<p><strong>Background:</strong> Femoral fractures are a common type of fracture brought on by large force impaction. This study's objective was to clinically assess the results of using an intramedullary femoral nailing system to treat femoral fractures.</p><p><strong>Methods:</strong> 32 patients with femoral fractures are included in this retrospective clinical trial. They are all treated with an intramedullary femoral nailing system made by Kaulmed private limited in Sonipat, Haryana, India. This system includes KN-1 advance nails (PFNA), KN-6 femur nails (retrograde Nails), KN-3 nails type II (gamma nails), KN-2F femur nails (expert femoral nails), and KN-5F universal intramedullary cannulated femoral nails. There were 32 patients, with 15 from one hospital and 17 from the other. The first hospital group consisted of 8 men and 7 women, with an average age of 32 years and the second hospital group consisted of 9 male and 8 female with mean age of 40.5 years. The fractures were categorized based on AO classification and pre-operative fitness was assessed using American society of anaesthesiologist (ASA Grade). The clinical effectiveness was evaluated using the VAS score and anatomical results.</p><p><strong>Results:</strong> Surgery was performed on 32 patients with at-least three post-operative follow-up visits in 180 days. No patient in any group complained after the final follow up about complications or hardware problems, and every patient's bone union was achieved successfully. Radiological outcomes also showed proper union at 6 months. </p><p><strong>Conclusions:</strong> In femoral fractures, the intramedullary femoral nail provides better results with a high rate of union and postoperative composure.</p>