Supracondylar Humeral Fracture in a Child Managed with Modified Cross Pinning (Two Lateral and One Medial K-Wire): Case Report with Literature Review

Supracondylar humeral fractures are the most common pediatric elbow fractures and often require operative stabilization. While cross pinning provides superior biomechanical stability, it carries the risk of iatrogenic ulnar nerve injury. We report the case of a 7-year-old girl with a displaced Gartland type III supracondylar humeral fracture—defined as a completely displaced fracture with no cortical contact—managed with closed reduction and modified cross pinning using two lateral and one medial K-wires. The technique provided excellent stability, avoided neurovascular complications, and resulted in full functional recovery. A brief review of the literature is presented to contextualize the role of modified cross pinning in current pediatric orthopedic practice.