[Reconstruction with intramedullary femoral nailing (a new implant made by Medin, A.S. for synthesis of concurrent fractures of the femoral shaft and neck--preliminary report)].

The authors discuss indications for the use of a femoral reconstruction nail-synthesis of a diaphyseal fracture of the femur by an intramedullary nail with the necessity of concurrent treatment of cervical fracture or the necessity to safeguard by screws in the cervix a too short proximal fragment. The authors present short-term results obtained in a group of 13 clinical patients (followed up for 2-12 months, mean 6.6 months) who were operated using a Russel-Taylor reconstruction nail: 10 on account of a new fracture and the remaining three on account of complications of the original synthesis. The authors present the case-histories of three patients. They also describe attempts to produce a reconstruction nail in the Czech Republic, the price of which would be accessible for our departments. They submit also one case-history of the first casualty treated using a Medin reconstruction nail.