Objective: To determine the clinical effectiveness and safety of Ilizarov external fixation for the acute treatment of severely comminuted extra-articular and intercondylar fractures of the distal femur. Methodology: A total of 17 consecutive patients with complex fractures were treated. 16 patients complete their follow up. According to the AO/ASIF system, we had two patients with type A3, three patients had C1, while eight patients presented with type C2, where three patients were type C3fracture. In addition 3 cases of 16 had fracture tibial plateau.The mean follow-up was13 months. Results: Most fractures (14) healed primarily, while the other 2 cases need autogenous iliac graft. The mean range of flexion of the knee at the final follow-up was 54.97, SD 37.13 (0-110) degrees. Conclusion: We conclude that, in the treatment of comminuted fractures of the supracondylar femur, the Ilizarov fixator is safe and effective in providing stability and allowing early rehabilitation.