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

Figure 4 Deformity can be the result of improper reduction or physeal growth arrest (traumatic and iatrogenic). A: A 7-year-old male with a Gartland type III supracondylar humeral fracture; B: Open reduction via lateral approach and stabilization by 3 Lateral K-wires with incomplete reduction on axial and sagittal level; C and D: In 9-year follow-up there is significant (28°) valgus deformity marked on X-rays (in comparison with the contralateral elbow); E: Elbow range of motion is normal during physical examination.