David Seligson, M.D.

The GSH nail was created upon recognition of the need for a new surgical appliance to treat supracondylar fractures in elderly patients. Each existing method had drawbacks: Nonoperative care was debilitating; plate fixation was unreliable in osteoporotic bone; and the problem of the displaced intra-articular fracture was not solved with antegrade intramedullary nailing from the trochanter.

Upon recognition of these shortcomings, Drs. David Seligson, Stuart Green, and Stephen Henry collectively approached Smith and Nephew Richards about development of a new supracondylar nail. The GSH nail and methods of use integrate antecedent concepts involving intramedullary stabilization of supracondylar fractures. The GSH nail is made from stock of the Russell-Taylor Delta nail. It is fully cannulated, fitted to a driver guide, and has multiple holes for 6.5-mm interlocking screws.

Use of the nail has been expanded into younger patient populations with good results. In this segment, uses of the nail are explored, with emphasis on the importance of properly reducing and stabilizing the fracture.

References
1. Lucas SE, Seligson D, Henry SL Intramedullary supracondylar nailing of femoral fractures Clin Orthop 1993;296:200-206
2. Henry SL, Seligson D Management of supracondylar fractures of the femur with the GSH supracondylar nail: The percutaneous approach Tech Orthop 1994;9 (3):189-194
3. Seligson D, Been JN, Howard PA supracondylar fractures: An historical perspective Tech Orthop 1994;9(3):180-188

• Total Run Time: 12:23 minutes
• Catalog Number: 6015
• Publication Date: April 1996

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