Source of Support: None, Conflict of Interest: None
Closed intramedullary nailing of the shaft of femur was carried out in 30 patients including four cases of segmental fractures. All patients were put on heavy preoperative traction. The operation was performed with the patient in lateral position and without reaming the medullary canal. Heavy traction was also applied per-operatively to secure alignment and reduction of the fracture. Two cases had to undergo open nailing as closed reduction could not be achieved per-operatively. Although the fixation of the fracture was not rigid but was adequate for early walking and partial weight bearing. No case of post operative infection was observed. Shortening was observed in five patients including two patients of segmental fractures. More than 75 per cent patients returned to work by the sixth month. On evaluation ninety per cent cases showed excellent to good results.