Children fractures are common and they make up 25% of all pediatric injuries. The main characteristic of fractures in children is that they heal faster compared with adult bones, even though the healing process of callus formation is identical in its three phases: reactive, reparatory and remodeling phase. Unlike adult bone, pediatric bone is characterized by increased osteogenic activity, stronger periosteum, and bigger subperiosteal hematoma, that all contributes to faster callus fomation and reduces the time of consolidation. The importance of periosteum in bone healing is exceptional due to its osteogenic activity and periosteal circulation. Periosteal osteogenic activity is in direct correlation with age, so the healing process is very active after birth , and with each year it loses its activity. Healing time depends on the localization of the fracture as well as osteogenic activity, for example fractures of the upper limb heal faster than the lower limb fractures, and metaphyseal fractures heal faster than fractures of the diaphysis and epiphysis. Faster bone healing in children has its disadvantages too. There is an increased risk of unrecognized fractures and wrong coalesced fractures, which can lead to permanent deformities of the skeletal system, which may be manifested as a deflection axis or a shortened limb. Most pediatric fractures can be treated successfully by reposition and immobilization. Indications for surgical treatment are open fractures, multiple fractures, epiphyseal fractures, and fractures with burns.