Two-hundred fractures of the upper femur were treated with the Bousquet nail-plate system between July 1977 and June 1981. One-hundred and twenty of these patients--37 males and 83 females, aged 26-96 years, constitute the material of the present study. Ninety-eight fractures were trochanteric, nineteen sub-trochanteric, and three of the basal type. The follow-up time ranged from two to four years. The Bousquet nail and plate was found adequately to fulfil the mechanical needs of fractures of the trochanteric region. The operation is simple, safe and fast, and an appropriate angle between the nail and the plate can be easily selected. All fractures satisfactorily united in good position and no pseudarthrosis was observed. Mortality and rate of complications was comparatively low.