Source of Support: None, Conflict of Interest: None
One hundred cases of fractures of the shaft of femur, ages ranging between 15-70 years, were managed by Intramedullary open (50 cases) or closed (50 cases) Kuntscherâ€™s nailing with the follow-up of 6-32 months. Closed Intramedullary nailing was better in transverse and short oblique fractures and also in upper and middle third femoral shaft fractures, while open nailing could be done in moderately comminuted and spiral fractures. Knee movements returned to normal earlier. Callus was seen early and post-operating complications were less in closed nailing. Radiation hazards to the operating team has to be taken into account over the advantages of closed nailing.