Reduction and percutaneous pinning of these troublesome fractures provided stability, vascular safety, simplified management, reduced hospital stay, and consistently satisfactory appearance and function of the elbow in seventy-two patients. Difficulty in mastering the technique was the only major disadvantage, and was overcome by using a simple holding bracket during the pinning. Varus deformity was prevented by avoiding medial tilt of the distal fragment. Our long-term study showed that the fixation pins do not disturb the growth potential of the distal end of the humerus. Cubitus varus, when it occurred, was a result of imperfect reduction rather than growth disturbance. In fifty-two fractures on long-term follow-up, satisfactory results were recorded in 98 per cent. Vascular and neural complications were minor, and no Volkmann's contractures were seen.