A prospective study of 100 patients with fracture of shaft femur managed with intramedullary nailing at a level 1 trauma centre in a developing country set up was done. Patients had either Kuntscher nail or interlocking nail depending on financial status of the patient. Most of the patients were in the second and third decade and 87% of the patients were males. Road traffic accident was the etiology in all patients. The results were good in 73% and fair in 25% of patients. Intramedullary nailing with Kuntscher nail or interlocking nail is an excellent method of fixation of fracture of shaft of femur in a developing country set up. Introduction Various methods of fixation of femur include- intramedullary nailing (antegrade or retrograde), plates and screws. 1,2,3,4 A prospective study of 100 patients with fracture of shaft femur managed with intramedullary nailing at a level 1 trauma centre in a developing country set up was done. Material and Methods A prospective study of 100 patients with fracture of shaft femur managed with intramedullary nailing at a level 1 trauma centre in a developing country set up was done. Patients had either Kuntscher nail or interlocking nail depending on financial status of the patient (Closed or open). Patients were allowed to gradually weight bear only when there was significant bridging callus at the fracture site .Patients were assessed according to degree of knee flexion, duration of fracture healing and complications.(Table 1). They were followed for an average of 2 years.
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