The study included 40 cases of supracondylar humeral fracture in children whose attended al-Assad University Hospital in Lattakia between 2013 and 2014. Patients' ages ranged between 2 and 13 years , the ratio of males/female was 3,4/1. Greatest range of injury in left arm 77,5% . Closed reduction and percutaneous pinning was used in 33 patients and open reduction with cross-wiring in 7 patients .Postoperative complications occurred in seven(17,5%) patients. They consisted in iatrogenic nerve injuries in five (12,5%) patients ,one case of infection around the pins ,and one case of nonunion, All recovered without sequels. Satisfactory outcomes were noted after 5 months of physical therapy in 32 (97%) patients in the percutaneous pinning group,and5 (71,4%) patients in the open reduction with cross-wiring group .