Effect of Supination vs Pronation in Non-operative Treatment of Pediatric Supracondylar Fracture Humerus

Objective: to compare modes of the forearm (supination and pronation) in terms of elbow deformity after closed reduction and casting of supracondylar fracture humerus. Methodology: Prospective study was conducted at orthopedic surgery department of Nishtar Hospital Multan from January 2023 to February 2024. One hundred patients were included in study 45 treated in pronation position and 55 in supination position. Supracondylar fracture was managed with closed reduction and immobilization procedure. Outcomes were assessed through clinical and radiographic examination. Follow up was done till 8 months. SPSS version 23 was used for data analysis and p vale ≤0.05 was considered as significant. Results: In pronation, the type of fracture (I & III) was noted as n=32 (71.1%) and n=13 (28.9%), respectively. While in supination, type of fracture (I & III) was noted as n=40 (72.7%) and n=15 (27.3%), respectively. Conclusion:  there is a definite difference between two groups of management supination and pronation in the closed treatment of supracondylar humerus fracture regarding elbow malunion deformity.