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NCT Number: NCT07488845

Management of Vascular Complications in Pediatric Supracondylar Humerus Fractures

* To determine the incidence and types of vascular injuries associated with pediatric supracondylar humerus fractures. * Identify outcomes of different management strategies * Identify risk factors for vascular injury

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Key information

Conditions

Vascular Complications Supracondylar Humerus Fracture

Age range

Up to 15 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Assiut University

Asyut, Egypt

About this study

Supracondylar humerus fractures are the most common elbow fractures in children. Because the brachial artery lies anterior to the distal humerus, displaced fractures can cause:

Arterial spasm, Intimal injury, Thrombosis, Entrapment or transection) Vascular injury risk increases significantly with higher Gartland classifications of supracondylar humerus fractures, peaking in Type III and Type IV injuries.

Vascular compromise can lead to ischemia, compartment syndrome, and long-term functional deficits if not promptly identified and treated.

The decision-making around "pink pulseless hand" remains controversial Some centers advocate observation after reduction, while others recommend early exploration.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • ● Children Diagnosed with supracondylar humerus fracture (Gartland I-IV) aged under 15 years.
  • Presented within 1st 48 hrs of injury.

Exclusion criteria

  • ● Old trauma >48 hours
  • Previous vascular intervention in the same limb
  • Another fracture in the same limb

Treatment and study plan

vascular exploration

Procedure

Patients with no pulse or distal doppler signals, and delayed capillary refill time will undergo immediate vascular exploration and injuries will be documented and managed accordingly.

Primary outcomes

  1. incidence of vascular complications in patients with supracondylar humerus fractures

    Time frame: baseline

Secondary outcomes

  1. Predictors of vascular complications in pediatric supracondylar humerus fractures.

    Time frame: baseline

Study contacts

Contact information is provided by the study sponsor or research team.

Hesham Elsayed Aboloyon

CONTACT

Mina Mamdouh Fakher

CONTACT

[email protected]

+201017243109

Sponsors and collaborators

Lead sponsor

Assiut University

Other

Registry information

Important dates

Study start
2026
Primary completion
2027
Study completion
2027
First posted
Mar 23, 2026
Registry last updated
Mar 23, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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