Treatment of ipsilateral femoral neck and shaft fractures with the Russell-Taylor reconstructive nail

Twenty-seven ipsilateral femoral neck and shaft fractures were treated with the Russell-Taylor reconstructive nail. Follow-up ranged from 6-48 months (average: 23.6 months). Femoral neck fractures healed within an average of 3.7 months and femoral shaft fractures healed within an average of 4.8 mont hs. Complications included one case of avascular necrosis of the femoral he ad, a varus healing of one femoral neck fracture, and a rotational malalign ment of the femoral shaft in another case. There were no cases of hardware failure. The Russell-Taylor reconstructive nail allows concomitant hip and shaft fractures to be fixed with a single implant.