title: Radiographic assessment in the treatment of supracondylar humerus fractures in children.
abstract: BACKGROUND
  Supracondylar humerus fractures are the most common fractures of the humerus at the elbow in children. The key role belongs to the age and immaturity of the humerus region. Treatment, even today represents the problem of bone and joint surgery. Gartland classification divides these fractures into four types. Analysis of radiographic parameters will serve as an indicator for treatment selection.
  
  
  OBJECTIVE
  To demonstrate the role of radiographic evaluation by measurement of default radiographic parameters and indicate the choice of treatment for supracondylar fractures of type I and II by Gartland.
  
  
  METHODS
  The study included 60 children aged 4-14 years, divided into two groups, first with initial radiographic analysis and the second one without radiographic analysis. All were treated at the Primary Health Care Center Novi Travnik and Nova Bila Hospital from 2009 to 2011. Analysis was performed using methods of descriptive statistics to calculate the mean and standard deviation, Student's t-test and Chi-square test.
  
  
  RESULTS
  In patients from first group hospitalization, immobilization duration, as well as physical treatment was shorter and more frequently surgical treatment was applied (manual reduction with K-wire fixation) with statistically significant difference (p = 0.042).
  
  
  CONCLUSIONS
  Radiographic evaluation is one way to choose methods of fracture treatment. The incidence of complications is low, with excellent outcome of treatment and a faster return of children to their daily activities.
authors: Public Institute, Primary Health Care Centre, Novi Travnik, Bosnia and Herzegovina.
authors: Ivanka
authors: I
authors: Madjar-Simic
authors: Adnana
authors: A
authors: Talic-Tanovic
authors: Zoran
authors: Z
authors: Hadziahmetovic
authors: Aida
authors: A
authors: Sarac-Hadzihalilovic
keywords: Gartland type I and II supracondylar fracture; Kirschner wires.