Supracondylar elbow fracture management in children - the SUPRAMAN study

To determine the clinical- and cost-effectiveness of different treatment strategies for pediatric supracondylar elbow fractures through three parallel randomized trials.

Key Measured Outcomes: Pain levels, physical function using PROMIS, quality of life (CHU-9D), school absence rates, and complication tracking.

The Three Parallel Trials:

• Minor Fractures (Gartland I): Compares rigid immobilisation versus early mobilisation (primary outcome: pain, n = 210).

• Intermediate Fractures (Gartland IIA): Compares surgical correction versus outpatient realignment (primary outcome: function, n = 314).

• Severe Fractures (Gartland IIB/III): Compares crossed-wire versus lateral-only wire fixation (primary outcome: function, n = 314)

Chief Investigator: Professor Steve Gwilym [email protected]

**Trial in set up**