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      <image:title>Events - 2026 Open House - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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    <loc>https://www.signfracturecare.org/events/2026/9/15/2026-sign-family-reunion</loc>
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      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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    <loc>https://www.signfracturecare.org/events/2026/9/14/2026-sign-international-orthopaedic-conference</loc>
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      <image:title>Events - 2026 SIGN International Orthopaedic Conference - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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    <loc>https://www.signfracturecare.org/events/2026/1/8/kspez6frla70d6yk23u40m15z4twcl</loc>
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      <image:title>Events - Double Your Impact in February! - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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  <url>
    <loc>https://www.signfracturecare.org/events/2025/12/3/givingtuesday-2025</loc>
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    <lastmod>2025-11-13</lastmod>
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      <image:title>Events - GivingTuesday 2025 - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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    <loc>https://www.signfracturecare.org/events/2025/11/1/eulnlcg9lk035yren5rd1mm5h6n07u</loc>
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    <lastmod>2025-11-11</lastmod>
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      <image:title>Events - End of the Year Matching Campaign - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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  </url>
  <url>
    <loc>https://www.signfracturecare.org/events/2025/9/24/catch-up-on-the-sign-family-reuion</loc>
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    <lastmod>2025-10-30</lastmod>
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      <image:title>Events - Catch up on the SIGN Family Reuion - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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  <url>
    <loc>https://www.signfracturecare.org/events/2025/5/31/watch-sign-on-worlds-greatest-7pdg2</loc>
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    <lastmod>2025-05-28</lastmod>
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      <image:title>Events - Watch SIGN on "World's Greatest!..." - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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  <url>
    <loc>https://www.signfracturecare.org/events/2025/5/31/watch-sign-on-worlds-greatest</loc>
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    <lastmod>2025-05-28</lastmod>
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      <image:title>Events - Watch SIGN on "World's Greatest!..." - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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  <url>
    <loc>https://www.signfracturecare.org/events/2025/5/29/sign-open-house</loc>
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    <lastmod>2025-03-11</lastmod>
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  <url>
    <loc>https://www.signfracturecare.org/events/2025/9/9/2025-sign-family-reunion</loc>
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    <lastmod>2025-08-11</lastmod>
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      <image:title>Events - 2025 SIGN Family Reunion - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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  <url>
    <loc>https://www.signfracturecare.org/events/2025/9/8/2025-sign-international-orthopaedic-conference</loc>
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    <lastmod>2025-03-11</lastmod>
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  <url>
    <loc>https://www.signfracturecare.org/events/2025/5/6/give-bigger</loc>
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    <lastmod>2025-03-11</lastmod>
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  <url>
    <loc>https://www.signfracturecare.org/events/2025/1/31/february-matching-campaign</loc>
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    <priority>0.5</priority>
    <lastmod>2025-02-12</lastmod>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/events/2024/11/1/season-of-giving</loc>
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    <priority>0.5</priority>
    <lastmod>2024-11-21</lastmod>
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  <url>
    <loc>https://www.signfracturecare.org/events/2024/9/23/2024-sign-international-orthopaedic-conference</loc>
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    <priority>0.5</priority>
    <lastmod>2024-08-20</lastmod>
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  <url>
    <loc>https://www.signfracturecare.org/events/2024/9/26/sign-family-reunion</loc>
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    <lastmod>2024-09-04</lastmod>
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    <lastmod>2024-04-04</lastmod>
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  <url>
    <loc>https://www.signfracturecare.org/events/2024/1/29/sign-25th-anniversary</loc>
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    <lastmod>2024-11-21</lastmod>
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      <image:title>Events - SIGN 25th Anniversary - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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  </url>
  <url>
    <loc>https://www.signfracturecare.org/events/2023/10/11/2023-sign-international-orthopaedic-conference</loc>
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    <priority>0.5</priority>
    <lastmod>2024-01-23</lastmod>
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      <image:title>Events - 2023 SIGN International Orthopaedic Conference - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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  <url>
    <loc>https://www.signfracturecare.org/events/2023/10/12/sign-homecoming-gala</loc>
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    <priority>0.5</priority>
    <lastmod>2024-04-25</lastmod>
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      <image:title>Events - 2023 SIGN Homecoming Gala - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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  <url>
    <loc>https://www.signfracturecare.org/events/2023/2/16/sign-garden-party</loc>
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    <priority>0.5</priority>
    <lastmod>2024-01-23</lastmod>
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      <image:title>Events - SIGN Garden Party - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
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  <url>
    <loc>https://www.signfracturecare.org/events/2022/4/14/give-bigger</loc>
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    <lastmod>2024-01-23</lastmod>
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  <url>
    <loc>https://www.signfracturecare.org/events/2021/11/30/giving-twosday</loc>
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    <priority>0.5</priority>
    <lastmod>2024-01-23</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/168a9d02-b667-44d9-8121-1bd96f108a92/VR-+GT+-+header+with+Patient.jpg</image:loc>
      <image:title>Events - Giving TWOsday - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/events/2021/4/23/sign-webinar-fin-in-the-femur</loc>
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    <priority>0.5</priority>
    <lastmod>2025-10-02</lastmod>
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  <url>
    <loc>https://www.signfracturecare.org/events/2021/6/18/signigot-smart-webinar-advanced-reconstructive-flaps</loc>
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    <priority>0.5</priority>
    <lastmod>2025-10-02</lastmod>
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  <url>
    <loc>https://www.signfracturecare.org/events/2021/5/4/trauma-healers</loc>
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    <priority>0.5</priority>
    <lastmod>2024-01-23</lastmod>
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  <url>
    <loc>https://www.signfracturecare.org/events/2021/5/4/give-bigger</loc>
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    <priority>0.5</priority>
    <lastmod>2024-01-23</lastmod>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1619190808939-OVX4X5DDL59691VOETB4/LI+Post+-+GB+2021.jpg</image:loc>
      <image:title>Events - Give Bigger</image:title>
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  <url>
    <loc>https://www.signfracturecare.org/events/2021/5/30/signigot-webinar-tibial-plateau</loc>
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    <priority>0.5</priority>
    <lastmod>2024-01-23</lastmod>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/events/ssa</loc>
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    <priority>0.5</priority>
    <lastmod>2024-01-23</lastmod>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1598915167047-WSLJ082KCKOEYBT6UKPM/VR+-+SA+-+Save+the+Date+-+header+-+FINAL.jpg</image:loc>
      <image:title>Events - SIGN Silent Auction</image:title>
    </image:image>
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  <url>
    <loc>https://www.signfracturecare.org/events/signbash</loc>
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    <lastmod>2024-01-23</lastmod>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1590518847110-ARZQWZVQLZSAOKCGRJNS/Summer+Bash+-+FB+Post+-+Final.jpg</image:loc>
      <image:title>Events - SIGN Summer Bash</image:title>
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  <url>
    <loc>https://www.signfracturecare.org/events/givebigger</loc>
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    <lastmod>2024-01-23</lastmod>
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      <image:title>Events - Give Bigger</image:title>
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  <url>
    <loc>https://www.signfracturecare.org/events/tcb</loc>
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    <priority>0.5</priority>
    <lastmod>2024-01-23</lastmod>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1598299753277-QO59WE4WYFSXX48R8UPN/MM+-+Handbid+Banner+-+1140X280+vs1REVISED.jpg</image:loc>
      <image:title>Events - Moonlight Masquerade</image:title>
    </image:image>
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  <url>
    <loc>https://www.signfracturecare.org/events/openhouse</loc>
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    <lastmod>2024-01-23</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1580412891461-DKQZZVH3TE9IP0SHO0RE/Spring+Open+House+Banner</image:loc>
      <image:title>Events - Spring Open House</image:title>
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  <url>
    <loc>https://www.signfracturecare.org/events/2019-giving-twosday</loc>
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    <priority>0.5</priority>
    <lastmod>2024-01-23</lastmod>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/events/2019-career-night</loc>
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    <priority>0.5</priority>
    <lastmod>2024-01-23</lastmod>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/events/2019/7/17/open-house</loc>
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    <priority>0.5</priority>
    <lastmod>2024-01-23</lastmod>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/events/2019/4/24/wine-amp-dine-for-sign-tri-cities</loc>
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    <priority>0.5</priority>
    <lastmod>2024-01-23</lastmod>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/events/2019/9/21/wine-pdx</loc>
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    <priority>0.5</priority>
    <lastmod>2024-01-23</lastmod>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/events/2019/9/11/sign-international-orthopaedic-conference</loc>
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    <priority>0.5</priority>
    <lastmod>2024-01-23</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1565029054344-Q2XTERPGCVVJZ8EC2L58/SIGN+Group+2018+4.JPG</image:loc>
      <image:title>Events - SIGN International Orthopaedic Conference</image:title>
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  <url>
    <loc>https://www.signfracturecare.org/blog</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2026-03-27</lastmod>
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  <url>
    <loc>https://www.signfracturecare.org/blog/2025/10/13/if-not-you-then-who</loc>
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    <lastmod>2025-10-13</lastmod>
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  <url>
    <loc>https://www.signfracturecare.org/blog/sign-spine</loc>
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    <lastmod>2024-12-23</lastmod>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/365a3355-a1ae-4552-9748-6489d34bce87/RKS_7543.JPG</image:loc>
      <image:title>Blog - SIGN Spine - Make it stand out</image:title>
      <image:caption>Dr. David Gendelberg instructs surgeons using Sawbones during the 2024 SIGN Conference.</image:caption>
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/ef010b27-8bdd-4be7-a6f7-8981db561430/MOI.2023.Hospital.ortho.neuro+surgeons.jpg</image:loc>
      <image:title>Blog - SIGN Spine - Make it stand out</image:title>
      <image:caption>(Left to right) Drs. Mike Coscia, Anthony Assey, Billy Haonga, David Gendelberg, Laurence Lemery, and Ashraf El Naga at Muhimbili Orthopaedic Institute.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/9378e37e-6545-42aa-a16a-2be4510d3e38/IZFK7160.JPG</image:loc>
      <image:title>Blog - SIGN Spine - Make it stand out</image:title>
      <image:caption>Empowering spine surgeons in LMIC will help thousands of patients and improve local healthcare systems.</image:caption>
    </image:image>
    <image:image>
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      <image:title>Blog - SIGN Spine - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/blog/regions-in-conflict</loc>
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    <lastmod>2024-11-26</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/99be1a6a-4b9a-4f0e-9272-e484ed26021d/Ukraine+4.jpg</image:loc>
      <image:title>Blog - Regions in Conflict - Make it stand out</image:title>
      <image:caption>SIGN shipped implants and instruments to surgeons in Ukraine shortly after the conflict began.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/a656c2fb-3fb5-4deb-9dfd-32d0c6cb8ae8/SIGN+%40+TorHailoch+Hospital-FIRST+Time%21.jpg</image:loc>
      <image:title>Blog - Regions in Conflict - Make it stand out</image:title>
      <image:caption>SIGN Surgeons in Ethiopia took Traveling SIGN Sets to conflict areas in 2022.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/9aa2f9c5-005e-4aed-bc90-9f77c17469e7/Phone+Background</image:loc>
      <image:title>Blog - Regions in Conflict - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/blog/dr-zirkle-honored</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2025-10-02</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/e61a7400-2658-4d9c-a7d9-9610d931fbbd/12.jpg</image:loc>
      <image:title>Blog - Dr. Zirkle Honored - Make it stand out</image:title>
      <image:caption>"It's unique for a Richland guy to be honoring a Richland guy," Secretary Mattis remarked in the medal presentation.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/9aa2f9c5-005e-4aed-bc90-9f77c17469e7/Phone+Background</image:loc>
      <image:title>Blog - Dr. Zirkle Honored - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/blog/sign-nails</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2025-10-02</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1727723213940-MDIF8YRRBFKF1O5NXBJQ/SIGN+Nails.PNG</image:loc>
      <image:title>Blog - SIGN Nails 101: Manufacturing Hope - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/08153407-84ba-44f7-844a-3cabb88e2ee6/signfracturecare.jpg</image:loc>
      <image:title>Blog - SIGN Nails 101: Manufacturing Hope - Make it stand out</image:title>
      <image:caption>Dr. Jessica Hirschhorn accepted the Patents for Humanity Award on behalf of SIGN Fracture Care International in 2013.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/9aa2f9c5-005e-4aed-bc90-9f77c17469e7/Phone+Background</image:loc>
      <image:title>Blog - SIGN Nails 101: Manufacturing Hope - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/blog/sign-bioskills-lab</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2024-09-30</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/e342f438-71c9-405c-a18b-4ab1c4747b72/IMG_9564.JPG</image:loc>
      <image:title>Blog - A Practical Approach: Cooperative Learning in the Bioskills Lab - Make it stand out</image:title>
      <image:caption>The Mobile Bioskills Lab, a trailer with pop-out sides, at the 2017 SIGN Conference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/37c3efc7-8348-4720-8a5e-77d9bdb8897c/RKS_6198.JPG</image:loc>
      <image:title>Blog - A Practical Approach: Cooperative Learning in the Bioskills Lab - Make it stand out</image:title>
      <image:caption>SIGN Surgeons observe a procedure, before practicing it themselves, in the SIGN Bioskills Lab.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/9aa2f9c5-005e-4aed-bc90-9f77c17469e7/Phone+Background</image:loc>
      <image:title>Blog - A Practical Approach: Cooperative Learning in the Bioskills Lab - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/blog/sign-crisis-response</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2024-08-26</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/9c726206-c71d-4610-80d2-c80abc723024/Indonesia+2005-13-+Dr.Z+and+local+surgeons.JPG</image:loc>
      <image:title>Blog - Targeting Disaster Zones: An Evolution of SIGN’s Crisis Response - Make it stand out</image:title>
      <image:caption>Dr. Zirkle and local surgeons perform SIGN Surgery following the 2004 tsunami in Indonesia.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/40ee5f74-f7a1-4be5-b551-81b6dba3ccdc/20150516_105818.jpg</image:loc>
      <image:title>Blog - Targeting Disaster Zones: An Evolution of SIGN’s Crisis Response - Make it stand out</image:title>
      <image:caption>Nepalese SIGN Surgeons quickly responded after an earthquake in 2015.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/9aa2f9c5-005e-4aed-bc90-9f77c17469e7/Phone+Background</image:loc>
      <image:title>Blog - Targeting Disaster Zones: An Evolution of SIGN’s Crisis Response - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/blog/manufacturing-to-meet-needs-7jrzt</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2024-11-21</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1020c644-c102-48fe-a90a-2e9c45dbfc64/Conf+2001-15.jpg</image:loc>
      <image:title>Blog - SIGN Conference: Empowering Surgeons - Make it stand out</image:title>
      <image:caption>Dr. Carla Smith (center) at the first SIGN Conference in 2001. She went on to start many SIGN Programs in Nepal and is a SIGN Board Member.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/6e77547b-25d1-4bfe-8734-3da43257a574/RKS_8901.jpg</image:loc>
      <image:title>Blog - SIGN Conference: Empowering Surgeons - Make it stand out</image:title>
      <image:caption>2024 SIGN Conference attendees and staff.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/9aa2f9c5-005e-4aed-bc90-9f77c17469e7/Phone+Background</image:loc>
      <image:title>Blog - SIGN Conference: Empowering Surgeons - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/blog/manufacturing-to-meet-needs</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2024-11-12</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/88901a43-fa36-4171-93f4-521d73078fba/New+Shop+Layout+2009.JPG</image:loc>
      <image:title>Blog - Manufacturing to Meet Needs - Make it stand out</image:title>
      <image:caption>SIGN Production Shop in 2007</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/c8960a9a-1871-40b6-a9d0-91b958feba78/IMG_0061+copy.jpg</image:loc>
      <image:title>Blog - Manufacturing to Meet Needs - Make it stand out</image:title>
      <image:caption>SIGN’s Research and Development Cell increases our ability to innovate products.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/b39aa882-19f1-47d2-8362-9069c189509d/IMG_5889.JPG</image:loc>
      <image:title>Blog - Manufacturing to Meet Needs - Make it stand out</image:title>
      <image:caption>New to us in 2024, the OKK Horizontal Milling Center is a high-production machine. This has the capacity to double our production of SIGN Nails.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/9aa2f9c5-005e-4aed-bc90-9f77c17469e7/Phone+Background</image:loc>
      <image:title>Blog - Manufacturing to Meet Needs - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/blog/from-one-bone-to-many</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2024-11-21</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/fe63eb7b-ebf6-4413-99db-30676f671dcb/Poster+Girl-1.jpg</image:loc>
      <image:title>Blog - From One Bone to Many - This woman was the first patient whose fractured femur was stabilized with a SIGN Nail. Six weeks after surgery, she was able to stand on her repaired leg.</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/7346c885-b4a9-4905-bc51-43a1f193fa76/RKS_6869.jpg</image:loc>
      <image:title>Blog - From One Bone to Many - Make it stand out</image:title>
      <image:caption>The SIGN Skin Graft System enables surgeons to cover wounds and improve patient healing.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/7e8ebcb8-a95d-4fe9-85c7-563859b84255/22GHANA_214.jpg</image:loc>
      <image:title>Blog - From One Bone to Many - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/blog/database-drives-innovation</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2024-07-23</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1713457739906-LM7ZIG9A1W8RD269YQM8/_DSC3010.jpg</image:loc>
      <image:title>Blog - SIGN Database Drives Innovation - Make it stand out</image:title>
      <image:caption>SIGN Surgeons in Ethiopia use the SIGN Database in consultations (2016).</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/0b86f8aa-86f5-4ab5-a417-ac8c97d3c57f/66b+-+Data+Tool+Fracture+Page+PPT.jpg</image:loc>
      <image:title>Blog - SIGN Database Drives Innovation - Make it stand out</image:title>
      <image:caption>An early version of the SIGN Database data collection program.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/23b72323-9d56-497c-99be-79bc6cfc9992/Screenshot+2024-03-26+092845.jpg</image:loc>
      <image:title>Blog - SIGN Database Drives Innovation - Make it stand out</image:title>
      <image:caption>Current database entry form.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/9aa2f9c5-005e-4aed-bc90-9f77c17469e7/Phone+Background</image:loc>
      <image:title>Blog - SIGN Database Drives Innovation - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/blog/more-than-a-broken-bone</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2024-11-21</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/f7be5513-2063-47c1-a722-b9ec436e290b/P1020117.JPG</image:loc>
      <image:title>Blog - More than a Broken Bone - Martha, an orphan, was the first to receive the SIGN Pediatric Fin Nail in Tanzania.</image:title>
      <image:caption>Martha, an orphan, was the first to receive the SIGN Pediatric Fin Nail in Tanzania. Since her surgery in 2011, we have been able to follow her story, seeing her thrive in school and recently graduate and start college classes.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/f1166046-a02e-49a5-8e61-b8017214313d/Mary+from+South+Sudan-2.jpg</image:loc>
