Source of Support: None, Conflict of Interest: None
A prospective study of 100 patients with femoral shaft fractures treated either with intramedullary nailing or in plaster spica after a preliminary period of traction; is reported. The time in bed, in hospital and to union were analysed as was the rate of recovery of the knee flexion. It is concluded that both methods have a place in management of these fractures and shortening was related to degree of comminution of fracture. Knee flexion has best chance of recovery if the patient is young, fracture involves upper or middle third of shaft and if it is internally fixed. Angulation in coronal and sagittal planes is very difficult to control during conservative treatment but can at times be difficult to control even after intramedullary nailing.