Abstract

• The supracondylar fracture of the humerus is the most common elbow fracture in children.
  There are much controversies for the treatment and variable and frequent complication such as cubitus varus and joint stiffness, etc.
  For the period of 3 years and 10 months from Mar. 1990 to Dec. 1993, 62 patients with supracondylar fracture of humerus were admitted and treated at the Department of Orthopaedic surgery, College of Medicine, Dong-A University Among them,34 patients who were followed up more than 6 months were reviewed retrospectively.
  The results are as follows
  1. The average age was 6.4 years and sex ratio of male to female was 3.9:1.
  2. The extension type was 79.4%, and flexion type was 20.6%. The ratio of left to right was 1.43:1
  3. The most common cause of injury is fall from a height in 18 cases (52.9%).
  4. The mean duration of bone union was 42.3 days.
  5. According to the Holnlberg classification, 3 cases belong to group I(8.8%), 9 to Group II(26.5%),10 to Group III (29.4%), and 12 to Group IV(35.3%).
  6. By Flynns criteria, the satisfactory results was in 31 cases(91.2%), and unsatisfactory in 3 cases (6.3%). In Holmberg classification, the higher severity, the higher joint stiffness made the prognosis worse.
  7. In conclusion, we believe that percutaneous pinning was a simple, effective method for treatment of displaced supracondylar fractures of the humerus, and the accurate anatomical reduction was required to prevent cubitus varus deformity, which is one of the most serious complication.
• Key words: Humerus, Supracondylar Fracture, Children

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