Objective: Locked intramedullary nailing is thepreferred treatment for femoral shaft fractures but itrequires a relatively expensive implant. Patients haveto pay for the specialized implants and those who couldnot afford the cost had open Kuntscher nailing. Thisstudy was done to see the outcome of open Kuntschernailing for femoral shaft fractures with regard toinfection, time to union, limb shortening, malunion andrange of motion at the knee.Method: Thirty-two patients with 34 femoral shaftfractures underwent open Kuntscher intramedullarynailing. Their average age was 23 years. Ten fracturesinvolved the upper third of the femoral shaft, 19 themiddle third and 5 the distal third. When categorizedaccording to degree of comminution there were 18 TypeI, 11 Type II and 5 Type III fractures. Comminuted typeIV fractures, per-trochanteric and supracondylarfractures were not included in the study.Results:  All 34 fractures healed on an average in 14weeks. One patient developed deep seated infection.There was one nail breakage at 10 weeks, whichrequired re-nailing. 6 patients had shortening of onecm or less. No patient had symptomatic rotatorymalunion. All patients could fully squat at one year.Conclusion: Kuntscher intramedullary nailing givesgood clinical results in fractures with minimalcomminution. Locked nailing is not essential for lessseverely comminuted fractures.Key words: Kuntscher nailing, femoral fractures