Abstract: Fractures of the femur due to increased road traffic accidents are on the rise and lead among orthopedic trauma conditions at Moi Teaching and Referral Hospital (MTRH). The best treatment is open surgery with fixation and stabilization using implants, mostly because fractures are either old or due to lack of equipment for closed or percutaneous surgery, leading to blood loss necessitating transfusion. MTRH experiences excessive blood cross-match relative to actual transfusion, wasting reagents and blood.