.There is little controversy over the treatment of adult femoral fractures with intramedullary nail fixation.similarly,there is little controversy over the treatment of infants and toddlerswith femoral shaft fractures by using spica casting

Background:Femoral shaft fractures account for 1.6% of all pediatric bony injuries..Fixation of femur fractures in children by ender's nailing is becoming widely accepted because of the lower chance of iatrogenic infection and cost .The objective of the study was to study the functional outcome,duration of union and the complications following the use of ender's nail for femoral shaft fractures in children and adolescents. Material And Methods:Children between the age group of 5-16 years with femoral shaft fractures were admitted to osmania general hospital,afzal gunj,hyderabad in the period from october 2013 to october 2015.All patients underwent ender's nailing fixation for the sustained fracture.Patients were followed up between 3 months until 1 year after surgery. 20 cases were studied. Results: Time for union was 8 weeks in 25%,10 weeks in 45%,12 weeks in 30%.. Conclusion:Flexible intramedullary ender's nail leads to rapid fracture union by preservation of fracture hematoma and limited soft tissue exposure.It also helps in preventing damage to the distal femoral physis.Hence the conclusion is ender's nailing is an excellent technique for the treatment of diaphyseal fractures of femur in children aged 5 to 16 years.