Background: The incidence of ipsilateral neck of femur with shaft of femur fracture was around 1–9%. The diagnosis of femoral neck fractures is frequently missed during the initial assessment due to more focus of femoral shaft fractures. There are hardly any literature regarding outcomes of ipsilateral neck and femur shaft fractures. The aim of the study is to assess the functional outcome of ipsilateral neck with shaft of femur fracture treated with cephalomedullary nail. Materials and methods: This is a prospective study done at Sri Ramachandra Medical College between April 2014 and December 2018 in the Department of Orthopedics. The inclusion criteria were patients above 18 years having ipsilateral neck with shaft of femur fracture. The exclusion criteria were isolated shaft or neck of femur fracture and patients who lost follow-up and open fractures. We had 15 patients who had full follow-up. The minimum follow-up was taken as 1 year. Patients' age group was between 24 years and 58 years with an average of 40 years. All the patients were followed up by modification of Wilde et al.'s Neer scoring system for outcome. Results: We had excellent results in five patients, seven patients had good results, and three patients had fair results. There was no poor result in our cases. In our study, 67% of the cases had no complications. The average time of union of the fracture was 25 weeks. Conclusion: Even though cephalomedullary nailing is technically demanding for ipsilateral neck of femur and shaft of femur fracture management, in our series with decent clinical outcome and fewer complications, it can be considered as an acceptable option in the management of these fractures.