      <image:title>Blog - More than a Broken Bone - Make it stand out</image:title>
      <image:caption>Mary, a young pregnant mother from South Sudan, was climbing a tree to find leaves to feed her family in the midst of a famine, when she fell and fractured bones in both legs. Her SIGN Surgeon was able to quickly perform surgery, preventing complications with her pregnancy and stabilize her fractures. About a year later, she walked into the hospital carrying her healthy young boy.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/c852f71e-b76e-47d5-a5d6-d333f5bc4db8/22GHANA_214.jpg</image:loc>
      <image:title>Blog - More than a Broken Bone - Nicholas, a husband and father from Ghana, was injured when the truck he was riding in rolled over.</image:title>
      <image:caption>Nicholas, a husband and father from Ghana, was injured when the truck he was riding in rolled over. But just two weeks after SIGN Surgery, he was back at his three jobs—operating a convenience store, running a poultry farm, and working as a carpenter.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/a4943a91-a157-4f10-b000-82099f5c9435/Aldrin.jpg</image:loc>
      <image:title>Blog - More than a Broken Bone - Make it stand out</image:title>
      <image:caption>Aldrin, from the Philippines, was born with a deformity that left his knees facing backwards. ﻿He had never walked with a normal gait, until a SIGN Surgeon was able to surgically correct the deformity and stabilize his bones with SIGN Nails. With physical therapy, Aldrin was able to take his first steps with straight legs and dream of a future that is not defined by his deformity.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/7e8ebcb8-a95d-4fe9-85c7-563859b84255/22GHANA_214.jpg</image:loc>
      <image:title>Blog - More than a Broken Bone - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/blog/sign-turns-25</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2026-01-06</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/25741f7c-38d5-4517-9aa7-28188543bfa2/man+in+bed.jpg</image:loc>
      <image:title>Blog - SIGN Turns 25 - Make it stand out</image:title>
      <image:caption>This man from Indonesia inspired Dr. Zirkle to design, manufacture, and donate implants.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1559c0a7-8f7d-4ae0-b2bf-f150d08e3431/IMG_6574.JPG</image:loc>
      <image:title>Blog - SIGN Turns 25 - Make it stand out</image:title>
      <image:caption>Randall and Mary Huebner</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/49f2412a-2f78-422c-996a-ae0da0a1261b/Early+Vietnam-426.jpg</image:loc>
      <image:title>Blog - SIGN Turns 25 - Make it stand out</image:title>
      <image:caption>Vietnamese surgeons reviewed and tested the first SIGN Sets, and provided invaluable feedback.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/9aa2f9c5-005e-4aed-bc90-9f77c17469e7/Phone+Background</image:loc>
      <image:title>Blog - SIGN Turns 25 - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/privacy</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2023-03-07</lastmod>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/partners</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2024-08-28</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1543866901814-PP7PMPFEKK6QBHRVO2XH/Acumed.jpg</image:loc>
      <image:title>Partners - Acumed</image:title>
      <image:caption />
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1543866901826-D2V771GEN7E8YKTNKSCM/Battelle.jpg</image:loc>
      <image:title>Partners - Batelle</image:title>
      <image:caption />
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1543866902526-GVL7VLYS6ECVHGPASLC8/CTTS.jpg</image:loc>
      <image:title>Partners - CTTS</image:title>
      <image:caption />
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1544032202255-6GSTL6YYXHJF7X0JO4WC/digital+image.jpg</image:loc>
      <image:title>Partners - Digital Image Tri Cities</image:title>
      <image:caption />
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1543866903201-UV5RW62KJUZSBCCRIEYM/FedEx.jpg</image:loc>
      <image:title>Partners - FedEx</image:title>
      <image:caption />
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1543866903238-O6QJG5FXGJ9LP0MNZM58/Freight+Services+Inc.jpg</image:loc>
      <image:title>Partners - Freight Services, Inc</image:title>
      <image:caption />
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1619718291012-S29PMUTBKM987W12RMSK/Hawk+Ridge+Systems.jpg</image:loc>
      <image:title>Partners - Hawk Ridge Systems</image:title>
      <image:caption />
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1683245407211-QP5WH8A76ZQG2GZM6IXN/Innomed+2.jpg</image:loc>
      <image:title>Partners</image:title>
      <image:caption />
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1543866903641-SOPGVFYDAAK981B05ORC/Intertek.jpg</image:loc>
      <image:title>Partners - Intertek</image:title>
      <image:caption />
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1543866903847-01OAAHDNGHRKHN59TUAG/Johnson+and+Johnson.jpg</image:loc>
      <image:title>Partners - Johnson + Johnson</image:title>
      <image:caption />
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1543866904276-F46BZ85P8N3IX9P9W6SP/Kadlec.jpg</image:loc>
      <image:title>Partners - Kadlec Regional Medical Center</image:title>
      <image:caption />
    </image:image>
    <image:image>
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      <image:title>Partners - Leatherman</image:title>
      <image:caption />
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1543866904796-CZ9K12O6UO9QACNI8PXV/Materialise.jpg</image:loc>
      <image:title>Partners - Materialise</image:title>
      <image:caption />
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1543866905327-8GXQFI9PBFBCQO9DFXUW/Medsource.jpg</image:loc>
      <image:title>Partners - MedSource</image:title>
      <image:caption />
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1652135733948-XLZB5T04HKE403CW88LF/Metronic+1.jpg</image:loc>
      <image:title>Partners</image:title>
      <image:caption />
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1543866905675-PUVO9ICAQL15C498V99A/NWCPA.jpg</image:loc>
      <image:title>Partners - Northwest CPA Group</image:title>
      <image:caption />
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1543866905794-XOCCC6ZHVO48D616PBRL/Oriel+Stat+A+Matrix.jpg</image:loc>
      <image:title>Partners - Oriel Stat A Matrix</image:title>
      <image:caption />
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1544049465128-2NC34O2UPS9VYFUFX0OB/OrthoArizona.jpg</image:loc>
      <image:title>Partners - OrthoArizona</image:title>
      <image:caption />
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1543866906296-INK7MTBOA504HLUOWPBP/Paragon28.jpg</image:loc>
      <image:title>Partners - Paragon 28</image:title>
      <image:caption />
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1543866906343-SGSGXMSY20J1I94YIERZ/PIM.jpg</image:loc>
      <image:title>Partners - PIM</image:title>
      <image:caption />
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1626798528357-TQGEF0RRHNLMW4EU60PP/precision+OS+for+web.jpg</image:loc>
      <image:title>Partners</image:title>
      <image:caption />
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1543972964913-3MLNF8IP81EQG2HEMDOJ/SAM+Medical.jpg</image:loc>
      <image:title>Partners - SAM Medical</image:title>
      <image:caption />
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1543968348325-KRB8T4OUE3T3UBD3UB9Q/Sawbones.jpg</image:loc>
      <image:title>Partners - Sawbones</image:title>
      <image:caption />
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1543968349136-C2AIL169OL91B88PGAX3/Science+Care.jpg</image:loc>
      <image:title>Partners - Science Care</image:title>
      <image:caption />
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1543972438521-XOGIRSPGI916DXK2AVA0/Smith+%26+Nephew.jpg</image:loc>
      <image:title>Partners - Smith &amp;amp; Nephew</image:title>
      <image:caption />
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1543972438577-ZA7CXUUCP2S1NVZTEE14/stryker.jpg</image:loc>
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      <image:caption />
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1543972439070-BQFJS18NW2VLJVWRTS2B/Surgical+Training+Institute.jpg</image:loc>
      <image:title>Partners - Surgical Training Institute</image:title>
      <image:caption />
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1543972439113-FURW5S7GFAKTOML0QTS0/Talus+Design.jpg</image:loc>
      <image:title>Partners - Talus Design</image:title>
      <image:caption />
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1724864306451-Z8A7AFQK4OQAZ62QT41E/Televu+for+website.jpg</image:loc>
      <image:title>Partners</image:title>
      <image:caption />
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1543972439560-AACAN0YXVDLT78CRYA5N/Thieme.jpg</image:loc>
      <image:title>Partners - Thieme</image:title>
      <image:caption />
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1543972439679-9F3MB7P9R6R6SH0ZF6P3/Tria+Orthopaedic+Center.jpg</image:loc>
      <image:title>Partners - Tria</image:title>
      <image:caption />
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1692289467691-Q3RAM72HWK7VLV9D4MY5/United+Guardian+logo-green.png</image:loc>
      <image:title>Partners</image:title>
      <image:caption />
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1543972440303-CFFTP0E0FQX5LSK6HCSD/UPS.jpg</image:loc>
      <image:title>Partners - United Postal Service</image:title>
      <image:caption />
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1543972440585-ZP8228OKV2WCST0VNRVY/Western+Sintering.jpg</image:loc>
      <image:title>Partners - Western Sintering</image:title>
      <image:caption />
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1543972623279-WQ4J8R1JUVQFRUXZI4D8/zimmer+biomet.jpg</image:loc>
      <image:title>Partners - Zimmer Biomet</image:title>
      <image:caption />
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1544034897283-KQ05HDWZIPK09OBK4DGZ/AAOS.jpg</image:loc>
      <image:title>Partners - American Academy of Orthopaedic Surgeons</image:title>
      <image:caption />
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1544034898091-1N4ATDCNV8H2PC6ZG4PE/AO+Foundation.jpg</image:loc>
      <image:title>Partners - AO Foundation</image:title>
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1626279845312-MNCCUG0KW5GTYD0CCT37/AO+Alliance+Foundation.png</image:loc>
      <image:title>Partners</image:title>
      <image:caption />
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1564500789814-1HSLHKXC7EL0NTIW6OPT/Canadian+Orthopaedic+Association.png</image:loc>
      <image:title>Partners - COA-ACO</image:title>
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1544034898400-7KB87EL2L6WBGC25ML70/IGOT.jpg</image:loc>
      <image:title>Partners - Institute for Global Orthopaedics and Truamatology</image:title>
      <image:caption />
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1544034898837-6QW32XIIP1PQFHZODDMS/OTA.jpg</image:loc>
      <image:title>Partners - Orthopaedic Trauma Association</image:title>
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1544048060521-4JEO41YL2SJV6V3RX2EF/Adventist+Health+International.jpg</image:loc>
      <image:title>Partners - Adventist Health International</image:title>
      <image:caption />
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1544048060903-K8RLE0BYMTJC8LMIIK9Q/CAMTA.jpg</image:loc>
      <image:title>Partners - CAMTA</image:title>
      <image:caption />
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1544048062204-5MEZCS36OO5F59A0DCTB/COAN.jpg</image:loc>
      <image:title>Partners - COAN</image:title>
      <image:caption />
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1544048063582-DVSRC1LDGMQ2SOHTZFFX/CURE.jpg</image:loc>
      <image:title>Partners - Cure International</image:title>
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1544048064486-TQZ7VRJWZ73XL6O6CJ9M/Emergency.jpg</image:loc>
      <image:title>Partners - Emergency</image:title>
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1544048065458-N8Q27I46CNB62KULJ1XS/Medical+Teams+International.jpg</image:loc>
      <image:title>Partners - Medical Teams International</image:title>
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1544048066173-2VKQFO4UNMIHCRPUWSBL/MSF.jpg</image:loc>
      <image:title>Partners - Medecins Sans Frontieres</image:title>
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1724864131831-2ZKV72B73TAPUKHA58TM/Ohana+One+logo+for+website-2.jpg</image:loc>
      <image:title>Partners</image:title>
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1544048066590-8NQ96RVKO4MUOSLNXJBT/Operation+Rainbow.jpg</image:loc>
      <image:title>Partners - Operation Rainbow</image:title>
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1561409936722-BNUV2EG7VPTPM2WUA88C/Richland+Lutheran+Church.jpg</image:loc>
      <image:title>Partners - Richland Lutheran Church</image:title>
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1544048067963-CY4L0VAMT4VVFBMBENPO/Samaritans+Purse.jpg</image:loc>
      <image:title>Partners - Samaritan's Purse</image:title>
      <image:caption />
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1652808869788-EWR97VX4UA4JQ4GSGB9H/SAMS+Medical+Missions.jpg</image:loc>
      <image:title>Partners</image:title>
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1544048067483-C02Q3P04OSR1XEFZGG71/United+Way.jpg</image:loc>
      <image:title>Partners - United Way</image:title>
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1544048068097-OPDNDXKGMHRRX3KBN0UN/WestSide+Church.jpg</image:loc>
      <image:title>Partners - Westside Church</image:title>
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1561392715866-RBS7Z8RUYB4SFUDAYX9Q/Kiwanis.jpg</image:loc>
      <image:title>Partners - Kiwanis Pacific Northwest District</image:title>
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1561392716048-CT5RNEDLPQQHPM40B8EX/Rotary.jpg</image:loc>
      <image:title>Partners - Rotary Club of Richland</image:title>
      <image:caption />
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1561409439990-P2HV8FP48ZS4XVOGUUAK/Diaconie+ELGA.jpg</image:loc>
      <image:title>Partners - ELGA</image:title>
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1561393922917-J7ZK2CRMVAV06X5M72J7/Edith+Grobe+Foundation.jpg</image:loc>
      <image:title>Partners - Edith Grobe Foundation</image:title>
      <image:caption />
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1567611295064-68AVNZE5H2RC2KR914PC/Integra+Foundation.jpg</image:loc>
      <image:title>Partners - Integra Foundation</image:title>
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1626279650411-JW13BO6LKWXRISM6S7IS/MJ+Murdock+Charitable+Trust+-+formatted.jpg</image:loc>
      <image:title>Partners</image:title>
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1561393923008-W46WQKO6STL6NEOB1H0H/Marin+Community+Foundation.jpg</image:loc>
      <image:title>Partners - Marin Community Foundation</image:title>
      <image:caption />
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1561409356436-9KY1SJUAFP354XHIY3XF/November+Thanksgiving+Foundation.jpg</image:loc>
      <image:title>Partners - November Thanksgiving Foundation</image:title>
      <image:caption />
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1632155156806-MEYT6ZNS1UEG0GMZKW2H/OrthoIndy+Foundation+Logo+-+formatted.jpg</image:loc>
      <image:title>Partners</image:title>
      <image:caption />
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1561408752982-XMTA7X9XSFTD5CU2J3XV/Seattle+Foundation.jpg</image:loc>
      <image:title>Partners - Seattle Foundation</image:title>
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  </url>
  <url>
    <loc>https://www.signfracturecare.org/compliance</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2026-02-25</lastmod>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/faqs</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2023-09-13</lastmod>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/become-a-fundraiser</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2026-03-27</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1559240263132-8JTQ21OK27J9MBV0ND0L/Africa-Uganda</image:loc>
      <image:title>Learn How</image:title>
      <image:caption>man takes first steps after surgery under supervision of doctors and nurses in hospital ward</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1559240089107-1LYE0GWBIGN2V0U4JRQZ/Africa-Uganda+20161601UG_0197.jpg</image:loc>
      <image:title>Learn How</image:title>
      <image:caption>woman in traditional dress and boy with bandaged leg sit outside a hospital</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1562172855303-ZZYB030KY1K7TXAWA979/Martha%252Bedited.jpg</image:loc>
      <image:title>Learn How</image:title>
      <image:caption>group of students in red uniforms stand together in Tanzania</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1559240263132-8JTQ21OK27J9MBV0ND0L/Africa-Uganda</image:loc>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1559240089107-1LYE0GWBIGN2V0U4JRQZ/Africa-Uganda+20161601UG_0197.jpg</image:loc>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1562172855303-ZZYB030KY1K7TXAWA979/Martha%252Bedited.jpg</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/contact</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2020-03-26</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1561492804668-RV22YWEF3P6BHISLP77C/1606TZ_0029.jpg</image:loc>
      <image:title>Contact</image:title>
      <image:caption>SIGN Founder and President Dr. Lewis Zirkle teaches surgeons from developing countries</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1561492804668-RV22YWEF3P6BHISLP77C/1606TZ_0029.jpg</image:loc>
      <image:title>Contact</image:title>
      <image:caption>SIGN Founder and President Dr. Lewis Zirkle teaches surgeons from developing countries</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/social-media-kit</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2021-04-14</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1565026427747-WC1AWBM5Q8CEK99TTVQK/1703CB_0234.jpg</image:loc>
      <image:title>Social Media Kit</image:title>
      <image:caption>man stands and smiles with arms crossed</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1565026756566-OMO9KGQBQW4V06E2AX73/1808COTTOLENGO_185.jpg</image:loc>
      <image:title>Social Media Kit</image:title>
      <image:caption>woman and her mother sit in their home</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1565026684140-PHKTUJFZ4031OBVFJR4C/1808COTTOLENGO_005.jpg</image:loc>
      <image:title>Social Media Kit</image:title>
      <image:caption>woman squats and smiles with her surgeon to demonstrate healing after SIGN Surgery</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1565026427747-WC1AWBM5Q8CEK99TTVQK/1703CB_0234.jpg</image:loc>
      <image:title>Social Media Kit</image:title>
      <image:caption>man stands and smiles with arms crossed</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1565026756566-OMO9KGQBQW4V06E2AX73/1808COTTOLENGO_185.jpg</image:loc>
      <image:title>Social Media Kit</image:title>
      <image:caption>woman and her mother sit in their home</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1565026684140-PHKTUJFZ4031OBVFJR4C/1808COTTOLENGO_005.jpg</image:loc>
      <image:title>Social Media Kit</image:title>
      <image:caption>woman squats and smiles with her surgeon to demonstrate healing after SIGN Surgery</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/party-with-a-purpose</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2024-01-25</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1560205938928-VOWO3WKR984QWKUK9Z7H/1808COTTOLENGO_176.jpg</image:loc>
      <image:title>Party With a Purpose</image:title>
      <image:caption>SIGN Surgeon squats to examine a patient during a follow-up visit after SIGN Surgery</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1560205781880-38BGWDS3OHAECLU6DU56/1808COTTOLENGO_122.jpg</image:loc>
      <image:title>Party With a Purpose</image:title>
      <image:caption>man in orange shirt stands in his shop in Chaaria, Kenya</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1560205938928-VOWO3WKR984QWKUK9Z7H/1808COTTOLENGO_176.jpg</image:loc>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1560205781880-38BGWDS3OHAECLU6DU56/1808COTTOLENGO_122.jpg</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/start-campaign</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2024-01-25</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1564696195821-MVZDGFKETB3HHYUAG46L/1808COTTOLENGO_181.jpg</image:loc>
      <image:title>Start a Campaign</image:title>
      <image:caption>man sits at sewing machine in front of colorful cloths</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1564696274786-ECH3NBX05QDZ1TT7JZE8/1711BD_0362.jpg</image:loc>
      <image:title>Start a Campaign</image:title>
      <image:caption>Surgeon stands with a woman who had been unable to walk for nine years prior to SIGN Surgery</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1564696347428-PFUOD8AC7UHQRA2CG4NN/1808SAMBURU_061.jpg</image:loc>
      <image:title>Start a Campaign</image:title>
      <image:caption>woman who had broken arm stretches it to display range of motion for her surgeon.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1564696195821-MVZDGFKETB3HHYUAG46L/1808COTTOLENGO_181.jpg</image:loc>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1564696274786-ECH3NBX05QDZ1TT7JZE8/1711BD_0362.jpg</image:loc>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1564696347428-PFUOD8AC7UHQRA2CG4NN/1808SAMBURU_061.jpg</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/join-mailing-list</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2019-08-06</lastmod>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/ways-to-give</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2026-02-04</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1562184823845-RDIEE4DWNYE9JS8Z95KY/SIGN+158.jpg</image:loc>
      <image:title>Ways to Give - Give Healing</image:title>
      <image:caption>There are many ways to support SIGN. Find out how below. DONATE TODAY</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1563814053118-HKXADCKTUKB041MA08UY/donation-icon-circle.png</image:loc>
      <image:title>Ways to Give</image:title>
      <image:caption>icon of heart above a pair of hands</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1563823268496-6PGZ2VOYV5NINESJKZCU/ira-charitaable-icon-circle.png</image:loc>
      <image:title>Ways to Give</image:title>
      <image:caption>icon of bar chart</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1563823252303-ICC639PWKKL1EVEXCH14/corporate-icon-circle.png</image:loc>
      <image:title>Ways to Give</image:title>
      <image:caption>icon of dollar bills and coins</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1564764840082-VO0EIJ1E9EZMGG3SZ5ZO/in-kind-iconfixator.png</image:loc>
      <image:title>Ways to Give</image:title>
      <image:caption>icon of leg in a frame of ring fixators</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1560809903002-G1XQO7P4XN8BNN5HDNL5/FREDMEYER.png</image:loc>
      <image:title>Ways to Give - Make it stand out</image:title>
      <image:caption>Your purchases increase the percentage of Fred Meyer Community Rewards that SIGN receives.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/c62518a4-4926-42cb-8d63-5a477d527970/Good%2BShop.jpg</image:loc>
      <image:title>Ways to Give - Make it stand out</image:title>
      <image:caption>Earn cashback or donate when shopping at over 7,000 merchants.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/74fc0faa-d630-437e-abe4-149979a582de/cd0f098f-ba7f-43a7-9b17-53d1fc50dfba.jpg</image:loc>
