Management of pediatric diaphyseal femur fractures has evolved significantly over the last 50 years. Nonoperative treatment with traction and immobilization was previously the mainstay of treatment. Due to the morbidity associated with prolonged immobilization and the development of fixation devices geared toward treatment of pediatric fractures, operative treatment is now more prevalent but is still age-ependent. Skeletal maturity and the potential for bony remodeling is a significant factor in guiding treatment.
Dickens, Aaron. "Management of Pediatric Femur Shaft Fractures." UNM Orthopaedic Research Journal 2, 1 (2013). http://digitalrepository.unm.edu/unm_jor/vol2/iss1/11