肱骨髁上骨折是儿童最常见的肘部骨折,多数新鲜骨折通过手法整复配合外固定获得满意疗效,少数严重移位的不稳定骨折或手法复位效果欠佳者则需手术治疗。自2007年3月以来,共收治此类患儿38例,均行手法复位经皮微创平行克氏针固定,疗效满意,现报告如下。1临床资料本组38例,全部为闭合骨折,其中男21例,女17例;年龄2~11岁;右侧18例,左侧20例;伸直型36例,屈曲型2例。伤后就诊时间为1~72h。合并血循环障碍者2例,全部为肱动 Supracondylar fractures of the humerus are the most common elbow fractures in children. Most fresh fractures are obtained by manual manipulation combined with external fixation, and a few severely displaced unstable fractures or those with unsatisfactory reduction effect require surgical treatment. Since March 2007, a total of 38 cases of such children were treated, all the manual reduction of percutaneous minimally invasive Kirschner wire fixation, the results are satisfactory, are as follows. 1 Clinical data 38 cases of this group, all closed fractures, including 21 males and 17 females; aged 2 to 11 years; 18 cases of right and left in 20 cases; 36 cases of straight type, flexion type in 2 cases. Post-injury treatment time is 1 ~ 72h. 2 cases of combined circulatory disorders, all brachial