From 1984, we have treated for unstable supracondylar fracture of humerus in children with external fixation. Of the total 60 patients, 26 patients attended the follow-up examination 3-15 years (average 8.6 years) after treatment. There were 19 boys and 7 girls, aged 2-13 years (average 7.2 years). The fracture were divided into three groups by Gartland classification. 11 cases (42%) of the fractures in this series were Type 2 and 14 cases (58%) were Type 3. There was none of Type 1. Moreover,

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... e included 1 transcondylar fracture into this study. 8 cases (31%) had nerve injuries at the initial time, however all patient with nerve injuries recovered completely at least within a several months. By Flynn's criteria, results were excellent in 21, good in 3 and fair in 2. There were no poor cases. There were none of cases with complaint and their inability. We had only one patient with cubitus varus deformity. We consider that external fixation is ideal for management of displased supracondylar fracture in children.