Fracture of upper end femur form around 1% of paediatric fractures. They are caused by high energy trauma.
This xray is of a 3 years old child who suffered fracture of upper end of femur after he was struck by a bus. The child had presented to casualty with pain and swelling. There was associated tachycardia and anemia.
The xray of the child showed a displaced fracture of upper end femur. The child was put on Long Liston splint and

was operated for injury. Open reduction and internal fixation was carried out using dynamic compression plate and screws.
Child was put on double hip spica and had an uneventful postoperative period.
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