Closed Reduction and Percutaneous Pinning of Pediatric Supracondylar Humeral Fractures

Video Description

Supracondylar humeral fractures are the most common elbow fractures in children requiring operative intervention. They are classified according to the Gartland system as nondisplaced (type I), displaced with hinging and the posterior cortex intact (type II), and completely displaced (type III). The standard treatment for type-II and III fractures is closed reduction and percutaneous pinning. The timing of surgery depends on the severity of the fracture and the presence of any neurovascular injury. Preoperative assessment of the neurologic and vascular status is imperative, and can be challenging in a young child.