Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
Epidemiology, management patterns, and complication profile of pediatric supracondylar humerus fractures in Makkah: A retrospective analysis
Abdulaziz A Abdulaziz, Department of Orthopedic Surgery, King Faisal Medical Complex Taif, Taif 26514, Saudi Arabia
Hasan Mohammed Jafar, Adnan Taha Samman, Department of Orthopedic, Al-Noor Specialist Hospital, Makkah 24242, Saudi Arabia
Abdulkaleq H Almatari, Mutaz Mohammednoor Alsulaimani, Elbaraa Rafat Saleem, Department of Orthopedic, Makkah Health Cluster, Makkah 24242, Saudi Arabia
Hatim Adnan Almaghrabi, Department of Orthopedic Surgery, Makkah Health Cluster, Makkah 24242, Saudi Arabia
Mohammed Alharbi, Department of Orthopedic, King Faisal Hospital, Makkah 24242, Saudi Arabia
Anas Mohammed Alomair, Department of Orthopedic, Domat Al Jandal General Hospital, Al Jawf 74815, Saudi Arabia
Hussain Mohammed Alhasani, Department of Orthopedic, South Alqunfudah General Hospital, Alqunfudah 21912, Saudi Arabia
Author contributions: Abdulaziz AA, Jafar HM, Almatari AH, Almaghrabi HA, Alharbi M, Alomair AM, Alhasani HM, Alsulaimani MM, Saleem ER, and Samman AT contributed to the study conception and design, material preparation, data collection, statistical analysis, writing of the first draft of the manuscript, critical revision of all subsequent versions, and provision of approval of the final version. All authors have read and approved the final manuscript.
AI contribution statement: Portions of this manuscript were edited using Grammarly and ChatGPT solely for language refinement. The authors carefully reviewed and verified all AI-assisted outputs and take full responsibility for the scientific content of the manuscript. AI tools were not used to generate original scientific data, perform data or statistical analyses, create figures or tables, or draw scientific conclusions. The conception of the study, data collection, statistical analysis, interpretation, and all scientific content are entirely the work of the authors.
Institutional review board statement: This study was approved by the Institutional Review Board in Makkah (approval No. H-02-K-076-0224-1075). All study procedures were performed in accordance with the relevant guidelines and regulations.
Informed consent statement: Patients were not required to give informed consent to the study because the analysis used anonymous clinical data that were obtained after each patient agreed to treatment by written consent.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: The data supporting the findings of this study are contained within the article. The underlying data are not publicly available owing to hospital policies on patient confidentiality. Additional information may be obtained from the corresponding author upon reasonable request.
Corresponding author: Hatim Adnan Almaghrabi, Researcher, Department of Orthopedic Surgery, Makkah Health Cluster, Al Hijrah, Makkah 24242, Saudi Arabia.
Received: April 27, 2026
Revised: June 16, 2026
Accepted: August 14, 2026
Published online: September 18, 2026
Processing time: 135 Days and 18.6 Hours
Revised: June 16, 2026
Accepted: August 14, 2026
Published online: September 18, 2026
Processing time: 135 Days and 18.6 Hours
Core Tip
Core Tip: This retrospective study evaluated 399 pediatric supracondylar humerus fractures treated at Al-Noor Specialist Hospital, Makkah, from 2021 to 2025. Mean patient age was 5.8 years, with slight male predominance (54.1%). Most fractures involved the left arm (63.4%) and were classified as Gartland type III (54.9%). Surgical fixation was primarily performed using percutaneous pin fixation, particularly lateral-entry pinning. Median hospital stay was 2 days, and the overall complication rate was low (5.5%), most commonly ulnar neuropathy. No significant predictors of poor outcomes were identified. These findings support percutaneous pinning as a safe and effective treatment for displaced pediatric supracondylar humerus fractures.