الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Femoral shaft fractures are common in children and adolescents. The standard for managing most of these fractures has always been conservatively with a period of traction to maintain the reduction until early stabilization by fracture callus followed by hip spica casting until fracture union. Early or delayed hip spica casting for pediatric femoral fractures produces excellent results in younger children and continues to be the treatment of choice, but in older children and in polytrauma children or after failure of conservative methods, operative is required
In the last 10 years the number is the preferred method of operative treatment in children.
The aim of our study is to evaluate the results of closed modified humeral intramedullary nailing in the treatment of Diaphyseal femoral shaft fractures in children.
We reviewed the anatomy of the femur, Biomechanics of Medullary fixation, the diagnosis and different methods of treatment of fractures of the shaft of the femur in children.
The work is based on a prospective study of 20 cases with 20 displaced diaphyseal femoral fractures ranging in age from 8 to 14 years with a mean age of10.75 years treated by closed modieied humeral nail using the antrograde technique as described . intramedullary nailing of femoral shaft fractures in children was primarily indicated in all children>10 years of age and children with head injury and other associated injuries and secondarily after failure of conservative treatment and in children for there are overriding psychological, educational or economic factors that make conservative treatment unacceptable to the patient’s parents.
At a mean follow-up of 14 months, the results were accepatable in (100%) and no case with unacceptable result was found.
Complications include significant overgrowth over one cm &superficial infection.