A) Traction is applied with the elbow in extension and the forearm in supination. The assistant stabilizes the proximal fragment. After traction has been applied and the length regained, the fracture is hyperextended to obtain apposition of the fragments. B) With traction being maintained, the varus or valgus angulation along with the rotation of the distal fragment is corrected.
Reproduced with permission from: Kasser JR, Beaty JH. Supracondylar fractures of the distal humerus. In: Rockwood and Wilkins' Fractures in Children, 5th ed, Beaty JH, Kasser JR (Eds), Lippincott Williams & Wilkins 2001. Copyright © 2001 Lippincott Williams & Wilkins.
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