SUPRACONDYLAR FRACTURES OF THE DISTAL HUMERUS IN CHILDREN

An audit of 32 displaced supracondylar fractures of the humerus in chi ldren treated at the Glasgow Royal Infirmary between June 1990 and Sep tember 1992 was carried out. Six fractures were classified as Grade 2 (one cortex intact) and 26 were Grade 3 (no cortical contact). All gra de 2 fractures were treated non-operatively with good results. Relativ ely poor results were obtained when displaced fractures were treated n on-operatively with manipulation and plaster immobilization. Seven pat ients underwent manipulation and percutaneous pinning but two develope d a cubitus varus deformity. Open reduction and internal fixation with two K-wires gave the best results with no deformity in ten patients. We therefore conclude that this is the optimal method of treatment in a hospital which deals with relatively few completely displaced fractu res, with the cosmetic appearance of the scar being minimized by a med ial approach.