Is casting as effective as pinning in Gartland type 2 supracondylar fractures?
ACTA ORTHOPAEDICA ET TRAUMATOLOGICA TURCICA, cilt.60, sa.3, 2026 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 60 Sayı: 3
- Basım Tarihi: 2026
- Doi Numarası: 10.5152/j.aott.2026.25750
- Dergi Adı: ACTA ORTHOPAEDICA ET TRAUMATOLOGICA TURCICA
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Directory of Open Access Journals, Biomedical Reference Collection: Corporate Edition (EBSCO)
- İstanbul Üniversitesi Adresli: Evet
Özet
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 chisquare analyses, with significance set at P < .05. Results: No significant differences were observed between groups in elbow flexion (131.8 degrees in the casting group vs. 131.3 degrees in the CRPP group, P = .09), extension (1.1 degrees vs. 0.3 degrees, P = .08), carrying angle (12.4 degrees vs. 14.9 degrees, P = .32), Baumann angle (74 degrees vs. 73.7 degrees, 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.