      <image:title>Ways to Give - Make it stand out</image:title>
      <image:caption>Every time you shop on Walmart.com, you can round up your change and donate it to SIGN.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1562184823845-RDIEE4DWNYE9JS8Z95KY/SIGN+158.jpg</image:loc>
      <image:title>Ways to Give - Give Healing</image:title>
      <image:caption>There are many ways to support SIGN. Find out how below. DONATE TODAY</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1563814053118-HKXADCKTUKB041MA08UY/donation-icon-circle.png</image:loc>
      <image:title>Ways to Give</image:title>
      <image:caption>icon of heart above a pair of hands</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1563823268496-6PGZ2VOYV5NINESJKZCU/ira-charitaable-icon-circle.png</image:loc>
      <image:title>Ways to Give</image:title>
      <image:caption>icon of bar chart</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/8abfb514-f919-4d0a-b97e-4be5a93d1973/DAF.png</image:loc>
      <image:title>Ways to Give - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1563823252303-ICC639PWKKL1EVEXCH14/corporate-icon-circle.png</image:loc>
      <image:title>Ways to Give</image:title>
      <image:caption>icon of dollar bills and coins</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/5829fe40-f740-4fee-98b3-2ba653840aaa/In+Kind+Giving+icon.png</image:loc>
      <image:title>Ways to Give</image:title>
      <image:caption>icon of leg in a frame of ring fixators</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/966d5ead-caa7-4848-94e8-e2ccc0c73fe8/Planned+giving+2025+-+icon.png</image:loc>
      <image:title>Ways to Give - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/8604e07c-008e-4e30-b640-c93e18346952/Designate+Beneficiaries+-+yellow.png</image:loc>
      <image:title>Ways to Give - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/66bfd786-96f4-40dc-bd9c-69b8255e2ddb/Record+a+Planned+Gift+-+purple.png</image:loc>
      <image:title>Ways to Give - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1560809903002-G1XQO7P4XN8BNN5HDNL5/FREDMEYER.png</image:loc>
      <image:title>Ways to Give</image:title>
      <image:caption>Your purchases increase the percentage of Fred Meyer Community Rewards that SIGN receives.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/c62518a4-4926-42cb-8d63-5a477d527970/Good%2BShop.jpg</image:loc>
      <image:title>Ways to Give</image:title>
      <image:caption>Earn cashback or donate when shopping at over 7,000 merchants.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/74fc0faa-d630-437e-abe4-149979a582de/cd0f098f-ba7f-43a7-9b17-53d1fc50dfba.jpg</image:loc>
      <image:title>Ways to Give</image:title>
      <image:caption>Every time you shop on Walmart.com, you can round up your change and donate it to SIGN.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/complaint-form</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2020-12-10</lastmod>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/newsletter-archive</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-12-16</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1564766484496-EQDHEKT5MV21BHFLZ1HQ/med-blue-textured-background.jpg</image:loc>
      <image:title>Newsletter Archive</image:title>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/404</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2020-03-26</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1559665662638-2BMWJQYGXB4CQX65KOME/404+page+-+404+nails+-+option+3+-+3vs-1outllines.jpg</image:loc>
      <image:title>404 Error</image:title>
      <image:caption>404 Error</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1559665662638-2BMWJQYGXB4CQX65KOME/404+page+-+404+nails+-+option+3+-+3vs-1outllines.jpg</image:loc>
      <image:title>404 Error</image:title>
      <image:caption>404 Error</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/donate</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-08-11</lastmod>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/angola</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2024-02-26</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/a74a6ceb-8da3-4584-a5fd-fbc3a7bb470b/Angola+-+test+-+dpi+300.png</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/burundi</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2026-03-27</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/e0cd0d2c-9c65-4e6d-860a-b8158f7a9425/Burundi+-+2025.jpg</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/conference-application</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2026-03-06</lastmod>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/sign-up</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2019-08-22</lastmod>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/bangladesh</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2026-03-27</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/e35b6143-b73e-44c6-a18a-dc2dde282b6e/Bangladesh+-+2024.jpg</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/ghana</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-06-09</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/b9465c1f-e19d-46f1-8fd1-d7b7216be569/Wenchi+Ortho+Unit.jpg</image:loc>
      <image:title>Ghana</image:title>
      <image:caption>Wenchi Methodist Hospital Orthopaedic Unit</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/50890938-2cdb-4a9c-af1a-461539f6e880/Dr.+Ballu+Sibiri.jpg</image:loc>
      <image:title>Ghana</image:title>
      <image:caption>Dr. Ballu Sibiri is the SIGN Program Manager at Wenchi.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/0534aaee-634e-4dea-adb8-d3f7a88a3cdb/Surgery.jpg</image:loc>
      <image:title>Ghana</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/86f65d40-e032-43dd-b8d7-db09ce648d96/Surgery+2.jpg</image:loc>
      <image:title>Ghana</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/87a28bad-701c-4df1-9077-052f21c1120a/Ghana+-+2024.png</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/mali</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-05-30</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/a73d20f8-d60d-44da-a8b6-39df84887976/Mali-+2024.jpg</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/democratic-republic-of-the-congo</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-12-19</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/482c5a8e-46d4-40d3-9aaa-587cf8831b3d/DR+of+Congo+-+2025.png</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/liberia</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-01-10</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/8b771522-e08e-42a9-a461-f0fd1284f394/Liberia+-+2024.jpg</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/malawi</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-06-10</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/3a392ba6-f550-496b-b4e3-3571d6bfebeb/Nail+Delivery+to+Mzuzu.jpg</image:loc>
      <image:title>Malawi</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/45dd3d56-dcf0-4e04-af90-c94e2f6b16ce/2024MALAWILION__021.jpg</image:loc>
      <image:title>Malawi</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/bd624389-4c8b-478e-b511-26f2c562b047/2024MALAWILION__106.jpg</image:loc>
      <image:title>Malawi</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/fee22363-a008-4536-9c64-17cdc2bef587/1.jpg</image:loc>
      <image:title>Malawi</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/aecf3a86-f709-4d98-8723-690a70210089/Malawi+-+2025+-+with+Spine.png</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/cameroon</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2024-02-26</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/e7f46d63-ec47-4ffb-a321-6b208520f53a/Cameroon+-+new+test+2024.png</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/cambodia</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2026-01-29</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/8b4fbc18-e281-4a94-af2d-09a69f961e49/1703CB_0148.jpg</image:loc>
      <image:title>Cambodia</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/7f79f6a6-d75a-4c15-a795-bc1b798a91f0/1703CB_0334.jpg</image:loc>
      <image:title>Cambodia</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1974bf84-0032-41f2-953b-489bca284b63/1703CB_0141.jpg</image:loc>
      <image:title>Cambodia</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/6b1dab41-3c0f-464f-b5c0-2923abfda0fb/Kampong+Cham.jpg</image:loc>
      <image:title>Cambodia</image:title>
      <image:caption>Front gate at Kampong Cham Provincial Hospital</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/5c4cc104-683c-4178-b9c2-02d89af964da/Kossamak.jpg</image:loc>
      <image:title>Cambodia</image:title>
      <image:caption>Kossamak Hospital has been SIGN's busiest program for the past two years. This picture was taken during a visit in 2015.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/e78c7946-2408-4e27-99e7-0b875c02e2f6/Cambodia+2026.png</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/ecuador</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-05-30</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/662e8215-516b-41c2-95de-0cd23c3d80b6/Ecuador+-+2024.jpg</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/niger</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-01-23</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/6b98fe1b-059b-4756-8a6f-c064b9d76a69/Niger+-+2024.jpg</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/india</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-01-10</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/087c7fae-61cf-4ebc-868f-9a466169e88e/India+-+2024.jpg</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/indonesia</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-12-19</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/c4094b2c-a041-4a8b-8eb6-f27cc62726a5/Indonesia+-+2025.png</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/guatemala</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2024-01-25</lastmod>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/nigeria</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-12-19</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/978b7937-e427-4497-88a6-63ffc02e6047/BUTH+gate.jpeg</image:loc>
      <image:title>Nigeria</image:title>
      <image:caption>Bowen University Teaching Hospital main gate.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/0f3dbb04-3845-44f1-a46c-2f9424d7b867/BUTH+entrance+and+Administrative+building.jpeg</image:loc>
      <image:title>Nigeria</image:title>
      <image:caption>Bowen University Teaching Hospital has been a SIGN Program since 2014. More than 780 patients have regained their ability to walk thanks to this SIGN Program.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/77f51499-b16d-42b9-9797-41de86f06f1f/Igbobi+Admin+Building.jpg</image:loc>
      <image:title>Nigeria</image:title>
      <image:caption>National Orthopaedic Hospital, Igbobi, Lagos has many buildings spread across it's campus. Pictured here is the main administrative building.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/7c067200-5c95-4572-afb1-6f6fb3ff416c/Igbobi+Ward.jpg</image:loc>
      <image:title>Nigeria</image:title>
      <image:caption>The Mobolaji Bank Anthony Ward is another building on the National Orthopaedic Hospital, Igbobi, Lagos (NOHIL) campus. In November 2024, NOHIL hosted the first Nigerian SMART Course.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/ac60bb6b-6118-4b29-9f7c-c65542e506ff/Emeka+2.jpg</image:loc>
      <image:title>Nigeria</image:title>
      <image:caption>Dr. Emeka Izuaba manages the SIGN Program at National Orthopaedic Hospital, Igbobi, Lagos.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/4bdd0596-47ef-4031-a038-f5b234cd26d9/Stephen+Adesina.jpeg</image:loc>
      <image:title>Nigeria</image:title>
      <image:caption>Dr. Stephen Adesina is the SIGN Program Manager at Bowen University Teaching Hospital.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/3b0240d1-6499-4871-b959-aa1787ff1396/NIGERIA+-+2025.png</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/sierra-leone</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-05-30</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/8ddd0221-8e83-4e2d-8845-959c17807cf1/Sierra+Leone+-+2024.jpg</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/kenya</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-12-19</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/00586f3e-8c03-474e-a48e-3bdeaa1fdff9/photo+1.jpg</image:loc>
      <image:title>Kenya</image:title>
      <image:caption>In 2022, Samburu County Referral Hospital experienced a rapid increase in patients. Despite the influx, people received SIGN Surgery within three days of their arrival. As of April 2025, Samburu County Referral Hospital has treated 315 people.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1744393100888-05JWXM1FMIYDPW6DAZ0D/IMG20220510102510.jpg</image:loc>
      <image:title>Kenya</image:title>
      <image:caption>Dr. Daniel Sciuto (second from right) began his time in Samburu County studying infectious diseases. As time went on, he noticed an overwhelming number of trauma patients. This observation led Dr. Sciuto to seek a partnership with SIGN.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1744393006924-WIB7GRBSFK6SEMC3EV4X/figure%2B1B%2Bhigh%2Bresolution.jpg</image:loc>
      <image:title>Kenya</image:title>
      <image:caption>Dr. Giuseppe Gaido (left) has established an impressive program for treating complex cases for the poorest of Kenya’s patients. Using SIGN, Dr. Gaido performs surgery on most patients within 24 hours of their arrival.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/f3be33c2-e8ac-4597-884b-744ed7ca2d87/Kenya.6.2022.sky+view+MTRH.jpg</image:loc>
      <image:title>Kenya</image:title>
      <image:caption>Moi Teaching and Referral Hospital (MTRH) has become Kenya’s second-largest public hospital, serving an area of 26 million people. Patients travel 6, 12, or even 24 hours to reach the hospital. MTRH has helped more than 3600 people walk again.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1acbd375-d227-4b31-9f66-9c5fc3549c2f/St.+Orsola.jpg</image:loc>
      <image:title>Kenya</image:title>
      <image:caption>Since August 2019, St. Orsola Hospital Matiri has grown into the busiest SIGN Program in Kenya, operating seven days a week to meet the needs of the community. More than 1600 people have received SIGN Surgery at St. Orsola.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1744649264244-LKA3WRPQLIEEKB6TXAG5/2024KENYAMTRH_003.jpg</image:loc>
      <image:title>Kenya</image:title>
      <image:caption>Dr. Geofrey Ngetich is the first SIGN sponsored surgeon to complete a one-year spine fellowship at Hamilton General Hospital and McMaster University in Canada. He has returned to Moi Teaching and Referral Hospital to lead their spine care center.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1744752178956-0YCW1EPKRJWZF97HHK02/Dr%2BJocelyn.jpg</image:loc>
      <image:title>Kenya</image:title>
      <image:caption>Dr. Jocelyn Mutwiri has dedicated her life to treating people in Meru, Kenya. Her SIGN journey started when she joined Cottolengo Mission Hospital. She is now the Program Manager of Meru Teaching and Referral Hospital.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/a1ad2857-a401-4b5b-a40a-af2bb5c00e8e/Kenya+with+Spine+Care+Programs+-+2025.png</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/rwanda</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-06-10</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/16a3ea47-cf5a-4a87-a880-79c8ca30e1b9/IMG-20220426-WA0045.jpg</image:loc>
      <image:title>Rwanda</image:title>
      <image:caption>Surgeons at Kabgayi Hospital receive their SIGN Set.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1749592773567-ZO08QPLCPHLO8SIGNFQM/DSC_0676.jpg</image:loc>
      <image:title>Rwanda</image:title>
      <image:caption>Dr. Zirkle works with SIGN Surgeons at University Teaching Hospital Kigali in 2008.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/a8b5a11b-8277-4cdf-8ed6-87dc3064a131/Rwanda-+2024.jpg</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/madagascar</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-01-10</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/7df35c5f-b91a-4758-9ca7-1e6d1dc45ee2/Madagascar+-+2024.jpg</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/somaliland</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-12-19</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/855e2a9a-2da2-4de4-910c-179ad50fa95b/Somalia+and+Somaliland+-+2025.png</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/mongolia</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-01-10</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/cd657199-125b-4b03-9e49-7cf6e09e81c0/Mongolia-+2024.jpg</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/gabonese-republic</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-05-30</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/bdf77c42-9602-46cd-90e1-6598f6e51ab8/Gabonese+Republic+-+2024.jpg</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/dominican-republic</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-05-30</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/d5cbd80d-f9dd-4856-a5a2-90995f5efd1c/Dominican+Republic+-+2024.jpg</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/haiti</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-12-19</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/e4599b3b-ec5c-48e6-a563-6de3a76fde45/Haiti+-+2025.png</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/lao-pdr</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-01-22</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/4073c0fb-1854-4a6f-b47c-bbbb24083025/Lao+People%27s+Democratic+Republic+-+2024.jpg</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/honduras</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-01-10</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1985eb73-a054-4056-973f-0d0a876efd74/Honduras+-+2024.jpg</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/iraq</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-12-19</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/23b519cd-e3cb-4279-8d20-58dfe8f54526/Iraq+-+2025.png</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/ethiopia</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2026-01-29</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/aa45d7cb-04fd-4092-add5-5b4184b1affb/BlackLion+24+2.JPG</image:loc>
      <image:title>Ethiopia</image:title>
      <image:caption>SIGN Surgery at Black Lion Hospital in 2024</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/a7e13157-bf0b-442d-8c10-71e6055ad844/SIGN+%40+TorHailoch+Hospital-FIRST+Time%21.jpg</image:loc>
      <image:title>Ethiopia</image:title>
      <image:caption>Dr. Biruk Wamisho took his Traveling SIGN Set to Torhailoch Hospital to help establish a SIGN Program.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/459ad0c9-1944-40cb-8c2a-b998d9d6b30d/Aira+GH+Team+2022.jpg</image:loc>
      <image:title>Ethiopia</image:title>
      <image:caption>The SIGN Team at Aira General Hospital in 2022</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/411e7bae-6a8c-443c-bbda-520afd6bc6f5/Worabe.jpg</image:loc>
      <image:title>Ethiopia</image:title>
      <image:caption>Worabe Comprehensive Specialized Hospital</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/d49233a2-e9e6-4d48-8eaf-e72bd8e77590/Ayder+Ortho+Patient.jpg</image:loc>
      <image:title>Ethiopia</image:title>
      <image:caption>Dr. Getahun Gebregziabher with a recovering SIGN Patient</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/421f8449-a695-4ff9-a2b3-e2f15a3ae4f5/Moges+Tessema.jpg</image:loc>
      <image:title>Ethiopia</image:title>
      <image:caption>Dr. Moges Tessema is the SIGN Program Manager at Arbamich Hospital. He is currently out on a fellowship for one year.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/df162c13-e4c6-41cf-8304-75cd69b26854/Jimma.jpeg</image:loc>
      <image:title>Ethiopia</image:title>
      <image:caption>Jimma University Medical Center</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/2cbf8589-f743-44e0-ba3c-94eb78287251/Ayder+Referral+Hospital.jpg</image:loc>
      <image:title>Ethiopia</image:title>
      <image:caption>Ayder Referral Hospital at Mekelle University</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/d1c27f37-2275-4061-b043-13935b4aa6e6/Ethiopia+with+Spine+Care+Programs+-+2026.png</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/bhutan</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-05-30</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/9e15ac41-9286-492b-8142-cf1555dccb57/Bhutan+-+2024.jpg</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/myanmar</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-03-18</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/36852181-b359-4218-bd13-1c173ee212a0/Myanmar+-+2025.png</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/chad</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-05-30</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/f0c82c71-9370-4ccd-9e9e-8d2a7856adf0/Chad+-+2024.jpg</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/afghanistan</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2026-03-27</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/e732211d-95e8-4766-a6df-d8aefbb7f1a2/Afghanistan+-+2025.png</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/palestinian-territories</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2024-01-25</lastmod>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/togo</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2026-03-25</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/93565e54-08b4-47b9-9afe-d5f0754e3938/Togo+-+2026.png</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/nepal</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-06-04</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/e3889813-4ab2-4cc2-9a94-d8da8b54cc2d/Nepal+Orthopaedic+Hospital.jpg</image:loc>
      <image:title>Nepal</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/0f1c9e43-b588-4f0f-86a7-9830b009f1d9/SIGN+Team+Bayalpata+Hospital+Nepal+%282019%29.jpg</image:loc>
      <image:title>Nepal</image:title>
      <image:caption>The SIGN Team at Bayalpata Hospital, pictured here in 2019</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/5b648d8d-f7ba-4b31-9261-42c2df17e2cd/20150516_105818.jpg</image:loc>
      <image:title>Nepal</image:title>
      <image:caption>After the 2015 earthquake, Nepali doctors performed surgery in a tent because their hospital was damaged</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/cd5490f1-fb5a-458d-a34c-2ecd7150d3e9/Tansen+Mission+Hospital.jpg</image:loc>
      <image:title>Nepal</image:title>
      <image:caption>Tansen Hospital</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/92f03936-2199-4c58-bd0e-ca1086140b38/Tansen+Hospital+SIGN+Team.jpg</image:loc>
      <image:title>Nepal</image:title>
      <image:caption>Tansen Hospital SIGN Team</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/ff30da6c-e488-4b7f-91bb-043551ffe7b4/Tansen+Nepal+Province.jpg</image:loc>
      <image:title>Nepal</image:title>
      <image:caption>Birds-eye view of Tansen Hospital</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/13ad28c2-11ad-49e6-8ae8-b961fd59035f/Nepal+-+new+test+2024.jpg</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/venezuela</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-05-30</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/63724a35-d4d3-4bb7-b56a-cbfd181b6fd6/Venezuela+-+2024.jpg</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/philippines</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-12-19</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/db213716-f40b-43d1-94b2-e41760c4af93/Philippines+-+2025.png</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/nicaragua</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-01-10</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/2f4c9d8d-9ffb-4953-a8b0-ae1d535057d7/Nicaragua+-+2024.jpg</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/tanzania</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2026-02-04</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1744670789081-FHCJOT2C7OLLBFGFAN6U/dr%2Bibenz.jpg</image:loc>
