Ender nailing in fractures of the diaphysis of the femur.

Sixteen fractures of the diaphysis of the femur were nailed according to the Ender technique. Fifteen of these were of types for which Küntscher nailing was contraindicated. In five of the injuries a comminuted fracture of the femoral shaft was present, associated with a fracture of the proximal end of the femur. Most of the nailings were done closed. The time of surgery was short and the blood loss, small. All of the fractures healed and no major postoperative problems were noted.