title: [The Seidel humeral nail in limited indications: pathological fractures, delayed union, pseudarthrosis and reconstruction].
abstract: The authors report 10 cases of Seidel locked intramedullary nailing of the humeral shaft for borderline indications (5 delayed unions, 2 complex nonunions, 2 reconstructions for tumor and a panmetastatic humerus). All delayed unions went to union in spite of unscrewing of the expanding screw in 2 cases. In cases of segmental reconstruction, union never occurred due to unlocking of the distal bolt by bone incompetence. Diaphyseal straightening was obtained, but not rotational stability. These elderly patients, in whom the osteoporotic bone is inadequate for plate osteosynthesis, were pleased with the result in comparison with their preoperative status. For pathological fracture, a painfree status is obtained. No subacromial impingement was observed.
authors.affiliation: Clinique Traumatologique et Orthopédique, Hôtel Dieu, C.H.U. Nantes, France.
authors.forename: G
authors.initials: G
authors.lastname: Pietu
authors.forename: J
authors.initials: J
authors.lastname: Letenneur
authors.forename: M
authors.initials: M
authors.lastname: Bourgade
mesh_terms: D000328:Adult; D000368:Aged; D001858:Bone Nails; D005260:Female; D017759:Fractures, Malunited / Q000601:surgery; D005598:Fractures, Spontaneous / Q000601:surgery; D005599:Fractures, Ununited / Q000601:surgery; D006801:Humans; D006810:Humeral Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011859:Radiography
vernacular_title: Le clou huméral de Seidel dans les indications limites: fractures pathologiques, retards de consolidation, pseudarthroses et reconstructions.