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Objective: Assessment of the functionality in patients with supracondylar fracture of femur managed with intermedullary tibial nails. Study Design: Case Series Study. Place and Duration of Study: We conducted a prospective cohort study for 6 months, from September 2021 to February 2022. Materials and Methods: 25 adult patients presented in the accidents and emergency department of Railway General Hospital, Rawalpindi. They were managed using tibial nail and their functionalities after the operations were managed using the Tegner-Lysholm Criteria measured at 2 weeks, 6 weeks, and 12 weeks till union achieved. Results: Five of our patients were females and twenty males. Average healing time was calculated at 15 weeks and 6 days approximately (2.646 SD) 24% (n=6) showed excellent healing, 48% (n=12) had good results and 28% (n=7) had fair results. We did not observe any complications. Conclusion: Tibial nails are convenient and effective to manage the patients with supracondylar fracture of ffemur and show good functional outcomes.