The structure of pediatric knee region is mostly cartilaginous. Although the resistance of cartilage to traumatic forces is weaker than the ligaments and tendons, pediatric knee injuries are generally occur as epiphyseal and avulsion fractures. Distal femur and proximal tibial epiphyseal and metaphyseal injuries, intraarticular osteochondral fractures, fractures of patella, tibial eminentia and tibial tubercule fractures are common fractures around knee in children. One should suspect an osteochondral fracture if the knee of a child becomes swollen and painfull with limited range of motion after the injury. Most of the injuries are diagnosed with plain radiographs but MRI is gold standart for visualizing the occult injuries and osteochondral fractures. Epiphyseal and intraarticular fractures require accurate reduction and stable fixation with minimal invasive methods to minimize the growth disturbance and articular dysfunction. Kirschner wires and screws are commonly used implants for fixation. Neurovascular injuries and compartment syndrome are early complications. Joint stiffness, growth disturbances that may cause leg length discrepancy, angular deformities and joint laxity as a result of avulsion fractures are main late complications.