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The outcomes of open reduction of displaced supracondylar humerus fractures in children via lateral approach with percutaneous pinning without using C-arm were evaluated. Methods: Thirty six consecutive patients with Gartland type III fractures were consecutively treated between June 2016 to January 2019 in our hospital. The mean followup period was 12 months (6-15 months). The patients were analysed according to the Flynn criteria. Results: After an average follow-up of 12 months, the results were excellent in 26, good in 4, fair in 3, and poor in 3. Only 2 cases needed revision surgery due to unacceptable reduction. There was one iatrogenic ulnar nerve injury and two cases of pin tract infection which resolved with antibiotics. Conclusion: Open reduction and percutaneous pinning is a safe and effective procedure to treat supracondylar humerus fractures in children and can be done without C-arm with fairly good accuracy.

Open reduction and percutaneous pinning via lateral approach without using C-arm in Gartland type III supracondylar humerus fractures in children