<prompt> Treatment of choice for fracture shaft femur in a 4 years old childGallows tractionHip spicaRussel tractionIntramedullary nail  <response>: 0-2 years : skin traction - gallow;s traction Bryant;s traction 2-10 years : most femoral fracture is seen in this group .here split Russell traction is useful 10-15 years : 90-90degfemoral skeletal traction or hip spica or both adults - traction : skinskeletal cast bracing Surgery - intramedullary nails can be used for fracture 2.5cm below the lesser trochanter to that 8-10cm above knee joint .it can be done immediately or delayed. Ref: Textbook of Ohopaedics, John Ebenezer, 4th edition, page no: 231 