肱骨髁上骨折是儿童最常见的骨折,约占全身骨折的27%。临床上广泛使用Gartland分型,GartlandⅠ型肱骨髁上骨折仅石膏或小夹板固定即可,而对于GartlandⅡ、GartlandⅢ型骨折很多作者认为如果手术治疗,一旦产生功能障碍是永久性的,而非手术治疗即使产生功能障碍也只是暂时的,故闭合复位经皮穿针内固定是治疗儿童肱骨髁上骨折的主流[1,2]。但也有很多作者认为,对于手法复位失败、肿胀明显或合并神经血管损伤者,尽早选择手术切开复位内固定给患儿带来更大 Supracondylar humerus fractures are the most common fractures in children, accounting for 27% of total body fractures. Gartland type is widely used clinically, Gartland type I supracondylar humerus fractures can be fixed only gypsum or small splint, but for the Gartland II, Gartland type III fractures, many authors believe that if the surgical treatment, once the dysfunction is permanent, rather than surgery Even if dysfunction is only temporary, closed reduction and percutaneous pin fixation is the mainstay of supracondylar fractures of the humerus in children [1,2]. However, there are many authors believe that for the failure of manipulation, obvious swelling or merger of neurovascular injury, the early choice of surgical incision and reduction fixation will bring more children