We report eleven supracondylar fractures treated using the intramedullary supracondylar Nail (IMSN). The mean age of the patients was 72.7 years (56 to 87 years) and the mean period of follow-up was 11 months (range: 0.5 to 47 months). They were classified according to AO classification into Type A1 (7 cases), Type A2 (2 case), Type A3 (1 case), Type C3 (1 case). Clinical results were evaluated using Neer’s criteria: Excellent=8; Satisfactory=1; Failure=2. Factors which were associated with unsatisfactory results were not type of fracture and stability of distal locking screw, but the ratio of marrow width to nail width at the height of proximal locking screw. We treat supracondylar fractures with the supracondylar nail if its width is same as the marrow width.
