Necessity of Vascular Surgical Intervention in Pulseless Supracondylar Fractures in Children

The main idea of the study is to evaluate and compare procedures and results in the treatment of pulseless supracondylar fractures in specialized pediatric surgery and traumatology departments.

Inclusion Criteria: * Age 0 to 15 years at the time of injury. * Isolated displaced supracondylar fracture of the distal humerus (Gartland type II or III). * Absence of a palpable radial pulse documented immediately after closed reduction and K-wire fixation. * Minimum documented clinical follow-up of 12 months. Exclusion Criteria: * Patients who regained a palpable radial pulse immediately after orthopedic reduction. * Pathological fractures or fractures associated with systemic connective tissue disorders. * Incomplete medical records preventing the assessment of the primary outcome at 1 year. * Open supracondylar fractures of the distal humerus. * Other associated injuries of the upper extremity.