The purpose of this paper is to report the technical problems, indications and contraindications of treatment by interlocked intramedullary nail in supracondylar fracture of the femur.

The authors analyEed 5 cases of femoral supracondylar fractures in patients who were treated by interlocked intramedullary nailing.

All 5 cases treated with interlocked intramedullary nail were obtained primary bone union.

According to Neers criteria, excellent result was achieved in 1 patient, satisfactory and unsatisfactory results in 2 patients, respectively.

In conclusion, we consider that interlocked intramedullary nail fit as follows:

1. Type A of AO classification.

2. In case of more proximally located fracture.

3. Supracondylar fracture of the femur with severe communited fracture of the ipsilateral femora diaphyses but unfit as follows;

1) Supracondylar fracture of the femur with severe osteoporosis.

2) In case of more distally located fracture.

3) Type C of AO classification.