Surgical reduction and internal fixation of supracondylar fracture of humerus

The humeral supracondylar fracture is the most common fracture in children. The vast majority of fresh fractures are treated by manual reduction with small splint fixation with satisfactory results. Some patients have severe swelling, and those who are not suitable for manual reduction can also be resolved with ulna olecranon traction. In addition, children (especially under 9 years old) have strong shaping ability. Even if the manipulative reduction is not satisfactory and the deformity heals, there is no need to rush to surgery. Any deformity that is consistent with the direction of elbow movement can be gradually corrected by itself during the growth and development process; while deformities that are perpendicular to the elbow movement, such as elbow inversion and eversion, permanent deformity can occur, and it can also be corrected after osteotomy . Therefore, fresh supracondylar fractures of the humerus rarely require open reduction.