Retrospective surgical outcomes of Gartland type III supracondylar humeral fractures with absent pulse in children - Takeaways - MDSpire

Retrospective surgical outcomes of Gartland type III supracondylar humeral fractures with absent pulse in children

  • By

  • Maria Rizzo

  • Sabrina Carbone

  • Michela Saracco

  • Fabio Spinetti

  • Emanuela Asunis

  • Gianluca Colella

  • Anna Petrone

  • Gaetano Mignano

  • Fabio Schiano

  • Liberato Carbone

  • Massimo Mariconda

  • June 15, 2026

  • 0 min

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  • 1

    Gartland type III supracondylar humeral fractures in children require urgent treatment due to high neurovascular injury risk.

  • 2

    Vascular compromise occurs in 5%-15% of cases, often involving the brachial artery, with presentations ranging from complete ischemia to pink pulseless hand.

  • 3

    In this study, 12 children were analyzed, with 10 presenting ischemia requiring vascular exploration and 2 managed conservatively.

  • 4

    Outcomes showed satisfactory results, but 50% of patients developed angular deformities, and complications included nerve neuropraxia and compartment syndrome.

  • 5

    Management should focus on limb perfusion rather than pulse status, allowing safe observation for patients with preserved perfusion.

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