ArticleUlusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES2026
Is long arm splinting sufficient in the nonsurgical follow-up of pediatric Type I and Type IIa supracondylar humerus fractures?
Article in Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundThis study aims to compare the radiological and functional outcomes of long arm casting versus splinting in the nonsurgical treatment of pediatric supracondylar humerus fractures classified as Modified Gartland type I and IIa.
methodsBetween January 2021 and January 2024, 112 pediatric type I and IIa supracondylar humerus fractures (SCHFs) treated nonoperatively with long arm splinting or casting were evaluated. Baumann angle and lateral capitellohumeral angle (LCHA) were measured pre-reduction, post-reduction, and at weeks 1 and 4. Outcomes were compared using Flynn's criteria.
resultsOf the 112 patients, 55 had type I (49%) and 57 had type IIa (51%) fractures (mean age: 7.51 years; 69 males, 43 females). Fractures were equally distributed between the right and left sides (n=56 each). Fifty-eight patients were treated with long arm splinting and 54 with long arm casting. Follow-up durations were similar between groups. In the splint group, the mean Baumann angle was 72.1° pre-reduction and 73.2° at week 4; in the cast group, it was 70.7° and 73.4°, respectively. Mean LCHA increased from 43.9° to 50.8° with splinting and from 42.4° to 50.1° with casting. A statistically significant difference was not observed for loss of reduction between the splinting and casting groups (p=0.475). No statistically significant differences were observed in LCHA (p=0.175), Baumann angle values (p=0.485), or Flynn scores (p=0.768) pre- and post-reduction in type I and type IIa SCHFs.
conclusionSplinting and casting yielded comparable clinical and radiological outcomes in nonsurgically managed Modified Gartland type I and IIa supracondylar humerus fractures. However, splinting stands out as a strong alternative due to its ease of application and lower complication rates.
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