Pediatric proximal femur fractures are rare injuries resulting from high-energy trauma. The anatomy and blood supply of the proximal femur in the skeletally immature patient differs from that in the adult patient. Generally, these fractures result from high-energy trauma and are categorized using the Delbet classification system. Complications associated with these injuries including avascular necrosis, non-union, coxa-vara, and premature physeal fusion. This review summarized the progress in the treatment of proximal femoral fractures in children on the basis of the latest literature and reviewed in terms of the anatomical characteristics, treatment and postoperative complications.