Background: Arthritic hip in children is a sequel of many hip disorders either being congenital, developmental or traumatic. Several surgical options are present for management. A lot of debate is present for hip arthrodesis vs arthroplasty. Both aim at eliminating pain. Patients and Methods: Prospective follow up of 17 patients (15 males and 2 females) 14 - 19 years old with arthritic hip. underwent hip fusion using either Cobra or locked anatomical distal femur plate. Hip was fused in 20-30° flexions with neither rotation nor abduction-adduction. Average at age surgery was 16.5 years. All patients were prevented from weight bearing on affected side for 1.5 months post operatively. Patients were evaluated postoperatively by serial x-rays immediate post-operative, 1.5 months, 3 months, 6 months and 12 months for the first-year then every 6 months starting from second year. Harris Hip Score is used for evaluating pain and hip function preoperative and post-operative at 3 months and 6 months post-operative. Results: The average follow-up was 1.5 years. 88.2 %showed union of hip fusion at 1.5 months while 11.8 % showed delayed union at 2.5 months post-operative. Only one case showed aseptic loosening of the screws at 9 months post-operative and metal removal performed. 76.5% of the cases showed increase in Harris Hip score by24-32. Two cases raised by40 points while remaining 2 cases got15 points improvements. Conclusion: Hip arthrodesis is still a good salvage surgical treatment for different conditions of arthritic hip in children for eliminating pain. It can be converted into Total hip replacement (THR) in late adulthood for possible avoidance of serial replacement revision surgeries due to wear process.