Vol. 4, Issue 3 (2018)

Abstract: Pediatric femoral diaphyseal fractures are still managed conservatively by many surgeons, due to rapid healing and remodelling of the deformities. They are often associated with various complications. The fractures of shaft femur ain children are treated with various types of traction for about three weeks by cast. There are two major drawbacks, one is prolonged bed rest which separates child from his routine activity which in turn adds to more cost of hospitalisation. But with the advent of Elastic stable Intramedullary Nailing [ESIN], such fractures can be treated with surgical treatment to minimise all the disadvantages. The closed surgical treatment of these fractures allows early weight bearing and walking which facilitates early bridging callus and rapid restoration of bone continuity.