Early Fracture Alignment Correction and Its Association with Neurologic Recovery in Pediatric Supracondylar Humeral Fractures

Supracondylar humeral fractures are among the most common elbow injuries in children, accounting for approximately 60% of pediatric elbow fractures.1) While most displaced fractures requiring surgical management are treated successfully with closed reduction and pinning, neurologic complications occur in up to 10%-15% of cases, most commonly involving the median, radial, or ulnar nerves.[2][3][4] Although the majority of these nerve injuries resolve spontaneously over time, the duration until complete recovery varies widely and remains unpredictable.5) Recent studies have focused on identifying factors that influence the prognosis of neurologic recovery, including fracture type, displacement pattern, and the timing of surgical fixation.6,7) While early surgical intervention has been suggested to reduce ongoing nerve compression or traction and potentially shorten recovery time, the spe- Early Fracture Alignment Correction and Its Association with Neurologic Recovery in Pediatric Supracondylar Humeral Fractures