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Complications associated with the Seidel nail

C E Barnes1, T E Shuler

  • 1Department of Orthopaedics, Greenville Memorial Hospital, South Carolina.

Orthopaedic Review
|June 1, 1993
PubMed
Summary

The Seidel nail shows promise for humeral shaft fractures, but complications like iatrogenic fractures occurred in 46% of patients. Careful technique is crucial to minimize risks with this intramedullary device.

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Area of Science:

  • Orthopedic Surgery
  • Trauma Management

Background:

  • Humeral shaft fractures often require operative fixation.
  • Intramedullary locking devices offer a surgical option for these fractures.

Purpose of the Study:

  • To evaluate the clinical outcomes and complication rates associated with the Seidel nail for humeral shaft fracture treatment.
  • To identify specific complications and their potential causes.

Main Methods:

  • Retrospective review of 13 consecutive patients treated with the Seidel nail.
  • Analysis of operative reports and patient records for complications.

Main Results:

  • No nerve palsies or infections were reported.
  • A high complication rate of 46% was observed.
  • Complications included intraoperative comminution, instrumentation failure, and iatrogenic fractures due to underreaming.

Conclusions:

  • The Seidel nail can be used for humeral shaft fractures, but carries a significant risk of complications.
  • Technical factors such as pilot hole placement and canal reaming are critical for successful outcomes.
  • Further investigation into optimizing Seidel nail technique is warranted to reduce iatrogenic injuries.

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