In this prospective study. Sixty eight patients with supracondylar fracture of humerus were included. The diagnosis was achieved by clinical and radiological examination, detail history and thorough physical examination was performed to assess the patient generally and locally. We treated the cases by different ways according to type of fracture(Wilkin's classification ) as out or in patients by conservative or surgical treatment using different approaches,then follow up the patient to identify which manner gives an excellent results by clinical assessment of carrying angle and range of motion and radiological assessment of crescent sign and Bauman's angle. We found that male more than female and urban patients more than rural one, the dominant hand fractured less than non dominant, the surgery give more complications than conservative treatment. There is no difference between early versus delayed treatment of fractures. We found types 1,11 treated successfully by conservative treatment while type 111 with surgery give more complications, we were using either posterior or lateral approach the late one gives less complications.