Beyond Tradition: “Figure of 8” Casting for Gartland Type 1 and Type 2A Pediatric Supracondylar Fractures of Humerus: Video Technique

Introduction: In the treatment of paediatric supracondylar humerus fractures (SCHFs), Gartland Type 1 fractures are traditionally managed with in situ above elbow casting, while Type 2A fractures are treated with closed reduction and above elbow casting. Surgical Technique: This technical note introduces a novel “figure of 8” cast technique for Type I and 2A fractures. The technique aims to maintain fracture reduction while reducing the risk of compartment syndrome by avoiding placement of cast material in the anterior elbow crease. This innovative casting method has the potential to enhance the management of these fractures in children, providing a alternative to conventional approaches. Conclusion: “Figure of 8” cast technique presents a unique, easy-to-implement, and effective approach for treating Type 1 and 2A SCHFs in children, maintaining fracture reduction in 100–110° elbow flexion and minimizing the risk of compartment syndrome. Keywords: Compartment syndrome, figure of 8 cast, pediatric supracondylar humerus fracture.