Sixteen fractures of the diaphysis of the femur were nailed according to
the Ender technique. Fifteen of these were of types for which Kuntscher
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.