Functional Outcomes of Pediatric Supracondylar Fractures of Distal Humerus Treated with Percutaneous Pinning
DOI:
https://doi.org/10.37018/HPPL5812Keywords:
Supracondylar fracture, Flynn’s criteria, Closed reduction, Percutaneous pinning, Functional outcomeAbstract
Background: Supracondylar humerus fractures are the most common pediatric elbow injuries. Closed reduction and percutaneous pinning (CRPP) remains the gold standard for displaced fractures. Functional outcome varies widely in different studies, which may be due to the type of fracture and time to presentation, and the criteria used to assess the functional outcome. The objective of the study was to determine the functional outcome of CRPP in children using Flynn’s criteria and to identify clinical predictors of outcome.
Methods: This Prospective descriptive observational study was conducted at a tertiary care centre over six months. A total of 110 pediatric patients with Gartland type II, III, and IV supracondylar fractures were included. Outcomes were categorized using Flynn’s criteria and further dichotomized into favorable (excellent/good) and unfavorable (fair/poor). Univariate logistic regression was performed to explore potential predictors of outcome.
Results: The mean age was 6.7 ± 2.4 years; with female patients comprising 58.2% (n = 64) and male 41.8% (n = 46) of the cohort. Excellent and good outcomes were observed in 78.2% and 12.7%, respectively. Postoperative infection (5.5%) and nerve injury (8.2%) were the most common complications. None of the evaluated clinical or surgical variables, including Gartland type, pin configuration, or timing of surgery, was significantly associated with outcome in univariate analysis.
Conclusion: CRPP is a safe and effective technique for managing pediatric supracondylar humerus fractures, achieving favourable functional outcomes. Preventing complications remains crucial for optimal recovery.
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Copyright (c) 2026 Saeeda Anwar, Siraj Ahmed Butt, Irshad Ahmed Bhutto, Shakeel Ahmed Memon, Talha Aslam, Syed Saad
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