Distal femur fractures are mostly caused by a high-energy injury mechanism. Managing these compound fractures with vascular injury can be a challenging task. Most surgeons agree that distal
femur fractures with vascular injury need to be treated operatively to achieve optimal patient outcomes. The effective surgical methods include external fixation and vascular repair, limb reconstruction
system if there is bone loss, Masquelet technique and Ilizarov distraction osteogenesis. Post traumatic limb reconstructive surgeries, non-union, infection, bone loss, shortening and for deformity correction,
Ilizarov is best operative technique to get excellent results.7 Common treatment for femoral nonunion with large segmental bone defect is difficult and complex.2

Keywords : Compound; Gustilo; Anderson