Abstract:[Objective] To introduce the surgical technique and preliminary clinical outcomes of a self-made double-pin rocker assist- ed closed reduction and anterograde intramedullary nail for femoral shaft fracture. [Methods] From January 2018 to March 2021, 13 patients received the above surgical treatment for femoral shaft fracture. As the proximal femoral medullar cavity was opened, a cannulated lever, the “gold finger” was inserted over the guide pin. Subsequently, two pin 3.0 mm in diameter were percutaneously placed in the appropriate posi- tion at the distal fragment of the fracture, and the self-made rocker was attached with the pins by tightening the end caps. Using the “gold finger” and rocker as the levers, the fracture was reduced, and maintained in reduced position easily under fluoroscopy, then the guide pins were passed through the fracture gap successful, followed by the main nail inserted and locked. [Results] All the patients had closed reduc- tion and anterograde intramedullary nail fixation performed successfully without serious postoperative complications, while with operation time of (100.4±12.8) min, intraoperative blood loss of (170.2±28.3) ml, and intraoperative fluoroscopy of (34.0±5.1) times. Clinical fracture healing time ranged from 12 weeks to 17 weeks with an average of (13.8±1.3) weeks. The VAS score significantly decreased from (3.5±1.0) at 3 days postoperatively to (0.4±0.7) at the latest follow-up (P＜0.001), while the KSS score significantly increased from (43.5±8.8) to (95.8± 2.6) at the final interview (P＜0.001). [Conclusion] This self-made double-pin rocker is beneficial to the closed reduction of femoral shaft fracture, therefore improve the efficiency of anterograde intramedullary nail fixation.