Aim: the aim of the study is to show that the supracon-dylar nail, for fracture of distal femur has only advantage.

Materials and methods: Between 1996–2002 in our hospital we treated 25 fracture of distal femur with the supra-condylar nail. A.O. Classification A1=9, A2=6, A3=3 C1=4, C2=3, C3=0. Seven patients had and more than one fractures. We had two periprothetic fractures.

We used open reduction in 8 patients, and closed reduction in 14 patient. We follow up 23 patient, 2 of them had died 2 and 3 years after the operative treatment.

Result: The allayment of the leg was good in all patients. We saw callus formation in all fractures in 10–20 weeks (14 w.) no pseudarthrosis, no allograft had been used, no infection. The movement of the knee was full range of motion in type A fracture, and in type C was 100–110. We saw that all fracture united, we have no valgus or varus deformity.

Conclusion: Our result shows that the stability of the fractures of distal femur with supracondylar nail is very good method throw a small incision in type A, and C fracture.