There are some characteristics of fractures in children, and children with immature skeletal development (before the age of 14-18) should see a pediatric orthopedic clinic to prevent the receiving physician from ignoring the characteristics of children’s bones and blindly treating them as a reduced version of adult fractures, which may lead to adverse consequences. Children’s fracture is not a reduced version of adult fracture treatment. Children’s fracture is different from adult fracture, and the surgical methods and internal fixation devices used to treat adult fracture should not be applied to children’s fracture treatment, otherwise it will lead to many adverse consequences. Some doctors, without understanding the anatomical and physiological characteristics of children’s bones, blindly treat them as a reduced version of adults, which will not only increase the damage to the fracture, but also expand the treatment and lead to overtreatment. So what should be done for children’s fractures? Four major differences between children’s fractures and adult fractures Children’s fractures have many characteristics that distinguish them from adult fractures. First, more fractures occur in the upper extremities than in the lower extremities of children; second, because the joint area is the growing end of the bone, it is more fragile and generally has a high incidence of fractures in the near joint area, with the elbow joint being the most common; furthermore, children’s fractures are often combined with epiphyseal injuries, which can result in skeletal developmental deformities such as crooked, shortened and oblique bones, resulting in a high disability rate and the need for orthopedic surgery at a later stage. Finally, children’s bones are in the growth phase and heal easily after fracture. Therefore, the treatment methods for adult fractures are not suitable for children. Children’s fracture treatment: The conservative method is the main method. The vast majority of children’s fractures do not require surgery, but when they occur near the joint, especially when they injure the growth plate, they often require surgery to reset. Because of the strong plasticity of children, a certain range of angulation or displacement is allowed after fracture, and as the bones grow and are reshaped and reset, the bones will naturally return to their original shape. Therefore, children’s fractures are mainly treated by conservative methods such as manipulation, plaster or small splints, but surgical repositioning should be considered for unsuccessful manipulation. However, even in the case of surgical repositioning, there is a big difference between children and adults. In children, surgical repositioning is recommended to use bone splints or flexible intramedullary nails for fixation to avoid damaging the epiphysis of the bone end, which may adversely affect the growth and development of the child.