NEUROLOGICAL COMPLICATIONS AFTER SUPRACONDYLAR HUMERUS FRACTURES IN CHILDREN

Abstract

Background. Neurological complications remain one of the most significant and potentially disabling consequences of pediatric supracondylar humerus fractures. Early recognition, accurate reduction, and prevention of iatrogenic injury are critical for optimal recovery.
Objective. This study aimed to analyze the incidence, mechanisms, and outcomes of neurological complications in children treated for humeral fractures at Samarkand clinics between 2023 and 2025.
Methods. A total of 148 children aged 3–14 years were evaluated. The Gartland classification was applied, and neurovascular status was assessed pre- and postoperatively. Treatment included closed or open reduction with K-wire fixation.
Results. Neurological complications occurred in 12.1% of patients, most commonly affecting the median and ulnar nerves. In 83% of cases, full recovery was achieved within three months. The implementation of standardized neurovascular monitoring and protected medial pinning significantly reduced iatrogenic injuries from 6.5% (2022) to 1.8% (2025).
Conclusion. The integration of modern imaging, neurovascular assessment, and minimally invasive fixation techniques has improved safety and functional outcomes in children with humeral fractures. A multidisciplinary approach remains essential for preventing long-term neurological sequelae.