Open reduction can be a reasonable, safe and effective choice in complex paediatric supracondylar humeral fractures operative treatment

Figure 1 Typical ecchymosis in elbow fossa often suggesting vascular injury in a 4-year-old female with a right supracondylar humeral fracture of type IV according to modified Gartland classification. A: Clinical and radiological presentation; B: The fracture was fixed after open reduction by lateral and medial approach; C: The K-wires were removed 1 month post-operatively; D: Right elbow X-rays at the age of 19 years.