The necessity of fixation in Gartland type 2 supracondylar fracture of the distal humerus in children (modified Gartland type 2A and 2B)

This study was conducted to evaluate the results of pinning versus conservative treatment in these two groups of patients. Patients with Gartland type 2 supracondylar fractures were categorized into two groups: the first group (type 2A) consisted of patients with Baumann angle (BA) differing from the uninjured side by less than 5°; the second group (type 2B) consisted of patients with BA difference greater than or equal to 5°. Statistical analysis was performed between the two groups. In type 2A, we also analyzed the data on loss alignment in patients who had undergone closed reduction without fixation to clarify the necessity of fixation. Type 2A fractures had a median BA difference from the uninjured side of 3°, a median lateral capitellohumeral angle (LCHA) difference from the uninjured side of 19.5°, and a shaft condylar angle (SCA) difference from the uninjured side of 18°. Type 2B fractures had a median BA difference of 8°, an LCHA difference of 27°, and an SCA difference of 28°. The BA, LCHA, and SCA differences were statistically significant (P
Source: Journal of Pediatric Orthopaedics B - Category: Orthopaedics Tags: Trauma Upper Limb Source Type: research