Assessing the reliability of the modified Gartland classification system for extension-type supracondylar humerus fractures.

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Abstract

14. J Child Orthop. 2026 Mar 29:18632521261435431. doi: 10.1177/18632521261435431. Online ahead of print. Open supracondylar humerus fractures in children: Associated injuries and clinical outcomes. Emet A(1)(2), Armet G(1), Luck C(1), Aksoy T(1), Mendelson SA(1), Dede O(1). Author information: (1)Department of Orthopaedic Surgery, UPMC Children's Hospital of Pittsburgh, University of Pittsburgh, Pittsburgh, PA, USA. (2)Department of Orthopaedics and Traumatology, Etlik City Hospital, Ankara, Turkey. PURPOSE: Supracondylar humerus (SCH) fractures are common, but they rarely present as open fractures. This study aimed to evaluate the incidence, associated injuries, and postoperative outcomes of open SCH fracture management in the pediatric population. METHODS: Children with open SCH fractures treated at a single institution between January 2005 and January 2025 were included in this study. Electronic medical records were reviewed to collect demographic data, fracture characteristics, surgical details, and postoperative outcomes. All patients underwent wound irrigation and debridement, open-assisted reduction, and K-wire fixation under general anesthesia. Postoperative care included immobilization, follow-up for fracture healing and range of motion (ROM), and selective physical therapy. Data were analyzed using standard statistical methods, with significance set at p