Fractures of the proximal femur in children include hip fractures and subtrochanteric fractures.Hip fractures in children are rare compared to hip fractures in adults and include 4 types (Type I or Transepiphyseal, Type II or Transcervical, Type III or Cervicotrochanteric and Type IV or Intertrochanteric).Hip fractures in children also differ from those in adults because a child can tolerate immobilization much more readily than an adult, and thus more choices for treatment are available including traction, spica cast and bed rest in addition to operative treatment. Hip fractures in children are known to associated with a high complication rate. A part from many other complications such as premature epiphseal closure, coxa vara and nonunion; avascular necrsosis remains the most serious complication. Subtrochanteric fractures in children may be stable or unstable, they are difficult to be treated closed methods due to the action of the hip muscles.