Your femur is the long bone in your upper leg — the one between your hip and your knee. It is the longest, heaviest, and strongest bone in the human body. Most adults have two of them, one in each leg, and they carry more load than any other bone you have.
When you stand, walk, or climb stairs, your femurs support nearly your entire body weight. That is a big job for a single bone, and it helps explain why femur fractures are treated as serious injuries.
Where Is the Femur Bone Located?
The femur sits in the thigh, running from the hip joint down to the knee joint. It is the only bone in that part of your leg, which is why your thigh has one large bone rather than several smaller ones.
At the top, the femur forms a ball that fits into a socket in your pelvis. That ball-and-socket joint is your hip. At the bottom, the femur widens and meets the shin bone and kneecap to form your knee joint.
Because it spans two major joints, the femur moves every time you bend your hip or knee. A stable femur is central to standing, walking, running, and almost every form of movement.
What Are the Parts of the Femur?
Anatomists divide the femur into three main regions: the upper end (near the hip), the shaft (the long middle), and the lower end (near the knee). Each region has distinct features, and knowing them helps explain how the bone works and how it can break.
The upper end includes the head, the rounded ball that sits in the hip socket. Just below the head is the neck, a narrower section that connects the head to the rest of the bone. The neck is a common fracture site, especially in older adults.
Two bumps called the greater trochanter and lesser trochanter stick out near the top. Several powerful hip and thigh muscles attach here.
The shaft is the long, fairly straight middle portion. It is thick-walled and built to handle bending and twisting forces.
The lower end flares into two rounded knobs called condyles. These sit on top of the shin bone and form the hinge-like part of your knee joint.
What Does the Femur Bone Do?
The femur has three core jobs: it supports your body weight, it anchors major muscles, and it helps produce red blood cells. These roles overlap, and together they make the femur one of the most important bones you have.
Weight-bearing. When you stand, the load of your upper body travels down through your pelvis, into the femoral heads, and down the shafts to your knees and feet. The femur is built to handle this load repeatedly, day after day.
Muscle attachment. Many of the strongest muscles in your body connect to the femur. Your hip muscles, your thigh muscles, and part of your buttock muscles all use it as an anchor point. Without a stable femur, these muscles could not move your leg effectively.
Blood cell production. Like other large bones, the femur contains marrow. Marrow is where your body makes new blood cells, including red blood cells that carry oxygen.
Why Is the Femur So Strong?
The femur’s strength comes from its structure and its material. Bone is not a solid block — it is a living tissue arranged in a way that resists both bending and compression.
On the outside, the femur has a dense layer of cortical bone. This outer shell is hard and tightly packed. It handles most of the bending and twisting forces.
Inside, the bone is more like a honeycomb, with a network of struts called trabecular bone. This inner structure adds strength without adding much weight. It is one reason a bone can be both light and remarkably tough.
Bone is also living tissue that constantly rebuilds itself. Specialized cells break down old bone and build new bone throughout your life. This turnover lets your skeleton repair small amounts of damage and adapt to the loads you place on it.
How Does the Femur Grow?
The femur grows from cartilage into bone during childhood and adolescence. At birth, much of the femur is still cartilage, a flexible tissue that gradually hardens into bone.
Growth happens at specific zones near each end of the bone, called growth plates. These plates are layers of cartilage where new bone is added, which is how the femur gets longer as a child grows.
Growth plates stay open until the end of the teenage years, then close as the bone reaches its final length. Once they close, the femur cannot grow longer. This is why adult height is generally set by the time growth plates fuse.
Because growth plates are the last part of the bone to harden, they are a weak point in children. Injuries near the end of a child’s femur need careful medical evaluation.
What Causes Femur Fractures?
A femur fracture is a break in the bone. It usually takes a lot of force to break a healthy femur, which is why these injuries most often follow car crashes, falls from height, or other high-energy events.
In older adults, the picture changes. Bone can become weaker with age, and a fall from standing height may be enough to break the hip or the upper part of the femur. This type of fracture is common and is treated as a serious event because it can affect a person’s ability to walk and live independently.
Femur fractures are not all the same. Doctors describe them by location and pattern:
- Hip fracture — a break in the upper femur near the hip joint.
- Shaft fracture — a break in the long middle section.
- Supracondylar fracture — a break just above the knee joint.
- Open fracture — a break where bone has pushed through the skin.
An open fracture and any suspected femur fracture are medical emergencies. They need urgent evaluation because of the risk of bleeding, nerve injury, and infection.
How Are Femur Problems Diagnosed and Treated?
Doctors diagnose femur problems with a physical exam and imaging. X-rays are usually the first test. In some cases, a CT scan or MRI gives more detail about the bone and surrounding tissue.
Treatment depends on the type and location of the problem. Many femur fractures need surgery to line the bone up and hold it in place while it heals. Surgeons often use metal plates, rods, or screws for this. Some fractures can be treated without surgery, but that decision is made case by case.
Healing takes time, and the timeline varies widely based on age, health, and the specific injury. Physical therapy is often part of recovery to help restore strength and movement. No single timeline applies to everyone, so a care team’s guidance matters more than any general estimate.
Beyond fractures, the femur can be affected by other conditions. Bone weakening from osteoporosis can raise fracture risk. Cancer that spreads to bone can sometimes involve the femur. These situations are managed by specialists and are not something to self-diagnose.
How Can You Support Femur Health?
You cannot exercise your way to a guaranteed strong femur, but the general habits that support bone health are well established. The basics are consistent across most clinical guidance.
Get enough calcium and vitamin D. Calcium is a key building block of bone, and vitamin D helps your body absorb it. Official dietary reference values give specific daily amounts by age and sex. Food sources include dairy, leafy greens, and fortified products, and supplements are an option when diet falls short.
Stay physically active. Weight-bearing activities like walking and strength training put load on bones, and bone responds to that load over time. This is one of the better-supported ways to support bone density.
Limit alcohol and do not smoke. Both are linked to lower bone density and higher fracture risk in large studies. This link is well documented.
Prevent falls. For older adults, reducing fall risk may matter more than anything else for avoiding a hip fracture. Things like removing tripping hazards, improving lighting, and reviewing medications with a doctor are common steps.
One point worth clarifying: bone density and bone strength are related but not identical. A bone density test measures how much mineral is in your bone, not its overall architecture. Two people with the same density reading can have different fracture risk. This is why doctors look at the whole picture, not one number.
When Should You See a Doctor?
Seek emergency care right away if you have severe thigh or hip pain after an injury, cannot bear weight on the leg, or see a limb that looks deformed or shortened. These signs can point to a femur fracture, which needs urgent treatment.
See a doctor sooner rather than later if you have ongoing thigh or hip pain, pain that wakes you at night, or a leg that feels weak or unstable without a clear cause. These symptoms have many possible explanations, and only a medical evaluation can sort them out.
Frequently Asked Questions
Is the femur the strongest bone in the body?
Yes, the femur is generally considered the longest, heaviest, and strongest bone in the human body. It is built to carry the load of your upper body during standing and movement.
How many femur bones does a person have?
Most people have two femurs, one in each thigh. Each one runs from the hip joint to the knee joint.
What is the most common femur injury?
Fractures are the most common serious femur injury, and hip fractures near the upper end are especially common in older adults. High-energy injuries like car crashes are a leading cause in younger people.
Can a femur fracture heal without surgery?
Some femur fractures can heal without surgery, but many need surgical repair to align the bone and hold it steady. Whether surgery is needed depends on the type and location of the break, so a doctor makes that call.

