Corradi M, Petriccioli D, Panno B, Marenghi P
Istituto di Clinica Ortopedica e Traumatologica, Università degli Studi, Parma.
Chir Organi Mov. 1996 Apr-Jun;81(2):189-95.
The results of treatment by Seidel locked nailing in 13 recent fractures and 4 nonunions of the humerus are reported. The feature common to all of the fractures was instability consequent to comminution or in the site of the fracture center. The 4 nonunions were originally fractures synthesized by Rush intramedullary nailing. The surgical method used an entry approximately 1 cm from the greater tuberosity through a well-vascularized area of the rotator cuff. All of the cases achieved consolidation and in 70% of the patients results were excellent with complete recovery of range of movement of the shoulder. Thus, the Seidel nail appears to be an intramedullary means of synthesis particularly suited to the treatment of unstable fractures and nonunion of the humerus because it guarantees stability, especially in rotation, superior to any other intramedullary means of synthesis.
报告了采用赛德尔锁定髓内钉治疗13例近期肱骨骨折和4例肱骨骨不连的结果。所有骨折的共同特点是因粉碎或骨折中心部位而导致的不稳定。4例骨不连最初是采用拉什髓内钉固定的骨折。手术方法是通过肩袖血管丰富区域，在距大结节约1 cm处进入。所有病例均实现了骨愈合，70%的患者效果极佳，肩部活动范围完全恢复。因此，赛德尔髓内钉似乎是一种特别适合治疗肱骨不稳定骨折和骨不连的髓内固定方法，因为它能保证稳定性，尤其是在旋转方面，优于任何其他髓内固定方法。
