Supracondylar fractures of the humerus in children.

Supracondylar fractures of the humerus in children were studied in Kuopio University Central Hospital during 1974-1984. The total number of the fractures was 86. Fifty-two patients were examined 13 months to 11 years after the accident. Only severe cases (grade 3 and 4 after Holmberg's classification) were included. Twenty patients were treated operatively, 17 with traction and 15 conventionally with reposition and plaster cast. The age of the patients at the time of the accident was from 21 months to 12 years and at follow-up from five to 23 years. The purpose of this study was to evaluate late results of these three methods. There was no statistical difference between the late results of the treatment groups. Regardless of treatment method careful reposition and controlling retention for both varus, flexion and extension and rotation deformities are essential for good end results.