Introduction: Paediatric femoral shaft fractures are common injuries in the age group treated by an orthopaedic surgeon. These fractures typically occur either in the early childhood when weak woven bone is changing to the stronger lamellar bone or at adolescence when children are subject to high energy trauma from motor vehicle accidents or from sports [1]. Femoral shaft fractures represent around 2.2% of all bony injuries in children. There are varieties of approaches to treat femoral fractures in the field of medical science. The aim of this study is to compare the outcomes between TENS and DCP approach for paediatric femur shaft fracture. Methodology: This was a prospective comparative study conducted at the department of Orthopaedics Surgery in Dhaka Orthopaedics Hospital, Dhaka, Bangladesh during December, 2017 to November, 2019. The ethical clearance of this study was obtained from the ethics committee of the hospital and a total of 23 children were enrolled in this study. The children were divided into two groups, TENS group n=14), DCP group (n=9). The collected data were analyzed using Statistical Package for Social Sciences (SPSS), software, version-23.0. Results: A total of 23 children aged 6-18 were enrolled in this study. Among the children 78 % were male and 22% were female. The mean age of the children was 10.7 years. In TENS group 9(63%) children fall from height and followed by 4(28%) got road traffic accident, and 1(7%) blunt trauma whereas in DCP group, 6(66%) fall from height and followed by 2(22%) got road traffic accident, and 1(11%) blunt trauma. In TENS group, 2(14%) children had radiologically comminuted fracture and followed by 3(21%) oblique, 9(63%) transverse whereas, in DCP group,1(11%) children had comminuted radiological fracture and followed by 2(22%) oblique and 6(66%) transverse In TENS group, the mean duration of surgery was 53.00 ±9.20 minutes while the mean duration of surgery in DCP group was 60.00±16.52 minutes, which was .....