Outcomes of closed reduction and percutaneous pinning in pediatric supracondylar humerus fractures: A case series and review of literature

Abstract

Introduction: Supracondylar humerus fractures are the most common elbow injuries in children, usually caused by falls on an outstretched hand. Treatment options range from closed reduction with immobilization to surgical fixation with Kirschner wires (K-wires). Closed reduction with percutaneous pinning is preferred as it provides stable fixation, maintains reduction, and minimizes complications such as cubitus varus and neurovascular injury. Methods: This retrospective study included 68 children (aged 2-15 years) with supracondylar humerus fractures treated at a level-one trauma center between January 2020 and September 2023. All patients underwent closed reduction and percutaneous pinning under general anesthesia, followed by immobilization in a long arm slab. Postoperative care involved neurovascular monitoring and regular radiographic evaluations. K-wires were removed after 4-6 weeks, with follow-up continued for at least 3 months. Functional outcomes were assessed using the modified Flynn’s criteria. Data were analyzed using SPSS, with significance set at p