lateral columns and normal orientation of olecrenon fossa in the antero-posterior (AP) view, tear drop restoration and 40° anterior tilt of capitellum in the lateral view. Once satisfactory reduction was achieved, the forearm was strapped to arm with maximum possible flexion and pronation to secure the achieved reduction.

The elbow was then painted and draped. The first K wire was passed from tip of lateral epicondyle at an angle of 45°--55° directing superiorly and medially in the AP view of image intensifier. After advancing few millimeters starting from the lateral cortex, the wire position was checked in the lateral view, to confirm its position in the center of humerus. The wire was then advanced above the olecranon fossa up to medial cortex in standard fashion.

The second K wire wasAP and lateral views throughout the procedure. After adequate fixation from minimum of two pins (six cortices purchase) to maximum of three pins (ten cortices purchase), strapping was removed. The elbow was rotated and stability was confirmed. The K wires were bent and cut outside the skin leaving one centimeter. A well padded posterior splint was applied with elbow in 60°--90° of flexion as tolerated. Immediately in the post-operative period after recovery from the anesthesia effect, the neurovascular status of the limb was assessed.

Radiographs of the operated elbow were taken before discharge and assessed for quality of reduction by Baumann\'s and humero-capitellar angles. The children were discharged from the hospital on the same day or the following day. The children were kept under weekly follow-up for pin tract