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Ex Fix Presentation

This document discusses the development of external fixators in Ethiopia by the METEC INITIATIVE. It notes that modern orthopedics is relatively new to Ethiopia, and most fractures are treated non-operatively due to a lack of instruments, implants, and the difficulty of purchasing them. The initiative began in 2009 with the idea of developing light external fixator boxes. It provides examples of different types of external fixators like linear and circular fixators. The document outlines plans to choose fixators based on biomechanical properties, weight, rigidity, and cost through clinical trials and engineering testing. It proposes a process of concept design, detailed engineering, local manufacturing, material selection, clinical trials, and quality management certification to develop

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Arkadha Burka
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64 views

Ex Fix Presentation

This document discusses the development of external fixators in Ethiopia by the METEC INITIATIVE. It notes that modern orthopedics is relatively new to Ethiopia, and most fractures are treated non-operatively due to a lack of instruments, implants, and the difficulty of purchasing them. The initiative began in 2009 with the idea of developing light external fixator boxes. It provides examples of different types of external fixators like linear and circular fixators. The document outlines plans to choose fixators based on biomechanical properties, weight, rigidity, and cost through clinical trials and engineering testing. It proposes a process of concept design, detailed engineering, local manufacturing, material selection, clinical trials, and quality management certification to develop

Uploaded by

Arkadha Burka
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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DEVELOPMENT OF EXTERNAL

FIXATORS IN ETHIOPIA.
The METEC INITIATIVE
Dr Yiheyis Feleke
ISKINDIR YUSUF(ENGINEER)
march 2017
• Modern orthopedics in Ethiopia –few decades
• Trend- majority of fractures treated none operatively
• Instruments and implants mostly donations
• Purchase difficult
• manufacturing
• Starting idea /2009 /
• Light boxes /Dr Fintan Shannon / Bewketu Demissie
• External fixators
Basic parts

➢ pins (Schanz screws, Steinman pins)

➢Various clamps/elements

➢ External fixation rods (stainless steel or carbon fiber


roads).
Examples of Linear/uni-planar Ex-fixators.

• Ortho-fix, Hughes fixator


Examples of Circular Ex-fixes

• Ilizarov frame
E.g. of Hybrid External skeletal fixators
(HESF)

• AO-hybrid
• 4th Esot annual meeting

• We shared our idea of locally developing a low-cost external


fixators

• Demonstrate the model/sample developed.


Homemade Homemade and Imported
Only color is a d/f!
PURELY ETHIOPIAN NEW VARITIES!
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2

4
3
14
Cont.….
How do we choose fixators?
• Biomechanical properties ( Bending and
compression tests)
• Weight of the fixator!
• Rigidity of fixation,
• Ease of application,
• Fracture characteristics,
• cost!
• Clinical trial,
• To work with Engineering lab. Of AAU to specify/define our
fixator’s biomechanical characteristics.
• Patent right.
20
Cont.….
• Concept design-Detailed Engineering design
• Manufacturing at home - manufacturing in large scale
• Material selection for both external (Clamps and bar) and
internal (shansz screw ) using standard scientific methods
• standards both Ethiopian and international ,certified
• Clinical trial
• Approach (QMC) Quality management center of the METEC
Through a plc called Gastroc
• A research team consists of 3 orthopedics surgeons from
ALERT and Abet hospitals and a senior scientist from AHRI
including the QMC research institute staffs formed
• Research concept paper submitted to national research council
under MoST ,research grants to potential innovative and
problem solving research and won to write the full proposal
• Start manufacturing process
• QMC –one of the sister companies of the METEC
• Five different institutes
• -project quality supervision
• -calibration and testing
• -research and development
• -scientific equipment manufacturing
• -standard and certification
• Man power
• Involved in different mega projects-testing ,calibrating, training
,supervision ,technical support and ,certification
•

• Thank you

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