Background: Open fracture of long bones is still one of the difficult fractures to manage. It needs regular wound care, dressing and soft tissue cover which many a times become difficult due to external fixators. TENS nail provides excellent opportunity to temporarily stabilize the fracture as well as allows for wound care. Aim: To study clinical profile and recovery of patients with open fracture of long bones treated with TENS nail. Material and Methods: A total of 30 patients with Grade 2 and 3a open trauma, grade I fractures of long bones where internal fixation could not be done immediately and Grade 3b open trauma without gross contamination were treated with TENS nails and definitive surgery once wound heals. Patients were followed up for complications and recovery. Results: The average trauma-wound healing duration was 3.5±1.36 months. The average primary fixation to wound closure procedure duration was 18.4±3.82 days. No patient required realignment of fixation for Wound closure procedure of patient. No patients had infection after definitive surgery. 4 (13.3%) patients had union on TENS nail while majority of the patients (86.7%) required a definitive surgery. Conclusion: Better wound management, patient compliance, decreased hospitalization, low cost of implant and operative time with comparable wound healing time suggest that titanium elastic nailing can be a viable option in early management of open fracture long bone with some merit over other procedures.