BACKGROUND– We evaluated the clinical and radiological outcome of titanium elastic nailing system is isolated, closed diaphyseal fractures of femur in children. METHODS– A total of 22 children between 5–16 years of age with isolated close; diaphyseal fractures of femur undergoing closed reduction and internal fixation with TENS was followed for six months. The clinical as well as radiological outcomes were analyzed. RESULTS– The mean angulations was 4+10 (0–6). 60 Valgus deformity was observed in 2/22 (9.09%) patients and 120 varus in 1/22 (4.54%) patient. Shortening of limb was seen in 2/22 (9.09%) and irritation at entry site in 16/22 (54.54%) of patients. None of the patients required early removal of the nails. When we analyzed outcome using Flynn’s criteria at week 24, we found that 12/22 (54.54%) had excellent grade where as 8/22 (36.36%) good and 2/22 (9.09%) had poor grades. CONCULSION: Isolated, closed, diaphyseal femoral shaft fracture in children achieves 90% success rates with minimal complications when treated with titanium elastic nails.