      <image:title>Tanzania</image:title>
      <image:caption>Dr. Ernest Ibenzi (left) is the SIGN Program Manager at Dodoma Regional Referral Hospital and for his Traveling SIGN Set. Under his guidance, more than 4800 people have received healing care.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/155c0edb-5a39-4268-b102-42f761a02bd3/Billy+Haonga.jpg</image:loc>
      <image:title>Tanzania</image:title>
      <image:caption>Dr. Billy Haonga (left) has partnered with SIGN for almost 20 years. In 2021, he received his own Traveling SIGN Set. Dr. Haonga visits hospitals around Tanzania, instructing surgeons in the SIGN Technique.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1744673244505-5AZCS3KHEUKZ5VNREK6X/1808NKOARANGA_034.jpg</image:loc>
      <image:title>Tanzania</image:title>
      <image:caption>Dr. Sam Kiwesa works tirelessly to treat patients who arrive at Nkoaranga Lutheran Hospital. He oversaw the construction of a new operating theatre in 2023, adding three new ORs to Nkoaranga.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/07956796-f3fb-447a-ac99-f84bce30e4a8/MOI+Exterior.jpg</image:loc>
      <image:title>Tanzania</image:title>
      <image:caption>Muhimbili Orthopaedic Institute (MOI) has been an active SIGN Program since 2008. For the past nine years, MOI has partnered with SIGN and IGOT to host a trauma course for surgeons across Africa.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/c1a4251b-67e7-4b81-b57b-6c0d14511242/SSwetala2.jpg</image:loc>
      <image:title>Tanzania</image:title>
      <image:caption>SIGN Sets arrive at Bugando Medical Center</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/6b22c141-9538-420e-be34-4e23fd31e931/Dodoma+RRH.jpg</image:loc>
      <image:title>Tanzania</image:title>
      <image:caption>After a flood swept through the city of Manyara, the SIGN Team at Dodoma Regional Referral Hospital organized an outreach program to help their neighbors, 300km away!</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/94a8b217-358e-41a4-b820-5d152cca8f2e/Nkoaranga+Exterior+1.jpg</image:loc>
      <image:title>Tanzania</image:title>
      <image:caption>Nkoaranga Lutheran Hospital is located just off a busy freeway that runs between Tanzania and Kenya. Nearly 90% of the 2300 SIGN Patients treated here had been injured in road traffic accidents.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/7f957aab-72d0-45d7-988b-d8269e23671b/Tanzania+Map+with+Spine+Care+Programs+-+2026.png</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/st-lucia</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-05-30</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/bf5a045c-f604-4864-8a0e-a7731ad84899/Saint+Lucia+-+2024.jpg</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/belarus</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2024-01-25</lastmod>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/uganda</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-12-19</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/692525b3-3eaf-4b82-9c63-a0897e2cc7c4/Uganda+-+2025.png</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/zambia</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-05-30</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/857eae97-4978-4eaa-886c-f5a15f6759bc/Zambia+2024.jpg</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/papua-new-guinea</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-01-10</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/c8852d60-2dd5-4415-a059-a66a09405ab9/Papua+New+Guinea+-+2024.jpg</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/peru</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-05-30</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/a398e448-f9a1-4708-b377-f65da0d42202/Peru+-+2024.jpg</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/pakistan</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-06-17</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/61de3046-ef64-4db9-92f4-a4b18c13d959/Indus+Hospital+Manawan+Surgeon.jpg</image:loc>
      <image:title>Pakistan</image:title>
      <image:caption>Surgeons from The Indus Hospital, Manawan Campus, are ready to help patients the moment they come in the door.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/3221f41c-d17c-4407-8b89-b7e521e8b236/Staff+with+SIGN+set.jpg</image:loc>
      <image:title>Pakistan</image:title>
      <image:caption>Staff at the Indus Hospital gather around their first SIGN Set!</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/863b2307-9717-45b1-9faa-6d098aa0d259/WhatsApp+Image+2024-04-27+at+02.39.22_08c89c36.jpg</image:loc>
      <image:title>Pakistan</image:title>
      <image:caption>Dr. Faseeh Hsahab (right) and his father, Dr. Uddin Shahab (left), organized the 1st International SIGN Conference in Pakistan. The conference was attended by more than 60 surgeons.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/853b5dad-0230-423d-b222-f11e98684767/Indus+Hospital.jpg</image:loc>
      <image:title>Pakistan</image:title>
      <image:caption>The Indus Hospital became a SIGN Program in 2018. Since then, the talented SIGN Surgeons have provided healing care for 360 impoverished patients.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/ce304cc5-917a-4d25-8ada-19a49e6ede7d/Pakistan+Nov+2005-42+crop+and+lighten.jpg</image:loc>
      <image:title>Pakistan</image:title>
      <image:caption>After the 2005 earthquake, SIGN Surgeons worked quickly to treat victims.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/3681470c-c587-4e76-ac9f-3aaf96f2db19/Shahab+OGH.jpg</image:loc>
      <image:title>Pakistan</image:title>
      <image:caption>Shahab Orthopaedic and General Hospital (SOGH) is managed by Dr. Faseeh Shahab, a member of the SIGN Clinical Advisory Committee. In 2023, SOGH hosted the 1st International SIGN Conference in Pakistan. More than 2600 people can walk again thanks to the SIGN Program here.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/b22a75d1-d53b-4969-b8ec-49b57ee5c629/2025+Conference.jpg</image:loc>
      <image:title>Pakistan</image:title>
      <image:caption>Attendees of the 2025 International SIGN Conference in Peshawar</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/c3569a2c-41bf-4dd1-b1e1-0661e74c5204/Pakistan+-+with+Spine+Program+-+2025.jpg</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/south-sudan</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-05-30</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/18c614a0-76af-47cf-a076-d2f869b2f5bd/South+Sudan+-+2024.jpg</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/vietnam</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2026-02-25</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/d6468f0b-57f0-4bb0-9cdd-316a00ee3a69/0197a556-6a86-4d70-a7b0-b87cabb6f8ed.png</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/solomon-islands</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-05-30</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/b940c1c2-6aa0-4e8b-aa0f-f7dd8fa52013/Solomon+Island+-+2024.jpg</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/the-gambia</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-06-09</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/0dde4aa7-9733-4420-9fe1-1666146440e3/The+Gambia+-+2025.jpg</image:loc>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/28eca67e-51a9-494e-ad6a-1f9e0cfd2d19/EFS+Teaching+Hospital.jpg</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/zimbabwe</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-05-30</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/eeabcc8e-2f86-4a39-a9c3-8d76ed1704a8/Zimbabwe+2024.jpg</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/scholarship-application</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2019-07-29</lastmod>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/tricities-benefit</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2019-08-05</lastmod>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/portland-benefit</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2019-08-05</lastmod>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/scholarship</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2024-05-09</lastmod>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/portland-benefit-donate</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2019-08-06</lastmod>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/tricities-benefit-donate</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2023-10-24</lastmod>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/sign-spine</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2026-01-15</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1566493859047-D0ZFFEPHCF5DSLYTIJF1/bigstock-Human-Spine-1387029%2B-%2Bno%2Bcolor%2Bbetween%2Bverb.jpg</image:loc>
      <image:title>SIGN Spine</image:title>
      <image:caption>Bones of the spine</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1559085767472-M570U0HO8W7XB1QNY6VF/green_africa.png</image:loc>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1562092562898-K1AD1XBD320GM9RKGLFG/asia.jpg</image:loc>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/bc9a435b-1715-423e-bafa-d389ba6af561/Mike+Coscia.jpg</image:loc>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/91ed6ef3-3535-4dbc-be8a-f7907da54f0e/Randy+Huebner.jpg</image:loc>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/0cf3278d-77b4-4070-b76d-c3c6d5151877/David+Gendelberg.jpg</image:loc>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/c1f6281f-a95c-4f63-b3ec-933646ef3a6e/Parham+Rasoulinejad.jpg</image:loc>
    </image:image>
    <image:image>
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    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/97d19d57-135a-4645-8e3d-1e11e5d890b5/Ashraf+El+Naga.jpg</image:loc>
    </image:image>
    <image:image>
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    </image:image>
    <image:image>
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    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/b4cb02b6-9998-4eee-88c4-1eb5b9b5640e/Frank+Chavarria.jpg</image:loc>
    </image:image>
    <image:image>
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    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/083997e1-d40f-4e46-ad0d-4b8e8669a493/Dr.+Jeremie+Larouche.jpg</image:loc>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/78f799fe-5d34-40c1-9931-a8920d6c4b38/Daipayan+%28Deep%29+Guha+MD%2C+PhD.+McMaster+head+shot+2022.jpg</image:loc>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/9a308302-f8ab-42ec-ba43-b1f0dd8d2375/Sariah+with+background+copy.jpg</image:loc>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/8a899616-f3e4-4d96-8521-8aa13e837df9/Scott+Zuckerman.jpg</image:loc>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/c37282cf-9f92-41dc-a604-e75776fb66d0/David+Shearer.jpg</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/projects</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2024-01-25</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/81741ff9-7779-438c-b0b3-873a1ec066ac/SIGN+Spine.png</image:loc>
      <image:title>Projects</image:title>
      <image:caption>SIGN Spine program flyer</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/81741ff9-7779-438c-b0b3-873a1ec066ac/SIGN+Spine.png</image:loc>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1564761880498-RSKMCK717F8PX3A7A31T/July+2019+newsletter.png</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/pdx</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2019-09-18</lastmod>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/careernight</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2019-10-31</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1572479541101-73X24R096XTSKU5JVLNL/SIGN+Career+Night+flyer</image:loc>
      <image:title>Career Night</image:title>
      <image:caption>Click on the image for a flyer to post or share.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1572479541101-73X24R096XTSKU5JVLNL/SIGN+Career+Night+flyer</image:loc>
      <image:title>Career Night</image:title>
      <image:caption>Click on the image for a flyer to post or share.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/givingtuesday</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-11-13</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/576dd05e-a4e9-4b4c-8985-1a282bfb49d3/GT25+-+FB+sized+graphic+150+dpi.jpg</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/signlive</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2020-04-07</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1581353485907-3AT460V1ODCPTI088A8A/May+SIGN+Live+-+FB+Post.jpg</image:loc>
      <image:title>SIGN Live</image:title>
      <image:caption>Marquee announcing SIGN Live event in Portland, Oregon</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1581353485907-3AT460V1ODCPTI088A8A/May+SIGN+Live+-+FB+Post.jpg</image:loc>
      <image:title>SIGN Live</image:title>
      <image:caption>Marquee announcing SIGN Live event in Portland, Oregon</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/give</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2020-03-24</lastmod>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/companymatch</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2026-02-04</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/bb8022dd-fe57-4009-b8c2-9bd55c766fe6/Employer+Match+graphic+2025+-+with+patient+-+-+SIZE+-+.50%400.5x.png</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/covid</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2024-01-25</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1584987999403-A411SOZPXVKEWTSL8I4T/SIGN+Shipment+in+Somaliland.jpg</image:loc>
      <image:title>COVID-19 Response</image:title>
      <image:caption>SIGN Surgeons receive a shipment in Ethiopia.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1584987999403-A411SOZPXVKEWTSL8I4T/SIGN+Shipment+in+Somaliland.jpg</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/guinea</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-07-22</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/da9c50a2-d622-459f-89cd-eed56dd9ab99/CEH.jpg</image:loc>
      <image:title>Guinea</image:title>
      <image:caption>Compassion Evangelical Hospital</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/8c61c082-4774-4764-9067-ed46145c3a05/CEH+Wards.jpg</image:loc>
      <image:title>Guinea</image:title>
      <image:caption>Compassion Evangelical Hospital Orthopaedic Wards</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1cfffb43-a19e-4c91-8c33-a363b52066df/Interior+Wards+CEH.jpg</image:loc>
      <image:title>Guinea</image:title>
      <image:caption>Interior of Compassion Evangelical Hospital</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/7c0c0330-5966-40e8-90ba-cc3b74459cbf/Guinea+-+2024.jpg</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/doctors-day</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2026-03-25</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/d990f13a-f04b-49aa-aa5f-c5ba81954d64/Doctor+Day+2026+-+CC+email+Header.png</image:loc>
      <image:title>Doctors Day</image:title>
      <image:caption>Doctors’ Day March 30, 2021 - Double the Impact of your gift! IMAGE: Surgeon holding model of pelvis, teaching a group of other fellow doctors</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/givebigger</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2026-03-18</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/65653995-8bfa-42c0-86bc-7b4ce817fd60/2026+-+FB+coverphoto+-+Give+Bigger.png</image:loc>
      <image:title>GiveBigger</image:title>
      <image:caption>Text on image: Double Your Donation - May 4 and 5 - Young boy squatting and smiling</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/doctors-day-1</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2020-04-15</lastmod>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/surgeons-ppe</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2020-04-17</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1587146058780-0709A6CLF2ROV80IMJKW/NO+CC+-+PPE+-+vr+header+-+vs7a.jpg</image:loc>
      <image:title>Surgeons PPE</image:title>
      <image:caption>Surgeon wears clear face shield made from office supplies</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1587146058780-0709A6CLF2ROV80IMJKW/NO+CC+-+PPE+-+vr+header+-+vs7a.jpg</image:loc>
      <image:title>Surgeons PPE</image:title>
      <image:caption>Surgeon wears clear face shield made from office supplies</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/signchats</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2020-06-08</lastmod>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/watch</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2020-06-25</lastmod>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/summer</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2020-06-29</lastmod>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/armenia</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-01-10</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/4e0706f4-f8fc-4d66-a5bd-fd03e205776f/Armenia+-+2024.png</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/mary</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2021-03-16</lastmod>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/th-airtimes</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2024-01-25</lastmod>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/deeper-look-nail</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2024-01-25</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1622149059672-JBNDCOY6GKAPLKJDIMY1/blue-textured-bkgr---deeper-look-NAIL.png</image:loc>
      <image:title>Deeper Look - SIGN Nail - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1622149765310-QNKIAXBUB2O6GMWRHY1Q/01-Target+arm_crop-b.jpg</image:loc>
      <image:title>Deeper Look - SIGN Nail - Make it stand out</image:title>
      <image:caption>SIGN Target Arm (foreground), SIGN Screws, SIGN Nails, and Instrument Tray.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1622149706447-4FKO2I3MROHDYM86YPMJ/02-surgery+cropped.jpg</image:loc>
      <image:title>Deeper Look - SIGN Nail - Make it stand out</image:title>
      <image:caption>A surgeon from Tanzania uses the SIGN Target Arm and Instruments to insert a SIGN Nail.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1622143222673-ME31T23VNKG2IP2Z99QF/03-surgeon+holds+nail+1601UG_0257.jpg</image:loc>
      <image:title>Deeper Look - SIGN Nail - Make it stand out</image:title>
      <image:caption>A SIGN Surgeon holds a SIGN Standard Nail, prior to being used during surgery.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1622221619472-9R5VOBTHUY2X6OWWW0AT/1610MY_187.jpg</image:loc>
      <image:title>Deeper Look - SIGN Nail - Make it stand out</image:title>
      <image:caption>Doctors unpack a SIGN Starter Set, which includes everything a hospital needs to begin SIGN Surgery.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1622149059672-JBNDCOY6GKAPLKJDIMY1/blue-textured-bkgr---deeper-look-NAIL.png</image:loc>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1622149765310-QNKIAXBUB2O6GMWRHY1Q/01-Target+arm_crop-b.jpg</image:loc>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1622149706447-4FKO2I3MROHDYM86YPMJ/02-surgery+cropped.jpg</image:loc>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1622143222673-ME31T23VNKG2IP2Z99QF/03-surgeon+holds+nail+1601UG_0257.jpg</image:loc>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1622151587498-OY54MML8EZJ94STLDW2Z/04-material+Steel.jpg</image:loc>
      <image:title>Deeper Look - SIGN Nail - Surgical Grade Stainless Steel, Raw Stock</image:title>
      <image:caption>Surgical Grade Stainless Steel, Raw Stock</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1622567525127-UU6MHR4G4VM1SV1HL6LO/IMG_6011cropped.jpg</image:loc>
      <image:title>Deeper Look - SIGN Nail - Tornos Machine Used to Make SIGN Nails</image:title>
      <image:caption />
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1622151689206-63SL6FKQO9225L0EHA7C/06-Production+check.jpg</image:loc>
      <image:title>Deeper Look - SIGN Nail - Inspection  During Production</image:title>
      <image:caption>A SIGN Machinist is inspecting a SIGN Nail.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1622151720594-8EFEGAHEEF5Q0M7C2Z6W/07-Ed+Inspect.JPG</image:loc>
      <image:title>Deeper Look - SIGN Nail - Quality Control Inspection</image:title>
      <image:caption>A SIGN employee is inspecting manufactured nails during the Quality Control review process.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1622221619472-9R5VOBTHUY2X6OWWW0AT/1610MY_187.jpg</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/stock-donation</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2024-01-25</lastmod>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/haiti-earthquake</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2021-08-24</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1629150232371-J60B48SR2JDM0T7YR4Y0/Haiti+Earthquake+2021+-+VR+email+1+-vs1.jpg</image:loc>
      <image:title>Haiti Earthquake - Make it stand out</image:title>
      <image:caption>2021 Haiti Earthquake Disaster Response</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1629150232371-J60B48SR2JDM0T7YR4Y0/Haiti+Earthquake+2021+-+VR+email+1+-vs1.jpg</image:loc>
      <image:title>Haiti Earthquake - Make it stand out</image:title>
      <image:caption>2021 Haiti Earthquake Disaster Response</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/ukraine-response</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2022-03-02</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/a809cc32-2cc1-4fa3-b4f4-e596bb75657d/Ukraine+-+VR+email+1+-vs1.jpg</image:loc>
      <image:title>Ukraine response - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/a809cc32-2cc1-4fa3-b4f4-e596bb75657d/Ukraine+-+VR+email+1+-vs1.jpg</image:loc>
      <image:title>Ukraine response - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/ukraine</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-05-30</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/0e6d071a-7c56-4ff7-af4e-34db18cbc796/Ukraine+-+2024.jpg</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/daf</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2024-01-25</lastmod>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/crypto</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2023-12-05</lastmod>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/afghanistan-earthquake</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2022-06-23</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/2f2ece9b-62ee-4416-8bf3-b3ab720e39c6/Afghanistan+Earthquake+2022+-+VR+email+1+-vs1.jpg</image:loc>
      <image:title>Afghanistan Earthquake - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/2f2ece9b-62ee-4416-8bf3-b3ab720e39c6/Afghanistan+Earthquake+2022+-+VR+email+1+-vs1.jpg</image:loc>
      <image:title>Afghanistan Earthquake - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/yemen</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-05-30</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/9c855e22-6703-4017-9eec-8691a099aa96/Yemen-+2024.jpg</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/somalia</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-12-19</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/855e2a9a-2da2-4de4-910c-179ad50fa95b/Somalia+and+Somaliland+-+2025.png</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/benin</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-05-30</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/5574681e-71c7-4d51-accb-359761301c81/Benin+-+2024.jpg</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/virtualreality</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2022-09-20</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/4138f50d-e6d9-4814-a714-6bf96ddacd39/Headset+-+VR+Header+-+email+1+-vs1.jpg</image:loc>
