Source of Support: None, Conflict of Interest: None
We report the results of locked Seidel nailing for 25 fractures of the humerus. There were frequent technical difficulties at operation especially with the locking mechanism and reaming the medullary canal. Protrusion of the nail above the greater tuberosity occurred in 2 cases due to inadequate locking, and resulted in shoulder pain and poor function. Poor shoulder function was also seen in two patients with no nail protrusion, presumably because of local rotator cuff damage during insertion. During reaming we encountered splintering of distal fragment in two of our cases. Our results suggest that considerable modifications are required of the nail, regarding diameter and locking mechanism, before its use can be advocated in Indian population.