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

Figure 3 Malrotation can be easily missed, and it is poorly corrected by remodeling. A: A 10-year-old male with a Gartland III supracondylar humeral fracture with marked internal rotation of the condyles; B: Despite open reduction and both column pinning, residual rotational deformity can be noticed by cortex mismatching in anteroposterior and lateral X-rays (orange arrows indicate cortex discontinuity); C: X-rays in 3 months follow-up with satisfactory functional outcome.