DOI: https://doi.org/10.36347/sasjs.2025.v11i12.001

Pages: 1074-1079

Background: Supracondylar humerus fractures are the most common pediatric elbow fractures and can result in significant functional and cosmetic complications if not managed appropriately. Early recognition, proper classification and timely intervention are essential to optimize outcomes. This study aimed to evaluate the management and outcomes of supracondylar humerus fractures in children treated at a district-level hospital in Bangladesh. Methods: This prospective observational study was conducted in the Department of Orthopedics, District Sadar Hospital, Rajbari, Bangladesh, from March 2023 to February 2024. A total of 80 children with radiologically confirmed supracondylar humerus fractures were included. Fractures were classified according to Gartland classification. Type I fractures were managed conservatively with above-elbow plaster casting, whereas Type II and III fractures underwent closed reduction with percutaneous K-wire fixation or open reduction if necessary. Results: The majority of patients were male (66.3%) and aged 6–9 years (42.5%). Type III fractures were most common (53.8%). Closed reduction with K-wire fixation was performed in 63.8% of cases, open reduction in 18.7% and conservative treatment in 17.5%. Early complications were low, including superficial pin-site infection (7.5%) and iatrogenic nerve injury (2.5%). At six-month follow-up, excellent or good functional outcomes were achieved in 85% of patients, while cosmetic outcomes were excellent or good in 86.3%. Conclusion: Supracondylar humerus fractures in children can be effectively managed with appropriate treatment strategies, predominantly closed reduction and percutaneous pinning, resulting in favorable functional and cosmetic outcomes with minimal complications, even in a district hospital setting in Bangladesh.