Abstract: In developing countries such as the Philippines, many patients rely on humanitarian aids to meet the expense of treatment for long bone fractures of the lower limb. In this descriptive cross-sectional study, we reviewed the midterm and long term outcomes (radiographic and clinical) of patients who were recipients of free implants from SIGN Fracture Care International, who have undergone open reamed interlocked intramedullary nailing of long bone fractures of the lower limb using the SIGN intramedullary nails with a minimum of 12 months follow-up. Radiographic results were scored using the Radiographic Union Scale for Tibial fractures (RUST) score and Functional outcomes were determined using 3 different patient-reported outcome measures. A total of 139 patients were included in the study of which, 100 (71.9%) patients involved the femur and 39 (28.1%) involved the tibia.