Background: Comminuted fracture shaft of femur are difficult to treat. Internal fixation with ordinary nail does nothold the fracture fragments while osteosynthesis with plates and screws docs not always produce stable fixation andinvolves an increased risk of infection. Methods: Thirty-six comminuted fractures shaft of femur were treated withclosed interlocked nailing. There were twenty closed and sixteen open fractures. Results: Thirty-six fractures unitedwithout additional surgical intervention. Average time to union was 34 weeks (range 26 to 64 weeks). 'In five patientssecondary bone grafting was done. Conclusion: Closed Interlocked nailing is the treatment of choice for mostcomminuted fracture shaft of femur.


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