Conservative Versus Surgical Treatment of Gartland Type II Supracondylar Humeral Fractures in Children - Which One ?

NCT07558941 | Not Yet Recruiting DMC

• 1 other identifier: Supracondyler humeral fracture
• Study Type: interventional
• Target: 50
• Locations: 0 countries
• Sites: N/A

Brief Summary

The primary aim of this research is to compare the efficacy of conservative treatment versus surgical treatment for Gartland type II supracondylar humerus fractures in children. The comparison focuses on assessing differences in clinical outcomes functional recovery times, and complication rates between the two treatment groups.

Conditions

Humeral Fractures

Outcome Measures

Primary Outcomes (1)

• Functional outcome assessed by Modified Disabilities of the Arm, Shoulder and Hand (QuickDASH) score

  Functional outcome will be evaluated using the Modified QuickDASH questionnaire. Scores range from 0 to 100, with higher scores indicating greater disability.

  1 year

Secondary Outcomes (8)

• Elbow flexion range of motion (degrees)

  1 month, 3 months, and 6 months post-intervention

• Elbow extension range of motion (degrees)

  1 month, 3 months, and 6 months post-intervention

• Pain assessed using Visual Analog Scale (VAS)

  1 month, 3 months, and 6 months post-intervention

• Baumann angle (degrees)

  Immediately post-reduction and at 6 months

• Anterior humeral line alignment (normal/abnormal)

  Immediately post-reduction and at 6 months

Study Arms (2)

Conservative treatment

EXPERIMENTAL

Children with Gartland type II supracondylar humeral fractures will be treated conservatively using closed reduction followed by immobilization in an above-elbow cast . Patients will be followed up clinically and radiologically at regular intervals to assess fracture alignment, healing, and functional outcomes.

Other: Conservative treatment by casting

Surgical treatment group

EXPERIMENTAL

Children will undergo surgical treatment via Closed reduction and percutaneous pinning under general anesthesia. Postoperative follow-up will include clinical and radiological assessment of fracture healing, alignment, and complications.

Procedure: surgical treatment via percutaneous pinning UGA

Interventions

surgical treatment via percutaneous pinning UGA PROCEDURE

surgical treatment vis Closed reduction and percutaneous pinning under general anesthesia. Postoperative care includes clinical and radiographic follow-up to assess fracture healing, alignment, and potential complications.

Surgical treatment group

Conservative treatment by casting OTHER

Closed reduction of Gartland type II supracondylar humeral fracture under appropriate analgesia or anesthesia, followed by immobilization using an above-elbow cast. Patients will undergo regular clinical and radiographic follow-up to monitor fracture alignment, healing, and functional recovery.

Conservative treatment

Eligibility Criteria

• Age: 1 Year - 12 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Patients with Gartland type II supracondylar humerus fractures with age between 1-12 years old treated at the AUH

You may not qualify if:

• Gartland Type I, III, or IV fractures.
• Open fractures.
• Associated neurovascular injury (e.g., absent radial pulse, documented nerve palsy).
• Patients with another injury in the same limb
• Pathological fractures.
• Pre-existing elbow pathology or congenital deformity.
• Inability to comply with follow-up protocol.

Sponsors & Collaborators

• Assiut University: lead

MeSH Terms

Conditions

Humeral Fractures

Condition Hierarchy (Ancestors)

Arm Injuries; Wounds and Injuries; Fractures, Bone

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Resident doctor at orthopedic department

Study Record Dates

• First Submitted: April 18, 2026
• First Posted: April 30, 2026
• Study Start (Estimated): June 1, 2026
• Primary Completion (Estimated): June 1, 2028
• Study Completion (Estimated): August 1, 2028
• Last Updated: April 30, 2026

Record last verified: 2026-04