Tarallo L, Novi M, Porcellini G, et al. - This study was undertaken to explore the incidence of complication associated with open reduction and compare open reduction vs closed reduction, in order to ascertain which treatment lead to better clinical and radiological outcomes. Researchers retrospectively selected a total of 55 patients, affected by type III supracondylar humerus fracture and classified them into two groups according to which type of treatment they received (open reduction or closed reduction). Statistical analysis was conducted to determine the relationship between the type of reduction, the restored elbow anatomy, and the clinical outcomes. The results of this study indicate that open reduction should not be considered as a first-line option of treatment in any pediatric patient with a type III supracondylar humerus fracture, but in several cases, open surgery must be viewed as the choice with the best outcomes not only in presence of neurovascular lesion but also in case of irreducible fracture.