Yaşar Samet GOKÇEOĞLU, Muhammed Furkan DARILMAZ, Taha Bedir DEMİR, Serkan BAYRAM, Emine Gül ÇAKMAK, Yavuz SAĞLAM
Acta Orthopaedica et Traumatologica Turcica - 2026;60(3):1-6
Objective: To compare clinical, radiological, and functional outcomes of casting vs. closed reduction percutaneous pinning (CRPP) in pediatric Gartland type 2 supracondylar humerus fractures. Methods: This retrospective single-center study included 34 children (mean age 7.9 +/- 2.1 years) with type 2 supracondylar fractures treated between 2015 and 2022. Patients were divided into 2 groups: cast immobilization (n = 20) and CRPP (n = 14). Demographics, radiographic parameters (Baumann angle, anterior humeral line, carrying angle), range of motion, and functional scores (modified Disabilities of the Arm, Shoulder, and Hand (DASH)) were assessed. Statistical comparisons were performed using t-test, Mann-Whitney U, and chi-square analyses, with significance set at P < .05. Results: No significant differences were observed between groups in elbow flexion (131.8 derece in the casting group vs. 131.3 derece in the CRPP group, P = .09), extension (1.1 derece vs. 0.3 derece, P = .08), carrying angle (12.4 derece vs. 14.9 derece, P = .32), Baumann angle (74 derece vs. 73.7 derece, P = .44), or modified DASH scores (5.8 vs. 5.0, P = .31). Loss of reduction occurred in 3 cast patients and 1 CRPP patient, but final outcomes remained comparable. Conclusion: Casting provides similar clinical, radiological, and functional outcomes to CRPP in Gartland type 2 supracondylar humerus fractures. Conservative treatment may represent an effective, less invasive alternative when anatomical reduction is achieved and maintained.
