Pediatric diaphyseal femur and distal femur fractures may occur due to trauma, pathological bone disease, stress fracture or child abuse. Age of the child is the primary factor while deciding treatment options. However, other factors such as patient`s weight and height, fracture pattern and soft tissue should be taken into consideration. Diaphyseal femur fractures in patients younger than 6 months can be treated with spica cast or Pavlik harness. Fractures in patients from 6 months to 5 years can be treated with early spica cast. In children 5 years to 11 years with stable fracture and less than 49 kg, flexible intramedullary nailing can be used. Plate may be needed in unstable fractures. Fractures of femur in children older than 11 years to skeletal maturity can be treated with trochanteric entry intramedullary nailing. Nondisplaced distal femur fractures can be treated conservatively. In displaced fractures, external fixator, percutanous fixation-cast, open reduction-internal fixation can be used according to fracture pattern and soft tissue condition. In displaced Salter-Harris type 1-2 fractures and for nondisplaced Salter-Harris type 3-4 fractures, closed reduction and percutaneous fixation is recommended. Open reduction and fixation is the suggested treatment model for unreducible Salter type 1-2 and displaced Salter-Harris type 3-4 fractures. Fractures related to physis should be closely monitored, limb length discrepancy and angular deformity should be noted in every visit. Patient and parents must be informed about the possible complications.