      <image:title>Virtual Reality Training - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/4138f50d-e6d9-4814-a714-6bf96ddacd39/Headset+-+VR+Header+-+email+1+-vs1.jpg</image:loc>
      <image:title>Virtual Reality Training - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/sign-conference-2024</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2024-09-13</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/b76fc68a-652e-4d12-836e-b6dc2caacd09/SIGN+Conference+and+SMART+Course+2024+-+All+Days_Page_1.jpg</image:loc>
      <image:title>SIGN Conference 2024 - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/e327781d-564f-4d96-8913-cba2a58789e7/SIGN+Conference+and+SMART+Course+2024+-+All+Days_Page_2.png</image:loc>
      <image:title>SIGN Conference 2024 - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/226ce0b2-9135-4555-a8a7-7138b11e5453/SIGN+Conference+and+SMART+Course+2024+-+All+Days_Page_3.png</image:loc>
      <image:title>SIGN Conference 2024 - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/be51c8c6-cbf1-4389-a56e-f844cac3ade1/SIGN+Conference+and+SMART+Course+2024+-+All+Days_Page_4.png</image:loc>
      <image:title>SIGN Conference 2024 - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/aa3bd16a-c317-4012-9925-b21d9ac6ea33/SIGN+Conference+and+SMART+Course+2024+-+All+Days_Page_5.jpg</image:loc>
      <image:title>SIGN Conference 2024 - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/2e0527a0-3876-46a4-b803-bddb35deb676/SIGN+Conference+and+SMART+Course+2024+-+All+Days_Page_6.jpg</image:loc>
      <image:title>SIGN Conference 2024 - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/b011a7fd-c150-4c0e-98c1-377fba07e408/SIGN+Conference+and+SMART+Course+2024+-+All+Days_Page_7.png</image:loc>
      <image:title>SIGN Conference 2024 - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/lesotho</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-06-10</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/944a6110-54c2-4411-a8ee-17cd13bc3b46/Lesotho+-+2024.jpg</image:loc>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/5fb4a7fe-3f9d-4d9b-af0a-e47d33aeeb33/20221101_105753.jpg</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/2022-match</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2022-11-02</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/ddce47fe-6942-48b1-b9da-61101644d9c6/UPDATED+-+2022+-+FB+coverphoto+-+Matching.jpg</image:loc>
      <image:title>2022 Match - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/ddce47fe-6942-48b1-b9da-61101644d9c6/UPDATED+-+2022+-+FB+coverphoto+-+Matching.jpg</image:loc>
      <image:title>2022 Match - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/burkina-faso</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-05-30</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/9ebc44c6-a555-4383-a637-7547af8d0e5a/Burkina+Faso-+2024.jpg</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/giftcatalog</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2024-01-25</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/a1ffa819-7d4c-487b-8c79-6445baa89314/50+level+-+graphic+-+drill+cover.jpg</image:loc>
      <image:title>Gift Catalog - Make it stand out</image:title>
      <image:caption>Surgeon using drill with SIGN Drill Cover and SIGN Instruments to perform SIGN Surgery</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/3416dc4d-6f59-4c6f-a532-27b5b3f32f4b/150+level+-+graphic+-+for+one+surgery+-+restore+a+family.jpg</image:loc>
      <image:title>Gift Catalog - Make it stand out</image:title>
      <image:caption>Family from Bangladesh sitting together after mother recovered from a fracture with SIGN Surgery</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/e2658277-384f-477a-8e35-90c81635a89a/500+level+-+graphic+-+day+of+surgery.jpg</image:loc>
      <image:title>Gift Catalog - Make it stand out</image:title>
      <image:caption>Four medical workers in surgery suite use SIGN Instruments to perform surgery</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/2a8fe34e-73b3-4f8e-bfc9-0b5f41979dd5/1000+level+-+graphic+-+hip+construct.jpg</image:loc>
      <image:title>Gift Catalog - Make it stand out</image:title>
      <image:caption>Elderly woman in traditional Kenyan clothing squats and smiles, showing recovery after SIGN Surgery</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/68318f1a-f2d8-4c34-8db0-2775e8f4ae0e/2500+level+-+graphic+-+kids+back+to+school.jpg</image:loc>
      <image:title>Gift Catalog - Make it stand out</image:title>
      <image:caption>Young boy squats and smiles after a fractured bone in his leg, and SIGN Surgery to stabilize and heal the fracture</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/14f7f38c-1164-45a4-a72b-79f91085203f/5000+level+-+graphic+-+double+patients+healed+in+a+year.jpg</image:loc>
      <image:title>Gift Catalog - Make it stand out</image:title>
      <image:caption>A young man from Ghana gives a thumbs up while squatting, showing that he has healed after SIGN Surgery</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/534a4c45-6090-4b7c-8682-24ba226ad68a/10000+level+-+graphic+-+implants+for+a+year.jpg</image:loc>
      <image:title>Gift Catalog - Make it stand out</image:title>
      <image:caption>Surgeon in Ukraine gives a thumbs up with a set of SIGN Instruments</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/8dd5044c-d1c6-41ac-93e0-3c2a385c9212/19000+level+-+graphic+-+new+program.jpg</image:loc>
      <image:title>Gift Catalog - Make it stand out</image:title>
      <image:caption>SIGN Surgeons smile while opening a shipment of new SIGN Instruments to start a SIGN Program in Haiti</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/a1ffa819-7d4c-487b-8c79-6445baa89314/50+level+-+graphic+-+drill+cover.jpg</image:loc>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/3416dc4d-6f59-4c6f-a532-27b5b3f32f4b/150+level+-+graphic+-+for+one+surgery+-+restore+a+family.jpg</image:loc>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/e2658277-384f-477a-8e35-90c81635a89a/500+level+-+graphic+-+day+of+surgery.jpg</image:loc>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/2a8fe34e-73b3-4f8e-bfc9-0b5f41979dd5/1000+level+-+graphic+-+hip+construct.jpg</image:loc>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/68318f1a-f2d8-4c34-8db0-2775e8f4ae0e/2500+level+-+graphic+-+kids+back+to+school.jpg</image:loc>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/14f7f38c-1164-45a4-a72b-79f91085203f/5000+level+-+graphic+-+double+patients+healed+in+a+year.jpg</image:loc>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/534a4c45-6090-4b7c-8682-24ba226ad68a/10000+level+-+graphic+-+implants+for+a+year.jpg</image:loc>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/8dd5044c-d1c6-41ac-93e0-3c2a385c9212/19000+level+-+graphic+-+new+program.jpg</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/gift-catalog-drill-cover</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2022-12-07</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/a1ffa819-7d4c-487b-8c79-6445baa89314/50+level+-+graphic+-+drill+cover.jpg</image:loc>
      <image:title>Gift Catalog drill cover - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/a1ffa819-7d4c-487b-8c79-6445baa89314/50+level+-+graphic+-+drill+cover.jpg</image:loc>
      <image:title>Gift Catalog drill cover - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/gift-catalog-day-of-surgery</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2022-12-07</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/e2658277-384f-477a-8e35-90c81635a89a/500+level+-+graphic+-+day+of+surgery.jpg</image:loc>
      <image:title>Gift Catalog Day of Surgery - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/e2658277-384f-477a-8e35-90c81635a89a/500+level+-+graphic+-+day+of+surgery.jpg</image:loc>
      <image:title>Gift Catalog Day of Surgery - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/gift-catalog-new-sign-program</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2022-12-07</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/8dd5044c-d1c6-41ac-93e0-3c2a385c9212/19000+level+-+graphic+-+new+program.jpg</image:loc>
      <image:title>Gift Catalog New SIGN Program - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/8dd5044c-d1c6-41ac-93e0-3c2a385c9212/19000+level+-+graphic+-+new+program.jpg</image:loc>
      <image:title>Gift Catalog New SIGN Program - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/gift-catalog-second-instrument-set</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2022-12-07</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/14f7f38c-1164-45a4-a72b-79f91085203f/5000+level+-+graphic+-+double+patients+healed+in+a+year.jpg</image:loc>
      <image:title>Gift Catalog Second Instrument Set - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/14f7f38c-1164-45a4-a72b-79f91085203f/5000+level+-+graphic+-+double+patients+healed+in+a+year.jpg</image:loc>
      <image:title>Gift Catalog Second Instrument Set - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/gift-catalog-sustain-program</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2022-12-07</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/534a4c45-6090-4b7c-8682-24ba226ad68a/10000+level+-+graphic+-+implants+for+a+year.jpg</image:loc>
      <image:title>Gift Catalog Sustain Program - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/534a4c45-6090-4b7c-8682-24ba226ad68a/10000+level+-+graphic+-+implants+for+a+year.jpg</image:loc>
      <image:title>Gift Catalog Sustain Program - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/gift-catalog-hip-construct</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2022-12-07</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/2a8fe34e-73b3-4f8e-bfc9-0b5f41979dd5/1000+level+-+graphic+-+hip+construct.jpg</image:loc>
      <image:title>Gift Catalog Hip Construct - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/2a8fe34e-73b3-4f8e-bfc9-0b5f41979dd5/1000+level+-+graphic+-+hip+construct.jpg</image:loc>
      <image:title>Gift Catalog Hip Construct - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/gift-catalog-pediatric-implants</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2022-12-07</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/68318f1a-f2d8-4c34-8db0-2775e8f4ae0e/2500+level+-+graphic+-+kids+back+to+school.jpg</image:loc>
      <image:title>Gift Catalog Pediatric Implants - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/68318f1a-f2d8-4c34-8db0-2775e8f4ae0e/2500+level+-+graphic+-+kids+back+to+school.jpg</image:loc>
      <image:title>Gift Catalog Pediatric Implants - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/gift-catalog-1-surgery</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2022-12-07</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/3416dc4d-6f59-4c6f-a532-27b5b3f32f4b/150+level+-+graphic+-+for+one+surgery+-+restore+a+family.jpg</image:loc>
      <image:title>Gift Catalog 1 Surgery - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/3416dc4d-6f59-4c6f-a532-27b5b3f32f4b/150+level+-+graphic+-+for+one+surgery+-+restore+a+family.jpg</image:loc>
      <image:title>Gift Catalog 1 Surgery - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
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      <image:title>Turkey Syria Earthquake - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/080e14d0-f34f-4f35-979f-a1fe2c1dc0f6/22+Syria+and+Turkey+Earthquake+2023+-+CC+email+Header.jpg</image:loc>
      <image:title>Turkey Syria Earthquake - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Silent Auction</image:title>
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    <lastmod>2024-01-23</lastmod>
    <image:image>
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      <image:title>Patient Gallery</image:title>
      <image:caption>Naseer was 22 years old when he was injured by an explosive blast. The explosion fractured his left tibia severely and left him with shrapnel in his body. Patients often have limited access to proper treatment for trauma injuries in low- and middle-income countries, but fortunately for Naseer, he went to Sajid Hospital Quetta in Pakistan, which has a SIGN Program. A SIGN Surgeon operated on Naseer’s leg, inserting a SIGN Nail to stabilize the bone. Naseer was unable to return for a follow-up appointment until 15 months later, but when he did his x-rays showed his bone was healing and he could squat and smile. Naseer received the right treatment thanks to the donors who sponsored his hospital’s SIGN Program. That’s the SIGN Solution at work.</image:caption>
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      <image:title>Patient Gallery</image:title>
      <image:caption>Tahmina, a 4-year-old from Bangladesh, was injured in a fall, fracturing her right femur severely. Patients in low- and middle-income countries often have limited access to proper treatment for their trauma injuries. Fortunately for Tahmina, her parents took her to Comilla Medical College and Hospital, which has a SIGN Program. A SIGN Surgeon operated on Tahmina’s leg, inserting a SIGN Pediatric Fin Nail to stabilize the bone while allowing for movement due to growth. At Tahmina’s follow-up just two months later her x-rays showed her bone was healing. At her follow-up appointment a year after surgery, she could squat and smile. Tahmina got on the path to healing quickly thanks to the donors who sponsored her hospital’s SIGN Program. That’s the SIGN Solution at work.</image:caption>
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      <image:title>Patient Gallery</image:title>
      <image:caption>Ayisheitu was injured in a road traffic accident at the age of 17. The fracture to her tibia was so severe that it broke through the skin. The wound was cleaned and her leg was stabilized without a nail by using an external fixator. The device was removed three months later, but her bone had still not healed. Ayisheitu was given SIGN Surgery, during which her doctor inserted a nail to stabilize the bone from within. In contrast with the external fixator, Ayisheitu’s implant allowed her to move around right away, while enabling more effective healing. At her 6-month follow-up, Ayisheitu could squat and smile. At her 8-month follow-up, x-rays confirmed significant healing. SIGN Surgery gave Ayisheitu the gifts of mobility, healing, and hope!</image:caption>
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      <image:title>Patient Gallery</image:title>
      <image:caption>Chan was 16 years old when he was involved in a terrible road traffic accident in Cambodia. He sustained multiple injuries, including a broken wrist and femur. The internal damage to Chan’s abdomen was so extreme that his doctor had to remove his spleen. In the midst of such intense trauma, there was a bright spot of hope for Chan. His hospital had a SIGN Program, so he was able to receive low-cost surgery to insert a stabilizing nail into his femur and begin healing right away. At a follow-up appointment a year later, Chan’s doctor noted he was able to move normally, and x-rays showed that the pieces of his femur had joined back together properly.</image:caption>
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      <image:title>Patient Gallery</image:title>
      <image:caption>James was injured in a road traffic accident that broke his femur and tibia, leaving him with a “floating knee.” Only 7 years old, James needed to heal quickly so he would not miss too much school. Just one day after receiving SIGN Surgery during which two SIGN Pediatric Nails were placed, James was able to begin walking again, although he was afraid to. Thanks to the gracious support and quick healing James experienced, less than a month after surgery he was no longer afraid to walk. Confident and happy as ever, James returned to school. Less than a year after his injury, a SIGN Surgeon removed James’ implants. Even though, as a young boy, he grew a lot during this time of recovery, the SIGN Pediatric Fin Nails he received allowed his healing bones to continue growing at the same rate as his uninjured ones. Thank you for giving this gift of healing to James. His family calls it a miracle!</image:caption>
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      <image:title>Patient Gallery</image:title>
      <image:caption>Ayantu is a 12-year-old from Nekemte, Ethiopia. She fell from a tree while picking fruit, fracturing her femur. Her family took Ayantu to Nekemte Public Referral Hospital, where Dr. Baru Legesse used a SIGN Fin Nail to stabilize the fracture. When she came back to the hospital six weeks after surgery, her x-rays show that her bone is quickly healing and, as the photo reveals, her smile has been restored. Ayantu and her parents were grateful that the SIGN Implant had been donated, so they could afford the right treatment to care for her injury. The Fin Nail’s design also allows the bone to grow, so Ayantu will not be left with a lifelong deformity of a shortened leg.</image:caption>
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      <image:title>Patient Gallery</image:title>
      <image:caption>Dear Dr. Lewis Zirkle, I am writing to tell you how grateful I am that you were the doctor assigned to perform my operation at Southern Philippines Medical Center. The competency of you and your team was awe inspiring, and I couldn't have been luckier that you were scheduled to be in the Philippines and was able to do the operation. I was an ordinary patient of ordinary means with extraordinary illness but your team took care of me as if I was the most important person on earth. God knows how dreadful I and my parents were when we learned that I have fibrous dysplasia, a very much unanticipated illness. The fact that I am capable of walking better is a miracle. I know that you probably save a lot of lives in a given year, but I want to let you know that this life is forever grateful. I thank heavens for you have performed the operation excellently and the nightmare of my illness slowly became a dream of recovery. Thank you isn't enough for the outstanding care and kindness shown to me and my family by Dr. Zirkle, SPMC ortho doctors, the nurses, the whole surgical team and anyone else who was involved in my care. I can't thank or praise you all enough. It wasn't the medicines but your reassuring words which gave me the strength to pull through my illness. My testimonial is less of recognition of your professional expertise but I can vouch for the fact that your abilities are unmatched. I earnestly pray to God that when I reached 17 years old, I would still be given the same rare opportunity to have you as my doctor. Thank you so much. You are such a blessing. Your grateful patient, Ariane</image:caption>
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      <image:title>Patient Gallery</image:title>
      <image:caption>Lopunja, 20 years old, was taking care of his family’s cows in rural northern Kenya when he was shot in the leg by cattle rustlers. After one day, he was brought to the hospital, where Dr. Daniel Sciuto immediately removed the bullet and cleaned the wound. Once he was sure there was no infection, Dr. Sciuto used a SIGN Implant to repair Lopunja’s fractured femur, and he was able to leave the hospital three days later. Lopunja returned to the hospital six weeks after surgery, and he his very happy. “He was very surprised that after only one month he could walk all day with the cows, says Dr. Sciuto. “He claims that since the operation he has eaten 100 goats to heal faster.”</image:caption>
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      <image:title>Patient Gallery</image:title>
      <image:caption>John Ric, 17, was struck by a car and broke his femur. His family took him to the local hospital in Digos City, Philippines, but when they learned about the cost of surgery, they went home because there was no way they could afford it. Four months after his injury, he learned about donated SIGN Implants, and how they could help heal his injury and correct his deformity. SIGN Surgeon Jun Valera performed the difficult surgery and was amazed with the results. John’s left leg is still a bit short, but he is pain-free and has good range of motion. With a small shoe lift, he is able to walk normally. “John Ric is really a SIGN miracle,” says Dr. Valera. “I am thrilled for him and his family. He and his mother expressed their heartfelt gratitude to SIGN. Thank you very, very much.”</image:caption>
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      <image:title>Patient Gallery - Kashmiri walks after 9 years of disability (Copy)</image:title>
      <image:caption>Kashmiri walks after 9 years of disability</image:caption>
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      <image:title>Patient Gallery</image:title>
      <image:caption>Ruth, a 14-year-old from Caracas, Venezuela, fell and broke her femur. Her family took her to a local clinic. The doctors there did not have access to intramedullary nails, and the plates they used were not strong enough to stabilize the fractured bone. A second surgery using plates also failed. Ruth faced the rest of her life with a left leg that was deformed, and would only get worse with time and growth. Fortunately, she ended up at Hospital Universitario de Caracas, which had just received a set of SIGN Instruments and Implants. The surgeons recognized that a SIGN Nail was the right treatment to stabilize her bone and enable healing. They were able to perform quick and effective surgery to help Ruth walk again.</image:caption>
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      <image:title>Patient Gallery</image:title>
      <image:caption>John, a 17-year-old construction worker from Monrovia, Liberia, was riding in the back of a taxi that crashed. Initially, his family wanted to take him to a traditional bone setter, but doctors at John F. Kennedy Medical Center convinced them that a SIGN Implant was the best treatment and would enable him to walk sooner. He has fully recovered, and is now back to work laying floor tiles at a construction site, which is an important source of support for his family. “When I had the accident, I thought I would not be able to walk again. My family was devastated because I am a major source of support for them. However, the SIGN Team at JFK did extremely well and gave me hope. Less than 4 months after the accident, I am able to walk normally and I am very happy to be back to work. I extend my thanks and appreciation to the SIGN Team for performing this miracle. I will forever be grateful.”</image:caption>
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      <image:caption>Juliet, 30, was traveling in a taxi when the driver lost control and crashed into a hotel. Her leg was broken and her fingers crushed in the accident. She was rushed to a local hospital and transferred to Kumi Orthopaedic Center the next day. “When I saw the x-ray and I saw my femur was broken, I was worried that I couldn’t walk again,” Juliet recalls. “I thought they would either amputate my leg or when I recover I’ll walk while limping.” But her worries were calmed by Dr. John Ekure, who told her that a SIGN Nail was the ideal tool to treat her fractured femur. Dr. John performed SIGN Surgery, and Juliet was walking on crutches the following day. Juliet is grateful for the quick recovery that SIGN Surgery enables. “I have one daughter,” she says. “Now that I can walk, I think we shall even start running together.”</image:caption>
