The treatment of diaphyseal fractures of the femur, like that of fractures of other limb segments has evolved considerably since the last world conflict. Orthopedic treatment, long advocated as the sole therapeutic method, has been largely supplanted by surgical treatment, in particular stable elastic medullary anchorage (ECMES) developed since the nancial school in children over 6 years of age .
In sub-Saharan Africa, as in the Central African Republic (CAR), a developing country, the treatment of diaphyseal fractures of the femur remains in the majority of cases orthopedic considering the very low income of parents, pediatric surgeons in small numbers and the unavailability of osteosynthesis equipment. The ECMES technique was first tested in Bangui in 2005 at the Pediatric Complex at the surgical clinic.
In this context, the purpose of this work is to assess the results of the different treatment methods used in the service.