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为了分析儿童肱骨内上髁骨折保守和手术治疗的疗效，为临床治疗提供参考。随访了７～１４岁肱骨内上髁骨折３２例。随访时间３～６年。平均４．５年。２１例保守治疗，１１例手术治疗。Ｘ线检查发现保守治疗组有５种肱骨内上髁形态的改变：假关节、尺侧沟、双骨骺、过度发育及高或低位内上髁。这些畸形对肘关节的功能影响不大，但１４例非骨性愈合中４例有活动后肘部不适，其中２例运动成绩受到影响，３例肘外翻不稳定，２例有尺神经症状，１例Ｔｉｎｅｌ征阳性。手术组无上述并发症。因此，对骨折闭合复位后移位大于５ｍｍ、并肘外翻不稳定者应手术治疗。
In order to analyze the curative effect of condylar fracture of humerus in children and surgical treatment, provide reference for clinical treatment. 32 cases of fracture of humerus medial condyle of 7 ~ 14 years old were followed up. Follow-up time of 3 to 6 years. Average 4.5 years. 21 cases of conservative treatment, 11 cases of surgical treatment. X-ray examination found that the conservative treatment group has five kinds of humeral medial condyle morphological changes: the pseudarthrosis, ulnar groove, epiphysis, over-development and high or low on the medial epicondyle. These deformities had little effect on the function of the elbow, but 4 of 14 non-bony healed patients had postoperative elbow discomfort, of which 2 were affected by motor performance, 3 were valvular unstable, and 2 had ulnar nerve symptoms , 1 case of Tinel sign positive. Surgical group without the above complications. Therefore, the closure of the fracture reduction after the shift greater than 5mm, and elbow valgus instability should be surgically treated.