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      <image:caption>Dinka and Sifan had recently gotten engaged and were excited to share the news with their families. They boarded a mini-bus to their hometown of Ambo, Ethiopia, but two hours into the journey the bus collided with a delivery truck. Four people were killed in the crash, and Sifan and Dinka were rushed to the local hospital – but it was not equipped to deal with the severity of their injuries. The next day they were transferred to Black Lion Hospital in Addis Ababa, where SIGN Surgeons evaluated them. Dinka and Sifan each had a fractured femur, and they both received SIGN Surgery on the same day. As they waited for and recovered from their surgery, Dinka and Sifan were placed on different wards, but the hospital residents took notes back and forth so the young couple could stay in contact. Their injuries have fully healed, and they are excited to begin their lifelong journey together!</image:caption>
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      <image:caption>Choeun Pheakday needed two SIGN Nails, in the femur and tibia of her left leg following a traffic accident. She had to undergo two separate procedures because her system was not strong enough to handle both at the same time. Dr. Bunn at Preah Kossamak Hospital in Cambodia. Despite her severe injuries, Choeun was able to stand and walk, and she was discharged from the hospital 10 days after her second surgery.</image:caption>
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      <image:title>Patient Gallery - Aldrin (Copy)</image:title>
      <image:caption>Aldrin</image:caption>
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      <image:caption>Sek Saroeun comes from a family of poor subsistence farmers. The 18-year-old moved from a rural agricultural province to the bustling capital of Phnom Penh to find work and help support her parents. Crossing one of the city’s busy streets on her way to work, she was hit by a taxi, and the force fractured her femur. The accident left her unable to work. Without her income, her whole family was stalled on the path out of poverty. Without SIGN, treatment via traction or cast would take up to three months — a long time to be without income and incurring hospital fees. But thanks to SIGN Surgery, she was discharged from the hospital within one week and back to work in one month.</image:caption>
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      <image:caption>Mary Ikoi, 26, is a mother of three and seven months pregnant. She lives in Torit, a rural community in South Sudan that has experienced widespread food insecurity, bordering on famine, since 2017. She had nothing to feed her children, so she climbed a tree to pick leaves that she could cook into a paste. She fell from the tree, breaking both of her femurs. She was totally incapacitated. Her family's already dire situation had become much worse. Four days after her injury, she was brought to Juba Teaching Hospital, where Dr. Mapuor Mading was able to fix both of her legs with SIGN Fin Nails. “I didn't know that I would ever walk again,” Mary says. “I thought the child in my womb would have a mother that could not walk.” Just 10 days after surgery, Mary is walking and her pregnancy is progressing well.</image:caption>
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      <image:caption>Just a few days prior to his first day of school, Safiel Adam, 15, was involved in a road traffic accident, sustaining multiple traumas, including a fracture of the femur. He was taken to a hospital where all of his injuries were treated, except for his broken femur because the hospital did not have the implants needed. As a result, Safiel was put in traction, which failed to heal the fracture. He lay in the ward with his hope of joining his friends in secondary school diminishing more every day. SIGN Surgeon Dr. Billy Haonga met Safiel during an outreach camp visit to the hospital and treated his fracture using a SIGN Implant. “There are no orthopaedic surgeons down there,” Dr. Billy said. “We usually travel to their places and operate on them.” Safiel was able to return to school the following week.</image:caption>
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      <image:title>Patient Gallery - SIGN in Myanmar - Kyaw (Copy)</image:title>
      <image:caption>SIGN in Myanmar - Kyaw</image:caption>
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      <image:caption>Four-year-old Evans was climbing a tree to pick fruit when he fell and fractured his femur. His family lives in rural northern Kenya, where they herd animals near Marsabit National Reserve. His parents were devastated to learn that their local hospital did not have capacity to perform orthopaedic surgery. After several days worrying that he would become disabled, their hope returned when the local hospital referred him to Cottolengo Mission Hospital. Surgeons were able to provide free surgery and the SIGN Implants needed to stabilize his leg. The healing process began immediately; Just six weeks after surgery, he can walk, run, and play. Like any young child, he is full of energy. His doctors report that he’s even talking about climbing trees again.</image:caption>
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      <image:caption>The first thing that Sao Thy, a father of four, thought about as he lay in the road following his motorbike accident is how would he be able to keep his children in school if he could not walk. Public schools require tuition in Cambodia and unpaid students are quickly dispatched from the rolls. “Education is the way to a better life for my children,” says Sao, 39. Four months after his SIGN Surgery, Sao was back at work and his children are still in school.</image:caption>
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      <image:title>Patient Gallery</image:title>
      <image:caption>When she was 16 years old, Lipi had an accident that fractured her femur. She was treated with an intramedullary nail, but it became infected. She endured four unsuccessful surgeries at a local hospital. Her femur was shortened 3 inches by these treatments. Lipi’s family had used all their resources for those unsuccessful surgeries. She came to NITOR in Dhaka, Bangladesh, begging for her leg to be amputated. Dr. Hossain met with her and convinced her to try one more surgery. With a donated SIGN Nail and a technique he learned at the SIGN Conference, Dr. Hossain was able to stabilize her fracture and extend the bone to its proper length. Lipi, now 20, is able to walk with a crutch, and her x-rays show that her bone is healing. “She was so happy that she cried,” Dr. Hossain says. “After 4 years, she can walk with both limbs.”</image:caption>
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      <image:caption>Marwa lives in southern Afghanistan, and her village is the only one in the region that allows young girls to attend school. At age 13, she broke her leg, Her parents took her to the local bonesetter, who attempted to stabilize her fracture using wood and egg carton wraps. His efforts were unsuccessful, leaving her disabled. She found her way to Dr. Ismail Wardak, who presented two options to treat her injury—a spica cast or surgery. Despite being afraid of injections and medical procedures, Marwa opted for surgery because she could heal and get back to school sooner. Dr. Wardak used the SIGN Pediatric Fin Nail to stabilize her fracture and start the healing process. Just a few weeks later, Marwa was back in the classroom with her friends. If she had opted for the cast, she likely would have been out of school for three months. “She was so happy to continue her lessons,” says Dr. Wardak.</image:caption>
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  </url>
  <url>
    <loc>https://www.signfracturecare.org/publications-gallery</loc>
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    <lastmod>2024-01-23</lastmod>
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      <image:title>Publications Gallery - January 2024: Look Ahead (Copy)</image:title>
      <image:caption>January 2024: Look Ahead</image:caption>
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      <image:title>Publications Gallery - December 2023: Corrects Deformity (Copy)</image:title>
      <image:caption>December 2023: Corrects Deformity</image:caption>
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      <image:title>Publications Gallery - November 2023: The Right Treatment (Copy)</image:title>
      <image:caption>November 2023: The Right Treatment</image:caption>
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      <image:title>Publications Gallery - October 2023: SIGN Conference 2023 (Copy)</image:title>
      <image:caption>October 2023: SIGN Conference 2023</image:caption>
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      <image:title>Publications Gallery - Sept 2023: Immediate and Effective Care (Copy)</image:title>
      <image:caption>Sept 2023: Immediate and Effective Care</image:caption>
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      <image:title>Publications Gallery - August 2023: Why SIGN is Needed (Copy)</image:title>
      <image:caption>August 2023: Why SIGN is Needed</image:caption>
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      <image:title>Publications Gallery - June 2023: Traveling to Tanzania (Copy)</image:title>
      <image:caption>June 2023: Traveling to Tanzania</image:caption>
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      <image:title>Publications Gallery - May 2023: Restore Mobility (Copy)</image:title>
      <image:caption>May 2023: Restore Mobility</image:caption>
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  </url>
  <url>
    <loc>https://www.signfracturecare.org/products</loc>
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    <lastmod>2025-05-16</lastmod>
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  </url>
  <url>
    <loc>https://www.signfracturecare.org/silent-auction-item-sponsors</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2024-01-23</lastmod>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1602203885757-KMMQ49OSK9V75IBB1332/Logo+and+Name+Transparent+Stacked.png</image:loc>
      <image:title>Silent Auction Item Sponsors</image:title>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1602203914884-VQOOK4SFZXTZSDJCXY0B/John+Clement.jpg</image:loc>
      <image:title>Silent Auction Item Sponsors</image:title>
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  </url>
  <url>
    <loc>https://www.signfracturecare.org/patients</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-06-19</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1772473324664-KO49F6DV3045NE6UGWXR/Binod.jpg</image:loc>
      <image:title>Patients</image:title>
      <image:caption>At eight years old, Binod is the youngest member of his family. While he is at school, both of his parents work to provide for him and his older sister. Binod’s father travels around Nepal, and sometimes into India, working as a migrant laborer. Binod’s mother takes care of their home and small farm. During harvest time, Binod is expected to help his family by plucking mangoes. To get the job done faster, Binod often works with one of his friends. One boy will climb the tree to pick the mangoes, while the other remains on the ground to catch the fruit being tossed down. Unfortunately, Binod’s friend lost his grip and fell out of the tree, landing on Binod. Although his friend escaped unhurt, Binod suffered a fractured femur. Since his family does not have a car, Binod was taken to Tansen Mission Hospital on a public bus. After a four-hour trip, he and his family arrived and met Dr. Dawa Lama. Using a SIGN Pediatric Nail, Dr. Lama successfully treated Binod’s broken femur. Tansen Hospital provided both free food and a tutor for Binod during his stay, preventing him from falling behind in school. Additionally, because SIGN Nails are provided to hospitals at no cost, the family did not have to pay for the implant. Binod came back for his six-week follow-up appointment with a big smile on his face because his leg was no longer hurting, and he was back at school. “We are very grateful to receive a free SIGN Nail for our son’s treatment,” says Binod’s mother. “We wish all the best for the progress and growth of the SIGN Foundation. We wish that every poor kid in the world with fractures like our son should have access to SIGN Nail surgery.”</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1771011458000-R5CPLP7BP1W1PTIZT8R7/Sarim+-+original+picture.jpg</image:loc>
      <image:title>Patients</image:title>
      <image:caption>As Sarim was driving along the country roads of Cambodia, his car skidded out of control and eventually crashed into a roadside canal. He was taken to a nearby hospital, where he received first aid and learned that his right femur was broken. A friend of Sarim’s knew of the SIGN Program at Farah Amara Clinic and recommended he go there for further treatment. Just a day after his accident, Sarim was introduced to Dr. Rith Yin. Determining a SIGN Nail was the best treatment, Dr. Yin was happy to perform surgery and get Sarim back on his feet. To Sarim’s amazement, he was able to walk with crutches the next day! Six weeks later, Sarim returned to the hospital for a follow-up appointment. He happily explained to Dr. Yin that he could get back on his feet and work in his family’s business during his recovery. Eventually, Sarim will go back to his engineering job, but he is content to help his family however he can for the time being.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1764614098377-ACFNRQFMQ44J7RN8AN88/Dagimawi.jpg</image:loc>
      <image:title>Patients</image:title>
      <image:caption>Dagimawi, 20, performs manual labor around his hometown in Ethiopia. Many of his tasks require him to climb high places or lift heavy loads. Dagimawi knows his occupation can be dangerous, but a steady source of income outweighs the risks. Sadly, during one of his assignments, Dagimawi fell from a substantial height. Friends and family members transported Dagimawi to a local bonesetter for care. This bonesetter used a massage-like technique in an attempt to set Dagimawi’s right tibia. He was then sent home to rest and recover. However, after a couple of days, his leg did not feel any better. When Dagimawi’s neighbors heard of his accident, they advised him to seek care at Arbaminch General Hospital. Dagimawi was taken to the hospital and evaluated by emergency room staff, who confirmed he needed surgery. The next day, Dr. Moges Tessema inserted a SIGN Nail into Dagimawi’s tibia. About a month after surgery, Dagimawi returned for a follow-up appointment. Already, he was able to put weight on his leg with minimal pain. At his latest appointment, Dagimawi told Dr. Moges “I feel so much better. I have been able to return to work, and I’m grateful for the care I received.”</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1762968016892-YA3WZY5R5EZQOGLJ63P2/Hanna+SS.jpg</image:loc>
      <image:title>Patients</image:title>
      <image:caption>At 26 years old, Hanna has completed her schooling and is well into her professional career. Using her agronomy degree, she was able to secure a field technician position on a farm near Lilongwe, Malawi. Hanna routinely takes a bicycle taxi to and from her job. During one of these rides, Hanna’s bicycle was rear-ended by a car. The collision broke Hanna’s leg and threw her off her bike. Thanks to one of her friends, Hanna knew to seek care at Kamuzu Central Hospital. An x-ray at the hospital revealed Hanna’s left tibia was broken and would require surgery. Dr. Kumbukani Manda knew a SIGN Nail would be a good fit because it would enable Hanna to get back on her feet within weeks of the surgery. Hanna returned for a follow-up visit six-weeks later. Although her leg was still healing, Hanna told Dr. Manda that she was feeling much better. Just a couple weeks later, Hanna started walking without using crutches. Twelve weeks after her surgery, Hanna had no more pain and could perform a full squat, complete with a smile. She expects to be back at work soon and told us “all’s well that ends well.”</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1758911651263-CYWUDG5DJJ75J35OS8JB/Thierry+on+Motorbike.jpg</image:loc>
      <image:title>Patients</image:title>
      <image:caption>Thierry works as a hairdresser in his hometown in Benin. Back in 2016, when he was only 25 years old, Thierry was involved in a traffic accident that broke his right tibia and severely injured his right shoulder. This accident prevented Thierry from returning to work because he could not walk and lost use of his dominant arm. Without a job, he had no way to pay for surgery. Four years later, Thierry was desperate for care. He feared nothing could be done about his shoulder and even considered amputating his leg. Fortunately, Thierry learned of the SIGN Outreach Program at Hospital of Saint Jean de Dieu of Tanguieta. There, Dr. Rene Gayito used a SIGN Nail to stabilize Thierry’s tibia and treated his shoulder injury. Thanks to SIGN and Dr. Gayito. Thierry can walk again and has full use of his right arm; he has opened two hair salons and is back to playing football.</image:caption>
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      <image:title>Patients</image:title>
      <image:caption>One week before his highly anticipated wedding, Tanzanian gospel musician Absalum found himself in the middle of a life-altering tragedy. The 29-year-old was riding as a passenger on a motorcycle when he and the driver were struck by a large truck, causing severe injuries. He was taken to Mbeya Zonal Referral Hospital in an emergency vehicle, his excitement for his upcoming nuptials turning to despair as the paramedics informed him of his injuries. Both of his legs had open fractures, his left leg had critical soft tissue damage, and he was bleeding internally between his lungs and chest wall. He lost hope, not only in walking again, but in ever getting married. Upon arrival, emergency doctors quickly set to work to stop his internal bleeding and treat infections. SIGN Surgeons Dr. Jimmy Olomi and Dr. Mulokozi Mutagwaba were brought in to determine the best course of action for his fractures. They used two SIGN Nails to stabilize both of Absalum’s tibias and performed successful soft tissue reconstruction. Day by day, with every surgery, dressing change, and small milestone in recovery – Absalum’s hope began to return. After six months of hospitalization, Absalum was ready to be discharged. He left behind this tragic accident and walked down the aisle with his bride.</image:caption>
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      <image:title>Patients</image:title>
      <image:caption>Following a road traffic accident, 55-year-old Aboubacar was taken to a public hospital in his hometown. There, his leg was placed in a cast. Despite this initial treatment, Aboubacar remained in a lot of pain and could not walk. He was referred to Compassion Evangelical Hospital where Dr. Paul Sidjani used a SIGN Nail to stabilize Aboubacar’s fractured tibia. SIGN Surgery enabled Aboubacar to walk the day after surgery, and he is expected to be back at his teaching position very soon. “I never thought I’d be able to walk normally again. I thank God, and I think SIGN is great, “ Aboubacar says. “You can walk the day after surgery; I could not believe it! I’d heard about Compassion Hospital, and now I’ve seen it with my own eyes.”</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1754438296392-7TUI9ZXUJLCV0H0VW5Z9/Chan%2Bsquat%2Band%2Bsmile.jpg</image:loc>
      <image:title>Patients</image:title>
      <image:caption>Chan lives in the bustling city of Yangon, Myanmar. At 30 years old, he is well into his professional career. When Chan fell and broke his leg, he worried this accident would severely impact his ability to provide for his family. He was taken to the local government hospital, where an x-ray showed Chan had fractured his right femur. During this time, he met Dr. Wai Htun, who told him about SIGN Surgery. Dr. Htun explained that a SIGN Nail would re-align and stabilize Chan’s femur, and the implant would be provided at no cost. After receiving surgery, Chan was able to walk with crutches when he left the hospital. At his six-week follow-up, Chan had no problem squatting and smiling. SIGN Surgery enabled Chan to get back on his feet, instead of living with a permanent disability.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1754347508603-Q76PC1571L9SWN8EP3H4/case+id+236900+-2.jpg</image:loc>
      <image:title>Patients</image:title>
      <image:caption>In 2017, 25-year-old Sylla was walking down a flight of stairs when she slipped and fell. Immediately, she felt a sharp pain in her right leg and discovered she could not move it. Her parents rushed her to a traditional healer, because her family could not pay for surgery. Sylla spent the next several months in a seated position. Eventually, she was able to walk, but with considerable pain. Sylla also noticed another alarming detail: her right leg was noticeably shorter than her left leg. Because of this, she walked with a limp. Sylla learned of the SIGN Program at Compassion Evangelical Hospital and made an appointment in November 2023. During her consultation, Sylla learned her tibia had improperly fused, which left her leg shortened. Dr. Paul Sidjani placed a SIGN Nail in Sylla’s right tibia. Eight weeks after surgery, Sylla was walking with only one crutch. When Sylla saw Dr. Sidjani in May 2024, she was able to perform a complete squat and smile. Over the next few months, Sylla will re-learn how to walk correctly as she regains mobility in her right leg.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1751388005706-0SUHNMFV9JP5U6ZT485A/squat%2Band%2Bsmile%2B2.jpg</image:loc>
      <image:title>Patients</image:title>
      <image:caption>Like the majority of people in Hlaingtharya Township, Myanmar, a suburb of the capital city of Yangon, Ko commutes to work on a motorcycle. He is a day laborer, working a variety of jobs around the city. One fateful day, he was in a motorcycle accident that caused fractures of his tibia and fibula. Ko went to the closest hospital, and he was preparing for surgery when he learned how much it would cost to get a commercial implant to treat his fracture. He searched for ways he could purchase a nail, and tried to raise the money he needed through friends and family, but it was not enough. He sat in the hospital bed and despaired for his broken leg. Without proper care, the bone would heal in an improper position and cause pain or disability for the rest of his life. That would mean he could not work and his family would be pushed into poverty. After a month and a half in the hospital, he discovered the Mobile SIGN Program, run by Dr. Aung, on Facebook. He contacted the team and was transferred to Yangon Orthopaedic Hospital, which has a SIGN Program. In that hospital, his fracture was successfully treated with a donated SIGN Implant. Now he is back to work and able to support his family again. Ko and his family are very happy, and they are grateful to SIGN and the donors who made his surgery possible.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1751315131358-8MBT1HQN97RLJK2THSI5/Irada+Front+Picture.jpg</image:loc>
      <image:title>Patients</image:title>
