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Backgrounds: Pediatric femur fractures comprise a major portion of fractures that are repaired in emergency rooms. Treatment options include conservative methods, and surgical methods. Different problems such as angulation, malrotation and shortening may be observed both treatment methods. Methods: In this study twenty-two pediatric femoral fractures which treated with external fixators in past five years were evaluated retrospectively. Advantages, and disadvantages of external fixation were investigated. Results: Results were satisfactory. In conclusion, external fixator application is an easy to perform and quick method. Conclusions: Despite some disadvantages, it may be one of the treatment methods that should be considered in the first plan in pediatric femoral fractures due to reasons such as short length of hospital stay, early mobilization, ease of family care, rapid child and family compliance, early return to school, and reduced treatment costs. [ABSTRACT FROM AUTHOR]