Diaphyseal femur fractures in children account for 1.4-1.7% of all fractures, and 7.6% of those involving the long bones. Diaphyseal femur fractures ratio between males and females is 2.6:1.Non-operative treatments such as Pavlik harness, traction, and Spica casting, and operative treatments such as sub muscular plating, elastic nails, rigid nails, as well as internal and external fixation. Elastic stable intramedullary nailing is getting popular for management of femoral fractures for children 5 years and older. In this study, 35 children aged between 6-15 years with diaphyseal femur shaft fractures were treated with elastic stable intramedullary nailing (ES1N). All patients successfully completed one-year follow-up and were included in the analysis. All the patients were managed with titanium nails. We based on our experience and results thus conclude that Titanium elastic nails can be considered better method of treatment regarding lesser rate of surgical wound complications.