      <image:caption>After a traumatic vehicle accident, 24-year old Irada was taken to a local hospital in Tamatave, Madagascar. Since this hospital did not have a SIGN Program, Irada’s broken femur was treated with only a small plate and screws. Not long after his initial treatment, Irada fell, causing the plate to bend and forcing his femur out of alignment. This second injury prompted Irada to contact the SIGN Program at The Good News Hospital in Mandritsara. A car ride from Tamatave would have taken over 48 hours, plus the initial time to organize the trip. Fortunately, Irada was able to travel via airplane. Thanks to SIGN Surgeon Dr. Daniel Kradolfer and his medical team, Irada received surgery the day he arrived at Good News Hospital. Dr. Kradolfer removed the bent plate and used a SIGN Fin Nail to realign and stabilize Irada’s femur. A SIGN Nail is the right treatment for Irada because it allows his bone to heal, while providing support that enables him to walk and work as healing progresses. Six weeks after surgery, Irada returned for a follow-up appointment. The x-rays of his leg showed significant healing, and he could perform a partial squat. At his second follow-up, two months later, Irada could do a full squat and smile with no pain! More and more patients like Irada are reaching out to local SIGN Programs for help. As SIGN is becoming known in new communities, people seek the timely and effective care offered by our surgeons.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1751315171610-5ZW74H7ROCELJLWU25J6/Venezia+with+Jun.jpg</image:loc>
      <image:title>Patients</image:title>
      <image:caption>Every morning, Venezia rides her motorcycle to school. For the past several years, she has attended university in the Philippines, working towards a degree in Information Technology. Despite her hard work, an unforeseeable accident threatened to delay her education. On one of her rides to school, Venezia hit a three-wheeled taxi when it made a sudden U-turn. She was thrown from her motorcycle and instantly felt pain spreading through her body. Venezia was taken to a nearby hospital for examination and treatment. During her exam, the doctor determined Venezia’s left femur was broken. After her cuts and bruises were tended to, Venezia was referred to Adela Serra Ty Medical Center for orthopaedic care. There, Dr. Jun Valera was using his Traveling SIGN Set to treat patients and train doctors in the SIGN Technique. When Venezia met Dr. Valera, she learned that not only could a SIGN Nail stabilize her femur, but the nail was also donated at no cost. This meant Venezia could afford the care she needed to heal and stay in school. Just three weeks after surgery, Venezia returned to school and her internship. At her latest follow-up, she told Dr. Valera she is “doing great” and will be graduating in June. SIGN Surgery enabled Venezia to heal quickly, preventing an injury from becoming a life-long disability.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1748630747240-N1Y590AGH1NMPDBJDDH6/Careen+S%26S+copy.jpg</image:loc>
      <image:title>Patients</image:title>
      <image:caption>Like so many patients in need of SIGN, Careen was injured in a traffic accident. The crash broke her femur and caused extensive soft tissue damage to her thigh. Careen was rushed to Dodoma Regional Hospital, where Dr. Samwel Mgaya and his team started debriding her wound to reduce the risk of infection. She then received a blood transfusion. By the next day, Careen’s condition had stabilized. Careen was placed into external fixation while her skin injury was being treated. Over the next several weeks, she had several more debridement procedures. When her tissue was healthy, Careen received a skin graft. Careen remained at Dodoma while her skin graft healed. During this time, her leg was still in an ex-fix. About three months after her injury, Dr. Mgaya determined her graft was healed enough and removed her ex-fix. Dr. Mgaya then placed a SIGN Fin Nail in her femur. Shortly after surgery, Careen began physical therapy. She was able to put full weight on her leg and had complete range of motion in her knee joint.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1748630327309-KSQNDCQXBZ1KCIFFX8YO/Sal+S%26S.jpg</image:loc>
      <image:title>Patients</image:title>
      <image:caption>For 16-year-old Sal from Cambodia, her day revolves around school. Each morning, her walk to school stretches from the narrow roads of the countryside to the crowded streets of the city. One morning, Sal was struck by a vehicle as she was crossing the street. When she was unable to stand, she was taken to Kossamak Hospital. As SIGN’s busiest partner hospital, the surgeons at Kossamak are well equipped to treat victims of road traffic accidents. Sal was examined by SIGN Surgeon Dr. Ich Khuy, who determined her right tibia was broken. After several days of wound care and infection control, Sal received a donated SIGN Nail. Three days after surgery, Sal was discharged from the hospital. Thanks to SIGN, Sal returned to her daily routine a few weeks later. She can now walk, squat, and smile again because she received the right treatment at the right time.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1748629198843-IXZ1AR38PII8DLIBGWCL/xray-1280631.jpg</image:loc>
      <image:title>Patients</image:title>
      <image:caption>In Ogbomoso, Nigeria, street vending and roadside shops are popular ways to earn a living. For 19-year-old Job, helping his mother stock her shop has been a part of his daily routine for years. One busy March evening, Job was working alone when a pickup truck veered off the road and struck the stand. Job was knocked to the ground as the shop fell around him, and he felt a shooting pain in his right leg. Onlookers quickly came to Job’s aid, extricating him from the wreckage and contacting Job’s sister, who promptly arrived to help. WIth the aid of a motorcycle taxi, he was then transported to Bowen University Hospital. Upon arriving, Job was seen by Dr. Stephen Adesina. He determined that Job’s femur was broken and could be stabilized using a SIGN Nail. Job was taken to surgery the day after his accident, and five hours after, he was able to stand using a walker. At Job’s follow-up appointent in May, he confidently performed a squat and smile test, showing that his full range of motion had returned. He is now back to helping his family with their roadside store, happy and pain-free!</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1745968180338-4FOP1141GAVVZCX8YV0W/Case+ID+216074-2.jpg</image:loc>
      <image:title>Patients</image:title>
      <image:caption>Traffic accidents are a growing epidemic. They are the leading cause of injuries treated by SIGN Surgeons. One of these patients is Mollalign, a 16-year-old from Ethiopia. He was in a traffic accident that left him with a fractured femur. He could not walk or move without experiencing severe pain. Fortunately, he was referred to Dessie Referral Hospital, which has a SIGN Program. After two days of care for wounds and infection control, SIGN Surgeons used a SIGN Nail to stabilize Mollalign’s fractured bone. His family was able to afford the care because the SIGN Nail was donated to him at no charge. With his fractured femur stabilized, Mollalign was able to take his first steps with crutches the day after surgery. He slowly gained mobility and was discharged from the hospital a week later. After 51 days of recovery, Mollalign returned for a check-up. His x-rays showed that his femur healed in the proper alignment. He was able to walk, move freely, and perform the SIGN Squat and Smile without experiencing any pain or discomfort. Mollalign’s story is a powerful reminder of the life-changing impact of SIGN’s work. SIGN Surgeons do more than repair a fractured bone. They restore their patient’s ability to walk, work, and go to school. Thanks to their dedication to providing world-class medical care to people in need, Mollalign was able to overcome a devastating injury and reclaim his independence and quality of life.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1745966939103-8POV08RF9HAIP167TPAD/Bikash+S%26S.jpg</image:loc>
      <image:title>Patients</image:title>
      <image:caption>For the people of Panchadewal, Nepal, life revolves around traditional farming and raising livestock. Every family member has a role to play, including children. For 7-year-old Bikash, his job is to gather food for the family’s cattle and goats. One day, Bikash was collecting food from a tall tree when he fell and broke his femur. To reach the closest trauma center, Bikash’s family had to travel over three hours. Amazingly, the first hour of their journey was done completely on foot. A day after Bikash’s fall, his family finally arrived at Bayalpata Hospital. Dr. Mandeep Pathak knew SIGN Surgery was the best option for Bikash. He received a SIGN Pediatric Fin Nail free of charge. The Fin Nail utilizes fins instead of interlocking screws on the distal end to stabilize the bone. This allows the fracture to heal and the growth plate to remain intact. Just one month later, Bikash came in for his first follow-up appointment. With a big grin on his face, he performed a full squat. His x-ray showed incredible progress, further indicating his surgery was a success. Thanks to SIGN Surgeons around the world, kids living in rural communities have the chance to heal quickly and get back on their feet to support their families.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1745966375818-2MSPZ3L5L5WNKB5U2TCD/Honorat+and+Isaac.jpg</image:loc>
      <image:title>Patients</image:title>
      <image:caption>As the only orthopaedic surgeon in his area, Dr. Isaac Archelus treats every patient who arrives at Centre Medical Beraca (CMB) with a broken bone. Before SIGN came to Haiti, people relied on traditional healers to treat their fractures. When he is not performing surgery, Dr. Archelus educates people about the advantages of SIGN over traditional healing. Recently, Dr. Archelus performed SIGN Surgery on 41-year-old Honorat, a father of three children who works as a taxi driver. Honorat broke his tibia when he fell off of an overcrowded public bus that was driving too fast. Honorat was familiar with CMB through his taxi job, and arranged for transportation by motorcycle to reach the hospital. Dr. Archelus examined Honorat;s broken tibia and determined a SIGN Nail could help provide the healing Honorat needed. When he returned for a follow-up appointmnt, Honorat could comfortably perform the squat and smile test. He told Dr. Archelus “I am doing really well” and only has slight pain when he walks over long distances.</image:caption>
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      <image:title>Patients</image:title>
      <image:caption>Fikrte was 20 years old and five months pregnant when she was struck by a motorcycle, thrown into traffic, and dragged down the street by a minibus. She was severely injured, with fractures to her femur and acetabulum, in addition to internal bleeding, tissue injuries, and exposed bones, which increase the risk of infection. At Tikur Anbessa Hospital in Ethiopia, she was treated for two weeks to stabilize her condition and ensure that her pregnancy was progressing well. SIGN Surgeons then were able to stabilize her fractured femur with a SIGN Nail and her acetabulum with a SIGN Plate in a five-hour procedure. Four months after her accident, Fikrte gave birth to a healthy boy. She has returned to the hospital many times for follow-up appointments and shows increasing recovery and return to normal function. Fikrte thanks her surgeons and SIGN Supporters for helping her in this challenging time and for letting her dream again, have a baby, and be a mother.</image:caption>
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      <image:title>Patients</image:title>
      <image:caption>Nicholas, from Ghana, is a husband and a father of four. He operates three businesses to support his family. Nicholas’ world came to a screeching halt when a truck he was traveling in blew a tire and rolled over, throwing the passengers from the vehicle. Nicholas was transported to an area hospital with injuries to both shoulders, a pelvic fracture, and a badly broken left femur. After spending two weeks in the hospital with no real steps towards recovery, Nicholas was transferred two hours away to Wenchi Methodist Hospital, under the care of orthopaedic surgeon Dr. Sibiri Ballu. In one surgical session Dr. Ballu repaired both of his injured shoulders, his pelvic injury, and installed a SIGN Nail in Nicholas’ broken femur. Four days later he was discharged from the hospital. Two weeks after that Nicholas was back at work operating a small convenience store, alongside a poultry farm, and building coffins at his own shop. “I am as strong as I was before the accident,” Nicholas says.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1741372092053-34XIZ39OAD6HIH18NLY7/Khairbux+S%26S.jpg</image:loc>
      <image:title>Patients</image:title>
      <image:caption>Khairbux, a 48-year-old from Pakistan, was treated with a SIGN Implant after a traffic accident. He suffered a segmental fracture in his left femur, which means that the bone was fractured in two separate places. Khairbux was completely unable to bear weight on his leg and every movement was painful. His family quickly took Khairbux to Chandka Medical College Hospital, which has a SIGN Program. Dr. Zamir Soomro examined Khairbux’s injured leg and immediately knew that a SIGN Nail would be the best treatment to stabilize the bone and enable it to heal. Dr. Soomro successfully used one SIGN Nail to stabilize the whole femur. The day after surgery, Khairbux was able to walk with support and return home. For the next six months, Khairbux returned to the hospital for monthly follow-up appointments, showing improvement on each visit. His x-rays showed strong healing, and he was gradually able to stop using crutches and return to walking unaided. He was eventually able to fully perform the squat and smile pose, which shows that he has regained full range of motion from his injury, and he was able to fully return to all work and activities.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1741367846404-9IA0CNZ1R9S8QQKORYPT/_DSC1082+%282%29.JPG</image:loc>
      <image:title>Patients</image:title>
      <image:caption>Hope, a police detective in Uganda, was riding home from work on a motorcycle and was hit from behind by a speeding car. She was thrown to the ground and sustained a compound fracture in her right tibia. At a local hospital, the surgeon chose to use an external fixator to stabilize her broken bone due to fears of infection. When it was removed six weeks later, Hope’s tibia had not healed. She turned to a traditional bonesetter for care, who treated her injury with massage and physiotherapy. After months of treatments, Hope was still in pain and could not squat or run, which was preventing her from working. On the advice of her mother, she reached out to Kumi Orthopaedic Center. Dr. John Ekure met with Hope and showed her that her bone fragments had not healed in the correct alignment, which was causing her pain and had shortened her leg. He used a donated SIGN Nail to straighten and lengthen the bone, stabilizing it and enabling proper healing. “I was told to walk on Day One after surgery, and I thought the doctor was joking,” Hope recalls. “I was very excited but anxious. Indeed, I walked on Day One with the aid of crutches.” She returned home after a few days with a renewed sense of joy. “When I came for my first review six weeks later, the x-ray showed very good progress. I could now squat for the first time after a year,” Hope says. “My life is returning to normal, and I will only have scars to tell the story.”</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1741366830162-SISWYFX4HXPNHD2ZOYWU/Gislene+S%26S.jpg</image:loc>
      <image:title>Patients</image:title>
      <image:caption>Gislene, a 34-year-old from Chad, was in a road traffic accident that injured her lower left leg. She originally sought treatment from a traditional healer because she did not think that she could afford care from a hospital. But when she was still unable to walk two months after her injury, she came to Centre Chirurgical Adventiste de Moundou. SIGN Surgeon Dr. Odei Houloum Abdou examined Gislene’s leg and immediately knew that a SIGN Nail was the best treatment for her fractured tibia. Because the SIGN Nail was donated and enables patients to leave the hospital within a week, Gislene and her family were able to afford the care she needed. Over the course of a year since her surgery, Gislene returned to the hospital for multiple check-ups and showed improved healing and function at each visit. She is now able to walk, care for her family, and perform SIGN’s squat and smile test.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1738106904341-AXK3WDI2ZLTYH8PTRGYN/Neiyoo+from+Nkoroanga+2.jpg</image:loc>
      <image:title>Patients</image:title>
      <image:caption>Neiyoo, a 60-year-old from Tanzania, had not been able to walk for over a year. She was injured while walking along the side of the road when she fell in a ditch and fractured her right femur. The only care she thought she could afford was at a local bonesetter. But with that treatment, the broken ends of her femur never healed together. She was completely unable to walk or bear weight on her right leg. She was totally dependent on her family for all basic needs. Eventually, she heard about the SIGN Program at Nkoaranga Lutheran Hospital. She made the hour-long journey, and when Dr. Sam Kiwesa examined her leg, he knew that a SIGN Fin Nail was the right treatment. The following day Dr. Kiwesa performed SIGN Surgery, and two days later Neiyoo was able to walk with support and returned home. Six weeks later, she returned for a checkup and was not only able to walk, but to squat and smile. She has regained her ability to care for herself and can once again contribute to the family.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1738106229960-QVQJSKUG69R4LR71XGEA/Michael+-+Philippines+Photo.jpg</image:loc>
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      <image:caption>After he was injured in a traffic accident, Michael, from The Philippines, feared he would never walk again. His right femur was fractured and his leg was shortened and bent. He went to the local hospital, but was afraid his leg would be amputated and he would be unable to continue his work fixing refrigerators and air conditioning units. Dr. Jun Valera reviewed Miachae’s injuries and determined a SIGN Nail was the best course of action. Three days later, Dr. Valera performed SIGN Surgery, stabilizing the bone and restoring Michael’s leg to it’s original length. “He is back to work and doing great. He goes to houses, offices, and schools doing A/C services and he is completely healed,” says Dr. Valera. “I am super happy for him, and he is very thankful to SIGN.”</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1738105209366-JRHXN7TGUFS8URUM3ZGT/Zihad+S%26S.jpg</image:loc>
      <image:title>Patients</image:title>
      <image:caption>Six-year-old Zihad and his family live in a rural district of Bangladesh. One day, the family was traveling over the rough roads of the region. Before anyone could react, their vehicle lost control and crashed, resulting in Zihad breaking his femur. To receive the best possible care, Zihad’s family travled four hours to NITOR Hospital in Dhaka. Once there, he was seen by SIGN Surgeon Dr. Tushar Kamruzzaman. He determined Zihad needed surgery, and a SIGN Pediatric Nail would provide quick healing. Six weeks later, Zihad was able to perform a full squat and could walk with some assistance. Thanks to SIGN, Zihad will suffer no long term effects from his fracture and can have a normal and happy childhood.</image:caption>
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      <image:caption>Samuel works as a police officer in Uganda. Back in 2018, he experienced a gunshot wound to his leg. The bullet caused severe soft tissue damage and shattered his tibia. Samuel was rushed to Kumi Orthopaedic Center, where Dr. John Ekure recognized the need to treat Samuel’s tissue wound immediately. He and his team meticulously debrided and flushed to wound to prevent an infection. Following the cleaning, Dr. Ekure placed a SIGN Nail in Samuel’s tibia. At his initial follow-up appointment, Samuel was feeling much better and could perform a partial squat. By the end of 2018, he was able to perform a full squat and smile. That’s the SIGN Solution in action!</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1738104229480-2A3Q6WVQ2U6VI64KU6UU/Diakite+S%26S.jpg</image:loc>
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      <image:caption>Diakite, a 79-year-old farmer from Guinea, suffered a fractured right femur in a traffic accident. His family took him to the local hospital for first aid, but turned to a traditional healer to care for his broken leg. But 10 months later, he was still unable to stand on the leg, which was shortened and rotating to the right. A representative from Compassion Evangelical Hospital visited Diakite’s village and told him about the SIGN Program. Diakite met with SIGN Surgeon Paul Sidjani, who used a SIGN Nail and Plate to align Diakite’s femur fragments and stabilize them in the proper orientation to heal. The day after SIGN Surgery, Diakite was able to stand on his own, and take his first steps in nearly a year.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1738102956019-P6DAVXT1GQE1RZFHWB91/Sophan+S%26S.jpg</image:loc>
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      <image:caption>Sophan, a 57-year-old from Cambodia, was in a traffic accident that left her with fractured bones in her lower leg. Her family immediately took her to the SIGN Program at Svay Rieng Referral Hospital for treatment. After a few days of treating muscle injuries and ensuring there was no infection, surgeons used a SIGN Nail to stabilize Sophan’s tibia. The day after her surgery, she was able to stand and walk with support. One month later, Sophan walked into the hospital without crutches. With the support of SIGN and her family, Sophan will make a full recovery.</image:caption>
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      <image:title>Patients</image:title>
      <image:caption>Naseer was 22 years old when he was injured by an explosive blast. The explosion fractured his left tibia severely and left him with shrapnel in his body. Patients often have limited access to proper treatment for trauma injuries in low- and middle-income countries, but fortunately for Naseer, he went to Sajid Hospital Quetta in Pakistan, which has a SIGN Program. A SIGN Surgeon operated on Naseer’s leg, inserting a SIGN Nail to stabilize the bone. Naseer was unable to return for a follow-up appointment until 15 months later, but when he did his x-rays showed his bone was healing and he could squat and smile. Naseer received the right treatment thanks to the donors who sponsored his hospital’s SIGN Program. That’s the SIGN Solution at work.</image:caption>
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      <image:title>Patients</image:title>
      <image:caption>Tahmina, a 4-year-old from Bangladesh, was injured in a fall, fracturing her right femur severely. Patients in low- and middle-income countries often have limited access to proper treatment for their trauma injuries. Fortunately for Tahmina, her parents took her to Comilla Medical College and Hospital, which has a SIGN Program. A SIGN Surgeon operated on Tahmina’s leg, inserting a SIGN Pediatric Fin Nail to stabilize the bone while allowing for movement due to growth. At Tahmina’s follow-up just two months later her x-rays showed her bone was healing. At her follow-up appointment a year after surgery, she could squat and smile. Tahmina got on the path to healing quickly thanks to the donors who sponsored her hospital’s SIGN Program. That’s the SIGN Solution at work.</image:caption>
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      <image:caption>Ayisheitu was injured in a road traffic accident at the age of 17. The fracture to her tibia was so severe that it broke through the skin. The wound was cleaned and her leg was stabilized without a nail by using an external fixator. The device was removed three months later, but her bone had still not healed. Ayisheitu was given SIGN Surgery, during which her doctor inserted a nail to stabilize the bone from within. In contrast with the external fixator, Ayisheitu’s implant allowed her to move around right away, while enabling more effective healing. At her 6-month follow-up, Ayisheitu could squat and smile. At her 8-month follow-up, x-rays confirmed significant healing. SIGN Surgery gave Ayisheitu the gifts of mobility, healing, and hope!</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1618516982315-0YBLC841WRKN01QMUSRC/image-asset.jpeg</image:loc>
