Purpose of Study: To evaluate the results of our first consecutive cases using Fixion nail for treatment of femoral shaft fractures.

Materials and Methods: Thirty consecutive patients treated at our department with the expandable Fixion nail for femoral fractures were evaluated in a prospective study. Demographic, preoperative, operative and follow-up data was collected from admission and out-patients files. The pre- and post-operative X-rays were evaluated by two senior authors to determine fracture classification (AO/ASIF-CCF), union and healing. This data was inserted into excel file for statistics and evaluation.

Results: The average age was 36 years. Fourteen fractures were due to MVA, 10-falls, 2-crush injuries, 2-non-unions, 1-pathological and one from gunshot wound. Six fractures were open. Twenty eight were middle shaft fractures and two were distal. Three primary nail diameters were used 8.5mm, 10mm and 12mm.

All fractures healed at an average time of 9.2 weeks (5–26) and for the open fractures 19 (12–26) weeks. Hardware was removed in 8 cases with no complications. In two cases re-operation was needed. In one early case the nail was fractured and replaced. In the second case the bone was circlaged due to fragmentation around the fracture site and a bigger nail was inserted few days later (wrong smaller nail was inserted previously).

Conclusions: This preliminary clinical study demonstrates our experience treating femoral fractures with Fixion nail. We find this nail to be simple for use and with satisfactory healing and alignment results.