Management plan of Fracture shaft of Femur in adultsExternal fixatorPlatingIntramedullary nailingExcessive soft tissue injuries with extensive contamination Medullary contamination Vascular injuryExtremely narrow marrow canal Fractures with previous malunion Fractures extending into perochanteric and metaphyseal region Ipsilateral fracture of neck and shaft of femurKuntscher'snailingInterlocking nailingTransverse fracture at isthmus Segmental transverse fracture of mid third of femurDiaphyseal fractures Severe comminution Oblique fractureSpiral fracture Segmental fracture with obliquity (Refer: Campbell's operative Ohopedics, 10th edition,pg no:2825-2854)