Study Background: Management of knee stiffness includes both operative and nonoperative. In both cases, physical therapy is important. Nonoperative treatments include physical therapy and home exercise programs. These are used to treat and minimize the flexion and extension deformities. Physiotherapy may include manual stretching, prolonged stretching using a tilt table, sandbag or weight over the distal femur, mechanical traction, passive range of motion exercises and joint mobilization techniques. The effectiveness of a given treatment to reduce stiffness is a function of applied torque, as well as the duration and frequency of the treatment. Objectives: To describe the characteristics of patients, to determine the prevalence, and to establish the management factors associated with knee stiffness in patients with fractures of femurs attending physiotherapy out-patient services at Moi Teaching and Referral Hospital (MTRH), Eldoret, Uasin Gishu County, Kenya. Methods: The study was carried out in the Physiotherapy out-patient clinic at MTRH. A descriptive retrospective audit of 48 patients’ folders (14 Females, 34 Males) during the period of July 2021 and June 2022 that fulfilled inclusion criteria was conducted, after approval by Institutional Research and Ethics Committee and Hospital Administration. Data was collected using prevalidated tool, and then analysis for the study variables was done using the Statistical Packages for Social Science (SPSS) computer software. The preliminary data was analyzed using descriptive statistics in the form of frequencies, means, and percentages and presented in the form of tables, pie charts and graphs. Results: Males (70.8%) exhibited higher prevalence of femoral fractures than females (29.2%) due to occupational hazards and high-risk activities. Middle-aged individuals (30-50 years) were most affected, primarily due to physically demanding jobs, while older patients (>50 years) experienced prolonged recovery due to degenerativ