Supracondylar humerus fractures. Current trends and controversies.

Abstract

Supracondylar fractures of the humerus are one of the largest sources of serious problems and treatment controversy in childhood fractures. Improved understanding of the injuries to both the bone and soft tissue has contributed to improved outcomes. These fractures remain challenging to even the most experienced physician. This article reviews the pertinent biomechanics, outlines treatment principles, illustrates our reduction and percutaneous pin fixation technique, and highlights the major areas of controversy.