understand the principles and are gaining expertise in using the SIGN IM nail system. This is most gratifying because we will leave a legacy of excellent treatment for their many patients who are injured in road traffic accidents.


fracture clinic


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