      <image:title>Patients</image:title>
      <image:caption>Chan was 16 years old when he was involved in a terrible road traffic accident in Cambodia. He sustained multiple injuries, including a broken wrist and femur. The internal damage to Chan’s abdomen was so extreme that his doctor had to remove his spleen. In the midst of such intense trauma, there was a bright spot of hope for Chan. His hospital had a SIGN Program, so he was able to receive low-cost surgery to insert a stabilizing nail into his femur and begin healing right away. At a follow-up appointment a year later, Chan’s doctor noted he was able to move normally, and x-rays showed that the pieces of his femur had joined back together properly.</image:caption>
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      <image:title>Patients</image:title>
      <image:caption>James was injured in a road traffic accident that broke his femur and tibia, leaving him with a “floating knee.” Only 7 years old, James needed to heal quickly so he would not miss too much school. Just one day after receiving SIGN Surgery during which two SIGN Pediatric Nails were placed, James was able to begin walking again, although he was afraid to. Thanks to the gracious support and quick healing James experienced, less than a month after surgery he was no longer afraid to walk. Confident and happy as ever, James returned to school. Less than a year after his injury, a SIGN Surgeon removed James’ implants. Even though, as a young boy, he grew a lot during this time of recovery, the SIGN Pediatric Fin Nails he received allowed his healing bones to continue growing at the same rate as his uninjured ones. Thank you for giving this gift of healing to James. His family calls it a miracle!</image:caption>
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      <image:title>Patients</image:title>
      <image:caption>Ayantu is a 12-year-old from Nekemte, Ethiopia. She fell from a tree while picking fruit, fracturing her femur. Her family took Ayantu to Nekemte Public Referral Hospital, where Dr. Baru Legesse used a SIGN Fin Nail to stabilize the fracture. When she came back to the hospital six weeks after surgery, her x-rays show that her bone is quickly healing and, as the photo reveals, her smile has been restored. Ayantu and her parents were grateful that the SIGN Implant had been donated, so they could afford the right treatment to care for her injury. The Fin Nail’s design also allows the bone to grow, so Ayantu will not be left with a lifelong deformity of a shortened leg.</image:caption>
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      <image:title>Patients</image:title>
      <image:caption>Dear Dr. Lewis Zirkle, I am writing to tell you how grateful I am that you were the doctor assigned to perform my operation at Southern Philippines Medical Center. The competency of you and your team was awe inspiring, and I couldn't have been luckier that you were scheduled to be in the Philippines and was able to do the operation. I was an ordinary patient of ordinary means with extraordinary illness but your team took care of me as if I was the most important person on earth. God knows how dreadful I and my parents were when we learned that I have fibrous dysplasia, a very much unanticipated illness. The fact that I am capable of walking better is a miracle. I know that you probably save a lot of lives in a given year, but I want to let you know that this life is forever grateful. I thank heavens for you have performed the operation excellently and the nightmare of my illness slowly became a dream of recovery. Thank you isn't enough for the outstanding care and kindness shown to me and my family by Dr. Zirkle, SPMC ortho doctors, the nurses, the whole surgical team and anyone else who was involved in my care. I can't thank or praise you all enough. It wasn't the medicines but your reassuring words which gave me the strength to pull through my illness. My testimonial is less of recognition of your professional expertise but I can vouch for the fact that your abilities are unmatched. I earnestly pray to God that when I reached 17 years old, I would still be given the same rare opportunity to have you as my doctor. Thank you so much. You are such a blessing. Your grateful patient, Ariane</image:caption>
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      <image:caption>Lopunja, 20 years old, was taking care of his family’s cows in rural northern Kenya when he was shot in the leg by cattle rustlers. After one day, he was brought to the hospital, where Dr. Daniel Sciuto immediately removed the bullet and cleaned the wound. Once he was sure there was no infection, Dr. Sciuto used a SIGN Implant to repair Lopunja’s fractured femur, and he was able to leave the hospital three days later. Lopunja returned to the hospital six weeks after surgery, and he his very happy. “He was very surprised that after only one month he could walk all day with the cows, says Dr. Sciuto. “He claims that since the operation he has eaten 100 goats to heal faster.”</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1579624074309-FTSETB2HJ0A1G72C6FJ0/John+Ric.png</image:loc>
      <image:title>Patients</image:title>
      <image:caption>John Ric, 17, was struck by a car and broke his femur. His family took him to the local hospital in Digos City, Philippines, but when they learned about the cost of surgery, they went home because there was no way they could afford it. Four months after his injury, he learned about donated SIGN Implants, and how they could help heal his injury and correct his deformity. SIGN Surgeon Jun Valera performed the difficult surgery and was amazed with the results. John’s left leg is still a bit short, but he is pain-free and has good range of motion. With a small shoe lift, he is able to walk normally. “John Ric is really a SIGN miracle,” says Dr. Valera. “I am thrilled for him and his family. He and his mother expressed their heartfelt gratitude to SIGN. Thank you very, very much.”</image:caption>
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      <image:caption>Ruth, a 14-year-old from Caracas, Venezuela, fell and broke her femur. Her family took her to a local clinic. The doctors there did not have access to intramedullary nails, and the plates they used were not strong enough to stabilize the fractured bone. A second surgery using plates also failed. Ruth faced the rest of her life with a left leg that was deformed, and would only get worse with time and growth. Fortunately, she ended up at Hospital Universitario de Caracas, which had just received a set of SIGN Instruments and Implants. The surgeons recognized that a SIGN Nail was the right treatment to stabilize her bone and enable healing. They were able to perform quick and effective surgery to help Ruth walk again.</image:caption>
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      <image:caption>John, a 17-year-old construction worker from Monrovia, Liberia, was riding in the back of a taxi that crashed. Initially, his family wanted to take him to a traditional bone setter, but doctors at John F. Kennedy Medical Center convinced them that a SIGN Implant was the best treatment and would enable him to walk sooner. He has fully recovered, and is now back to work laying floor tiles at a construction site, which is an important source of support for his family. “When I had the accident, I thought I would not be able to walk again. My family was devastated because I am a major source of support for them. However, the SIGN Team at JFK did extremely well and gave me hope. Less than 4 months after the accident, I am able to walk normally and I am very happy to be back to work. I extend my thanks and appreciation to the SIGN Team for performing this miracle. I will forever be grateful.”</image:caption>
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      <image:caption>Juliet, 30, was traveling in a taxi when the driver lost control and crashed into a hotel. Her leg was broken and her fingers crushed in the accident. She was rushed to a local hospital and transferred to Kumi Orthopaedic Center the next day. “When I saw the x-ray and I saw my femur was broken, I was worried that I couldn’t walk again,” Juliet recalls. “I thought they would either amputate my leg or when I recover I’ll walk while limping.” But her worries were calmed by Dr. John Ekure, who told her that a SIGN Nail was the ideal tool to treat her fractured femur. Dr. John performed SIGN Surgery, and Juliet was walking on crutches the following day. Juliet is grateful for the quick recovery that SIGN Surgery enables. “I have one daughter,” she says. “Now that I can walk, I think we shall even start running together.”</image:caption>
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      <image:caption>Dinka and Sifan had recently gotten engaged and were excited to share the news with their families. They boarded a mini-bus to their hometown of Ambo, Ethiopia, but two hours into the journey the bus collided with a delivery truck. Four people were killed in the crash, and Sifan and Dinka were rushed to the local hospital – but it was not equipped to deal with the severity of their injuries. The next day they were transferred to Black Lion Hospital in Addis Ababa, where SIGN Surgeons evaluated them. Dinka and Sifan each had a fractured femur, and they both received SIGN Surgery on the same day. As they waited for and recovered from their surgery, Dinka and Sifan were placed on different wards, but the hospital residents took notes back and forth so the young couple could stay in contact. Their injuries have fully healed, and they are excited to begin their lifelong journey together!</image:caption>
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      <image:title>Patients</image:title>
      <image:caption>Choeun Pheakday needed two SIGN Nails, in the femur and tibia of her left leg following a traffic accident. She had to undergo two separate procedures because her system was not strong enough to handle both at the same time. Dr. Bunn at Preah Kossamak Hospital in Cambodia. Despite her severe injuries, Choeun was able to stand and walk, and she was discharged from the hospital 10 days after her second surgery.</image:caption>
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      <image:caption>Sek Saroeun comes from a family of poor subsistence farmers. The 18-year-old moved from a rural agricultural province to the bustling capital of Phnom Penh to find work and help support her parents. Crossing one of the city’s busy streets on her way to work, she was hit by a taxi, and the force fractured her femur. The accident left her unable to work. Without her income, her whole family was stalled on the path out of poverty. Without SIGN, treatment via traction or cast would take up to three months — a long time to be without income and incurring hospital fees. But thanks to SIGN Surgery, she was discharged from the hospital within one week and back to work in one month.</image:caption>
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      <image:caption>Mary Ikoi, 26, is a mother of three and seven months pregnant. She lives in Torit, a rural community in South Sudan that has experienced widespread food insecurity, bordering on famine, since 2017. She had nothing to feed her children, so she climbed a tree to pick leaves that she could cook into a paste. She fell from the tree, breaking both of her femurs. She was totally incapacitated. Her family's already dire situation had become much worse. Four days after her injury, she was brought to Juba Teaching Hospital, where Dr. Mapuor Mading was able to fix both of her legs with SIGN Fin Nails. “I didn't know that I would ever walk again,” Mary says. “I thought the child in my womb would have a mother that could not walk.” Just 10 days after surgery, Mary is walking and her pregnancy is progressing well.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1562889286246-46HO4YNU21JC9J4URBIA/Safiel+Adam.jpg</image:loc>
      <image:title>Patients</image:title>
      <image:caption>Just a few days prior to his first day of school, Safiel Adam, 15, was involved in a road traffic accident, sustaining multiple traumas, including a fracture of the femur. He was taken to a hospital where all of his injuries were treated, except for his broken femur because the hospital did not have the implants needed. As a result, Safiel was put in traction, which failed to heal the fracture. He lay in the ward with his hope of joining his friends in secondary school diminishing more every day. SIGN Surgeon Dr. Billy Haonga met Safiel during an outreach camp visit to the hospital and treated his fracture using a SIGN Implant. “There are no orthopaedic surgeons down there,” Dr. Billy said. “We usually travel to their places and operate on them.” Safiel was able to return to school the following week.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1559260515392-EJB2EDWL65YGF0T76H1C/Evans+-+in+the+field.jpg</image:loc>
      <image:title>Patients</image:title>
      <image:caption>Four-year-old Evans was climbing a tree to pick fruit when he fell and fractured his femur. His family lives in rural northern Kenya, where they herd animals near Marsabit National Reserve. His parents were devastated to learn that their local hospital did not have capacity to perform orthopaedic surgery. After several days worrying that he would become disabled, their hope returned when the local hospital referred him to Cottolengo Mission Hospital. Surgeons were able to provide free surgery and the SIGN Implants needed to stabilize his leg. The healing process began immediately; Just six weeks after surgery, he can walk, run, and play. Like any young child, he is full of energy. His doctors report that he’s even talking about climbing trees again.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1562889128150-5TQVE0JL6MWX4T4OSYSO/1703CB_0222.jpg</image:loc>
      <image:title>Patients</image:title>
      <image:caption>The first thing that Sao Thy, a father of four, thought about as he lay in the road following his motorbike accident is how would he be able to keep his children in school if he could not walk. Public schools require tuition in Cambodia and unpaid students are quickly dispatched from the rolls. “Education is the way to a better life for my children,” says Sao, 39. Four months after his SIGN Surgery, Sao was back at work and his children are still in school.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1564761652484-LPWUSX2BDDS8X0EDH3AD/Lipi.JPG</image:loc>
      <image:title>Patients</image:title>
      <image:caption>When she was 16 years old, Lipi had an accident that fractured her femur. She was treated with an intramedullary nail, but it became infected. She endured four unsuccessful surgeries at a local hospital. Her femur was shortened 3 inches by these treatments. Lipi’s family had used all their resources for those unsuccessful surgeries. She came to NITOR in Dhaka, Bangladesh, begging for her leg to be amputated. Dr. Hossain met with her and convinced her to try one more surgery. With a donated SIGN Nail and a technique he learned at the SIGN Conference, Dr. Hossain was able to stabilize her fracture and extend the bone to its proper length. Lipi, now 20, is able to walk with a crutch, and her x-rays show that her bone is healing. “She was so happy that she cried,” Dr. Hossain says. “After 4 years, she can walk with both limbs.”</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1562888400946-K510DCLQ3ZAX1C651U2O/Marwa.jpg</image:loc>
      <image:title>Patients</image:title>
      <image:caption>Marwa lives in southern Afghanistan, and her village is the only one in the region that allows young girls to attend school. At age 13, she broke her leg, Her parents took her to the local bonesetter, who attempted to stabilize her fracture using wood and egg carton wraps. His efforts were unsuccessful, leaving her disabled. She found her way to Dr. Ismail Wardak, who presented two options to treat her injury—a spica cast or surgery. Despite being afraid of injections and medical procedures, Marwa opted for surgery because she could heal and get back to school sooner. Dr. Wardak used the SIGN Pediatric Fin Nail to stabilize her fracture and start the healing process. Just a few weeks later, Marwa was back in the classroom with her friends. If she had opted for the cast, she likely would have been out of school for three months. “She was so happy to continue her lessons,” says Dr. Wardak.</image:caption>
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1564766137410-KBII35H63TG2F84J7HBL/squat-and-smile-lady.png</image:loc>
      <image:title>Patients</image:title>
      <image:caption>woman in SIGN’s squat and smile pose which demonstrates healing from a broken leg</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1564767283018-MOQX9TESLN9KKCJU4531/squat-and-smile-guy.png</image:loc>
      <image:title>Patients</image:title>
      <image:caption>young man squatting with legs bent and arms extended</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/videos-for-clooney</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2024-01-23</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1615829581062-60OJJQGYC1LUIPUU9GON/image-asset.jpeg</image:loc>
      <image:title>Videos for Clooney - Walking in South Sudan (Copy)</image:title>
      <image:caption>Walking in South Sudan Mary was injured when she fell from a tree, breaking both femurs. She was 7 months pregnant at the time, and SIGN Surgery helped stabilize her fractures and helped her quickly walk again. Here, she returns to the hospital 2 years after surgery, walking and holding her young son.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/sp-videos</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2024-01-23</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1602706542901-UO685APVNOFRGP7WG2WM/image-asset.jpeg</image:loc>
      <image:title>Sponsor Videos - Leatherman Anthem (Copy)</image:title>
      <image:caption>Leatherman Anthem</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1602706599900-2P1FIK8ZBSU7ERJ528PU/image-asset.jpeg</image:loc>
      <image:title>Sponsor Videos - Riverpoint Medical (Copy)</image:title>
      <image:caption>Riverpoint Medical</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/traumahealers</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2024-12-18</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1618357801085-PPFHVMBTFY0TQULXEU7C/map%2B-%2Bwith%2Bsign%2Bprograms%2B-%2Boutlines.png</image:loc>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1618421691017-K2FR1NNOAKNKLISLBG4R/quest%2Bintegration%2Boct%2B2019.jpg</image:loc>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1618417463402-S9V5WDUXEWGIGMNXYLHQ/1606TZ_0108.jpg</image:loc>
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    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1618870651752-TA3GB6HJ4D04A4MPKNYW/IMG_20201228_122110_376.png</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/mission</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-05-16</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1561738198583-DE6YNI94MN7J9E334ENK/3-people-cutout.jpg</image:loc>
      <image:title>Mission</image:title>
      <image:caption>Two women and a boy sit and smile</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1562012470320-C49OQ1RKZDOR328CC91X/juliet-circle-green.png</image:loc>
      <image:title>Mission</image:title>
      <image:caption>woman from Uganda walks with crutch and arm in sling after car accident and SIGN Surgery</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1562008519050-R0MUMEEQCB4AKTO9QSWP/angelo-jun-circle-light-blue.png</image:loc>
      <image:title>Mission</image:title>
      <image:caption>SIGN Surgeon and patient give ‘thumbs up’ after successful surgery</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1562008453257-4JT5UNYTKKGT7L445HQQ/couple-circle---orange.png</image:loc>
      <image:title>Mission</image:title>
      <image:caption>Woman and man squat and raise hands while smiling, which demonstrates healing from broken leg</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1562007845611-HBFBXLRA0XY10JMB4GDG/image-asset.jpeg</image:loc>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/volunteer</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2024-01-25</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1562179922341-ELUO2Z9ZUA8JM6B0ASJ2/IMG_0687.jpg</image:loc>
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    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/trauma-healers-video-gallery</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2024-01-23</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1619651057940-9IMEHY36GTFBGWR1GVXB/image-asset.jpeg</image:loc>
      <image:title>Trauma Healers video gallery - Bonus - Dr. Norgrove Penny (Copy)</image:title>
      <image:caption>Bonus - Dr. Norgrove Penny</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1623874543891-MEOWEQ21JBKZ1LBAU7IK/image-asset.jpeg</image:loc>
      <image:title>Trauma Healers video gallery - Bonus: Dr. Lewis Zirkle and Jeanne Dillner (Copy)</image:title>
      <image:caption>Bonus: Dr. Lewis Zirkle and Jeanne Dillner</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1619650172437-K5KMKAGQOG0Y2UCIY5F8/image-asset.jpeg</image:loc>
      <image:title>Trauma Healers video gallery - Bonus - Kashmiri from Bangladesh (Copy)</image:title>
      <image:caption>Bonus - Kashmiri from Bangladesh</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1619651183562-A99RFHG8MURLJB1ZYGLN/image-asset.jpeg</image:loc>
      <image:title>Trauma Healers video gallery - Bonus - Dr. Jun Valera (Copy)</image:title>
      <image:caption>Bonus - Dr. Jun Valera</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1619651487146-H10CVZX66C0VJ62QPOHQ/image-asset.jpeg</image:loc>
      <image:title>Trauma Healers video gallery - Bonus - Dr. Robert Riviello (Copy)</image:title>
      <image:caption>Bonus - Dr. Robert Riviello</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.signfracturecare.org/about</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2026-03-27</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1563892391333-G79VL4979NLUCGSWRAN8/Dr.%2BZirkle%2Bseated%2Blecture.jpg</image:loc>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/9a308302-f8ab-42ec-ba43-b1f0dd8d2375/Sariah+with+background+copy.jpg</image:loc>
      <image:title>About SIGN - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1541626355267-K7R2FKT7J1FT8P6DVAC0/IMG_3570+Jeanne.jpg</image:loc>
      <image:title>About SIGN - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1561680593139-05TQ193MHHWB38EMC84Z/IMG_3604+Terry.jpg</image:loc>
      <image:title>About SIGN</image:title>
      <image:caption>portrait of SIGN Engineering Manager Terry Smith</image:caption>
    </image:image>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/251ef8f2-c4e4-4baf-af45-b2969628c79b/AFTER+-+Background+for+leadership+team+-+Angela.jpg</image:loc>
      <image:title>About SIGN</image:title>
      <image:caption>portrait of Sandy Brown</image:caption>
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1564701427093-U54PGO7YY2QZLCUDYUSS/Lori.jpg</image:loc>
      <image:title>About SIGN</image:title>
      <image:caption>portrait of Lori Maier</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5be1ef7889c1721eb4ad846c/1561617442051-NH70EEUCXFDUNEVG0YV2/IMG_3583+Brian.jpg</image:loc>
      <image:title>About SIGN</image:title>
      <image:caption>portrait of Brian Barnes, SIGN IT Manager</image:caption>
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    <image:image>
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