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When a Child's elbow fracture cuts off blood flow: do they need vascular surgery?

NCT ID NCT07832058

NEW Knowledge-focused Sponsor: University Hospital Hradec Kralove Source: ClinicalTrials.gov ↗

What the study statuses mean

This study's is highlighted.

Recruitment status, easiest to join first

Recruiting now
This trial is taking on new participants right now.
Not yet recruiting
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing
Running, but no longer taking on new participants.
Completed This study
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

First seen Sep 21, 2026 · Last updated Sep 21, 2026

Summary

Children can break the upper arm bone just above the elbow, and sometimes the break presses on blood vessels so the wrist pulse disappears. Doctors disagree about when to operate on those vessels and when to wait. This study follows 190 children up to age 15 at pediatric surgery centers to compare how often treatment fails, how quickly pulses return, and which children need vascular surgery.

What this could mean

Our plain-language read of the trial. This is informational only, not medical advice or a prediction.

Active substance
vascular surgical intervention
What this could lead to
If the study identifies which children need vascular surgery, doctors could spare some young patients an unnecessary operation while ensuring others get timely care.
What could go wrong
This observational study tracks existing practice rather than testing a new treatment, so it may not settle which approach is best. Results depend on how consistently different hospitals record and report their cases.

This is an AI summary of the original study and may miss details. Read our disclaimer.

Study facts

What this study's own registry entry says, in plain language.

Participants

190 people

The number who actually took part.

Started

Jan 2014

Finished

Dec 2025

Lead sponsor

Other sponsor

The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.

Who can take part

This study's own entry requirements. Only the study team can say for certain whether you qualify.

Who is studied

Children with displaced pulseless supracondylar fracture of distal humerus

Ages

0 to 15 years

Sex

Anyone

Healthy volunteers

Not accepted

This study is not open to healthy volunteers. The entry requirements below say who it is open to.

Show the full entry requirements

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

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.

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Conditions

The condition(s) this trial relates to.

humerus fracture ischemic disease

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Ischemia Supracondylar humerus fracture Vascular trauma

Contacts and locations

Locations

  • Department of Orthopaedics and Traumatology, University Hospital Plzen, Czech Republic

    Pilsen, Czechia

  • Department of Paediatric Surgery and Traumatology, University Hospital Ostrava, Faculty of Medicine Ostrava

    Ostrava, Czechia

  • Department of Paediatric Surgery and Traumatology, University hospital Bulovka, (1st Faculty of Medicine, Charles University) Prague

    Prague, Czechia

  • Department of Paediatric Surgery, Orthopaedics and Traumatology, University Hospital, Masaryk University, Brno, Czech Republic

    Brno, Czechia

  • Department of Pediatric Surgery and Traumatology, Thomayer University Hospital, (3rd Faculty of Medicine, Charles University) Prague

    Prague, Czechia

  • Department of Pediatric Surgery, National Institute of Children's Diseases, Bratislava

    Bratislava, Slovakia

  • Department of Pediatric Surgery, Pardubice Hospital

    Pardubice, Czechia

  • Department of Pediatric and Adult Orthopaedics and Traumatology, Motol University Hospital Prague (2nd Faculty of Medicine, Charles University)

    Prague, Czechia

  • Department of pediatric surgery and traumatology, Masaryk Hospital, Usti nad Labem

    Ústí nad Labem, Czechia

  • Department of traumatology, Orthopaedics department, Hospital České Budějovice

    České Budějovice, Czechia

  • University Hospital Hradec Králové

    Hradec Králové, CZ, 50005, Czechia

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