目的 :综合比较四种不同方法治疗肱骨髁上骨折的临床疗效。方法 :采用四种不同治疗方法治疗 94例肱骨髁上骨折 ,3 4例采用手法整复石膏外固定 ,2 2例采用闭合复位交叉穿针内固定 ,18例采用切开复位交叉穿针内固定 ,2 0例采用切开复位钢丝张力带内固定 ,并随访术后骨折愈合情况、肘关节功能的恢复情况及肘内翻的发生率。结果 :手法复位石膏外固定组优良率为73 5 %。但避免了手术的再次创伤及手术并发症 ,经济负担低 ;闭合复位交叉穿针内固定组优良率 81 8%;切开复位交叉穿针内固定组优良率为 83 3 %;切开复位钢丝张力带内固定组优良率 95 %。结论 :对于无移位或轻度移位的稳定性肱骨髁上骨折 ,可采用手法整复石膏外固定。对于移位严重或伴有血管神经损伤者 ,可采用切开复位钢丝张力带内固定 Objective: To compare and compare the clinical efficacy of four different methods in the treatment of supracondylar humerus fractures. Methods: 94 cases of supracondylar fractures of humerus were treated with four different treatment methods, 34 cases were treated by external fixation with plaster, 22 cases were treated with closed reduction and internal fixation with screws, 18 cases were treated with open reduction and cross-needle internal fixation , 20 cases underwent open reduction and tension band fixation, and follow-up fracture healing, elbow recovery and the incidence of cubitus varus. Results: The excellent and good rate of manual reduction plaster external fixation was 73.5%. But avoided the operation of trauma and surgical complications, the economic burden is low; closed reduction cross needle wear fixation rate was 81 8%; open reduction and cross needle fixation rate was 83 3%; open reduction wire Tension band fixation rate of 95%. Conclusion: For the stability of humeral supracondylar fractures without displacement or mild displacement, plaster external fixation can be restored by hand. For patients with severe displacement or associated with vascular nerve injury, can be used to open reduction wire tension band fixation