Reconstruction nailing for subtrochanteric fractures in the Pagetic femur

Three cases of subtrochanteric fractures in patients with Paget's disease are presented which were treated by closed intramedullary nailing using the Russel-Taylor reconstruction nail. In one case with severe deformity of the femur, diaphyseal osteotomy was required to enable implant insertion. All fractures (including the osteotomy) united. There were no operative or long-term complications and no implant failures. The reconstruction nail is ideal for such cases and has technical and biomechanical advantages over other implants.