Abstract:Objective To investigate the application value of enhanced recovery after surgery (ERAS) and early postoperative rehabilitation in the treatment of humeral supracondylar fracture in older children. Methods A retrospective analysis was performed on the clinical data of 44 children over 10 years old undergoing closed reduction and internal fixation with Kirschner wire and plaster external fixation because of Lagrange-rigault stage Ⅲ and Ⅳ type supracondylar fractures of humerus.Twenty-three children treated with ERAS and early rehabilitation program(RT，RT was conducted immediately after internal and external fixation removed) from February 2018 to August 2019 were set as ERAS+RT group,and 21 children treated with conventional model from May 2014 to September 2017 were designed as control group.The time from admission to surgery,total hospital stay,the time of returning to the ROM required for functional activity of daily living(ROM-ADL),the time of returning to school and postoperative complications were compared between two groups. Results Compared with control group,the time from admission to operation ［(1.69±0.75) d vs (2.73±1.16)d］,hospital stay ［(5.00±1.63) d vs (8.47±3.27)d］,recovery time of ROM-ADL［(3.31±0.75) weeks vs (14.53±9.86) weeks］ and time of returning to school ［(4.30±0.75) weeks vs (16.27±9.83) weeks］ significantly decreased in ERAS+RT group (all P<0.01).No iatrogenic injury,ossifying myositis and other complications occurred in two groups. Conclusion ERAS combined with early rehabilitation is safe and feasible,and can significantly improve the rehabilitation of elbow joint following humeral supracondylar fracture in older children.