Background: The management of femoral diaphyseal fractures in the age group of 6–16 years is highly debatable. Often treated conservatively, diaphyseal femur fractures are now increasingly managed surgically. Materials and Methods: Thirty–four children (29 boys, 5 girls) amid the ages of 5–16 years with femoral diaphyseal fractures, of which 6 were open and 28 were closed, were fixed using Titanium Elastic Nails (TEN). The fractures were in proximalthird (n=10), middle third (n=22) and in the distal third (n=2).Thirty–two patients underwent surgery within sevendays of their injuries. The result wasassessedby using Flynn‘s scoring criteria. With the help of Fischer‘s exact test, statistical analysis was completed. Results: All 34 patients were available for evaluation after a mean of 15 months (12–22 months) of follow–up.Radiological union wasseen in a mean duration of 8.9 weeks. Complete weight bearing waspossible by an averageduration of 8.8 weeks. The average duration of hospital stay was 11.2 days. The results wereexcellent in 23 patients (67.7%), successful in 6 (17.6%) and poor in 5 patients (14.7%). Conclusion: In properly screened patients, amid the age group of 6–16 years, with diaphyseal fracture of the femur, intramedullary fixation with titanium elastic nailing is quite an effective mode of treatment.