Abstract
Paediatric femoral shaft fractures account for less than 2% of all fractures in children. Modalities of treatment vary mostly according to age, with fracture pattern and site having a lesser impact. There appears to be some consensus in that the method we choose must lead to shortening the hospital stay, be comfortable for the patient, provide suitable stability to the fracture and have less complications. Trends in treatment have varied over time. Significant complications are relatively rare. Because of the limited rotational remodelling it is important to avoid malrotation.
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