الفهرس 
Introduction
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Abstract
Background: Few epidemiological studies have been published on femoral shaft fractures. Although demographic data of the patients have been analyzed, little attention has been paid to the characterization of fracture pattern using morphologic classification systems. In our country, true incidence, distributions and pattern of femoral shaft fractures are not accurately known. Objective: To study the epidemiology of femoral shaft fractures among trauma hospital admission. Methods: A retrospective chart review was conducted of 890 femoral shaft fractures managed at Mansoura Emergency Hospital between January 1999 and December 2001. Results: Femoral shaft fractures account for 5.6% of all trauma hospital admission. The highest risk of injury occurred among male (70.4%), children below 17 years old (50%) , adults between 18 to 29yearoldage group (15%) and in January . The most common cause of femoral shaft fractures was motor vehicle accidents (48%) in adults and (21%) in children and falls caused 54% of femoral shaft fractures in children and 75% after age of 60 years old. The rate of associated injuries was 34.5% . The commonest level of femoral shaft fractures was middle third (50%), commonest types was oblique fractures (32%) and A2.2 fracture (17%) and open fractures in (9%). The majority of the patient (64%) were treated operatively and (36%) were treated conservatively. The most common methods of operative treatment in adults were interlocking nail in (21%) patients and the most common methods of operative treatment in children were platting. Conclusions: These results heighten the awareness among medical personal to femoral shaft fractures and serve as baseline against which future information compared demonstrating the effectiveness of protective programs. Recommendations: Effort should be increased to decrease cause of injury improve registration system and to widen hospital capacity.