Background: Fractures of the shaft of femur are one of the commonest fractures of the lower extremity with significant blood loss and pain and requiring hospital admission. These injuries may result in long–term disability among the survivors. This case report describes the outcomes of a patient following surgical fixation of mid–shaft femoral fracture and rehabilitation program focusing on early weight bearing and strengthening of thigh muscles.

Case Report: The subject was a 22–year old male driver who sustained a fracture of the right femur in an accident while driving. The patient was treated with surgical fixation of the right femur using intramedullary nailing. Following surgery patient complained of decreased quadriceps strength, hip abductor strength, decreased range of motion (ROM) and gait disturbance. Rehabilitation focused on muscle strength, improving ROM with exercises for hip, knee, ankle with early progression.

Conclusion: Early rehabilitation following surgical fixation of midshaft femoral fracture focusing on early weight bearing, strengthening of quadriceps and hip abductors and knee ROM may result in decreased impairment, decreased disability and improved functional outcomes.