Supracondylar fractures are a common entity among the pediatric age group and have been managed conservatively as well as operatively in various setups. In tertiary care setups, however, delayed presentation or failed closed reduction has posed a considerable challenge. Literature is few for anterior approach as it is a relatively new technique, but the outcomes were found to be satisfactory; it is also a safe approach. The present institution based, longitudinal, prospective study included 43

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... atients with Gartland type II/III fracture, aged 4-12 years attending the Orthopedics department within 2 weeks of fracture. 2 attempts of closed reduction after manipulation had failed in all patients. Open reduction and internal fixation was performed with K-wire through anterior cubital approach. Mayo Elbow Performance Score was used to assess functional outcome at 6 weeks, 3months and 6 months. At 6 months of follow up 55.8% of patients had excellent functional outcome and 41.9% patients had good outcome. Anterior approach is thus a viable alternative that can be explored further in cases of delayed presentation and failed reduction of supracondylar fractures in the pediatric patients.