Background Supracondylar humerus fractures are the most common fractures of the distal end of the humerus in children accounting for about 60% of all fractures in the elbow. Most of these fractures occur in children under the age of 10 years and usually between 5-8 years of age. Closed reduction with plaster of paris slab immobilization has traditionally been recommended for displaced supracondylar fractures, but loss of reduction and necessity of repeated manipulation is likely to go for malunion producing varus or valgus deformity of elbow and elbow stiffness. Open reduction and internal fixation have generally been reserved for specific indications mainly for an open fracture, a fracture requiring vascular exploration or an irreducible fracture. Methods This is a prospective observational comparative study on the functional outcome of supracondylar humerus fractures in children treated with radiographic assessment versus treated without radiographic assessment in the department of Orthopaedics, Mandya institute of Medical sciences, Mandya was done from April 2024 to March 2025. 60 patients with supracondylar humerus fracture children were included in the study and randomized into two groups. Patients treated with radiographic assessment were noted and considered into group I and patients treated without radiographic assessment were noted and considered into group II and the functional outcomes after treatment was compared and noted down in both the groups.

Gartland Type I and II Supracondylar Fracture, Kirschner Wires.