Method: 70 patients with diaphyseal femoral fracture were treated with retrograde Titanium elastic nail. 49 males and 21 females. Age group 6-12 years. The mean follow-up was 24 months. The mean hospital stay was 2.3 days. The final result were evaluated using the criteria of Flynn at al.

Result: All fractures united at an average of 10 weeks. The mean hospital stay was 2.3 days. There was no case of non-union. Return to school was with an average of 8.3 weeks. Irritation at nail insertion site was the most common complication. Final limb length discrepancy LLD were seen in 11% and significant malalignment was observed in 2 cases only. Overall result observed were excellent in 51, good in 17, poor in 3 patients.

Conclusion: TEN is an reliable, safe, and cost-effective implant for pediatric femoral fracture. It is relatively free of complication.