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We treated 56 consecutive acute segmental femoral shaft fractures with closed static locked nailing. 12 nails were dynamized after 6 (5–10) months due to slow fracture healing and 5 united after another 5 (3–8) months. The other 7 required cancellous bone grafting and all healed uneventfully 6 (5–8) months after grafting. Since dynamization did not promote healing in most of our cases we suggest early cancellous bone grafting in cases of delayed union.
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