Table 2. Gartland classification .
Type | Description | Displacement | Management |
I | Nondisplaced supracondylar fracture | No displacement | Conservative (e.g., casting) |
II | Displaced supracondylar fracture with intact posterior cortex | Angulated, but posterior cortex remains intact | Closed reduction and casting |
III | Completely displaced supracondylar fracture with no cortical contact | Complete displacement (either posterior or anterior) | Surgical treatment (usually pinning) |
IV | Periosteal disruption with instability in both flexion and extension (multidirectional) | Unstable in all planes | Surgical intervention required |