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We report our ten-year experience between 1993 and 2003 in 291 children. <\/jats:p><jats:p> Most fractures (285; 98%) were extension injuries, mainly Gartland types II (73; 25%) and III (163; 56%). Six (2%) were open fractures and a neurovascular deficit was seen in 12 (4%) patients. Of the 236 children (81%) who required an operation, 181 (77%) were taken to theatre on the day of admission. Most (177; 75%) of the operations were performed by specialist registrars. Fixation was by crossed Kirschner wires in 158 of 186 (85%) patients and open reduction was necessary in 52 (22%). <\/jats:p><jats:p> A post-operative neurological deficit was seen in nine patients (4%) and three (1%) required exploration of the ulnar nerve. Only 22 (4%) patients had a long-term deformity, nine (3%) from malreduction and three (1%) because of growth arrest, but corrective surgery for functional limitation was required in only three (1%) patients. <\/jats:p>","DOI":"10.1302\/0301-620x.88b3.16425","type":"journal-article","created":{"date-parts":[[2006,2,23]],"date-time":"2006-02-23T22:22:55Z","timestamp":1140733375000},"page":"362-365","source":"Crossref","is-referenced-by-count":72,"title":["Supracondylar humeral fractures in children"],"prefix":"10.1302","volume":"88-B","author":[{"given":"J.","family":"Mangwani","sequence":"first","affiliation":[{"name":"Colchester General Hospital, Turner Road, Colchester CO4 5JL, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Nadarajah","sequence":"additional","affiliation":[{"name":"Queen Elizabeth Hospital NHS Trust, Stadium Road, Woolwich, London SE18 4QH, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. M. 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