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In this study, we present the result of dynamic axial fixator (orthofix) for the treatment of 52 patients with femaral fractures that were followed on an average 39 months (min 14 months). 12 of the fractures (23%) were clased, and the 40 (77%) of the fractures were open. 9 (17%) femoral fractures were stable and 43 (83%) were unstable type. 2 cases of them dynamic axial fixator which were applied minimal osteosynthesis and were not given dynamic loading. 50 cases with stable fractures on an average of 4 weeks and unstable fractures 7.5 weeks were given dynamic loading. On an average complete healing and removal of fixator was 28 (20- 38) weeks. As minor complications 16 (6.5%) Schanze screw bending and 10 (4%) pin loosening occured. Pin tract infection rate was 19%. 7 (14.5%) of the 48 balı and socket type orthofix have shown mechanical insufficiency and those were replaced with the new ones. 12 out 52 of femur fractures observed major complications. 11 (21 %) cases had malunion, 5 (10%) had shortening (> 1 cm), 5 (10%) unable weight bearing completely, 7 (13%) had knee mo tion restriction, and 1 (2%) had nonunion. According to this treatment the success rate was 77% (40 patients). Orthofix tool may be useful for the treatment of certain femoral fractures. In order to avoid mechanical insufficiency it is advisable to prefer lengthening type orthofix. In addition to above mentioned points, fasciatomy of fascia lata, restoration of articular surface in intraarticular fractures, and strict followup and rehabilitation will help to achieve better results.