Objectives: To know the effectiveness and safety of percutaneous pinning in displaced supracondylar fracture of the humerus in children.

Material and Methods: This case series study was conducted from January 2007 to July 2009 in the Orthopaedic Unit of Hayatabad Medical Complex, Peshawar.

Results: Of the 50 patients, there were 33(66%) males and 17(34%) females. The left side 38(76%) was the most dominant site of the fracture as compared to the right side which were 12(24%). Mean age of patients was 7.02 ± 2.25 years. The age ranged from 1 to 12 years. At the final follow-up, using Flynn’s criteria, 36 (72%) out of 50 patients with carrying angle loss had excellent results and 14(28%) had good results. Using Flynn’s criteria for loss of range of motion, 12 patients (24%) had excellent result, 26(52%) good results, 10(20%) fair results and 2(4%) poor results.

Conclusion: Percutaneous pinning is safe, cost effective and provides greater skeletal stability with excellent results.

Keywords: Supracondylar fractures, percutaneous pinning, ulnar nerve