Birhanu AyanaBahiru BezabihSamrawit EsayasTefera Belay2026-04-252026-04-252025https://etd.aau.edu.et/handle/123456789/8090Background: Displaced supracondylar humerus fractures (SCHF) are common pediatric injuries. While Closed Reduction and Percutaneous Pinning (CRPP) is the first line treatment, Open Reduction and Percutaneous Pinning (ORPP) is required when closed reduction fails, and when intraoperative fluoroscopic imaging is not available. The comparative functional and cosmetic outcomes of these techniques within our context is not known, leading to variation in perception of surgical practice. Objective: To compare functional and cosmetic outcomes between CRPP and ORPP for displaced SCHF (Gartland types III and IV) in children at TASH. Methods: A retrospective cohort study will be conducted, reviewing medical records of all eligible children (<16 years) treated with CRPP or ORPP for displaced SCHF at TASH between May 1, 2021, and April 30, 2025. Data on patient demographics, fracture characteristics, and operative details will be collected. Functional and cosmetic outcomes will be assessed using Flynn criteria. Complications including nerve palsy, infection, and malunion will be recorded. Statistical analysis using SPSS version 27 (t-tests, chi-square, regression) will be performed to compare outcomes between the two groups. Expected Outcomes: the study will provide crucial, localized evidence on the functional and cosmetic outcomes, and specific complications associated with CRPP and ORPP. The finding is expected to inform the development of an evidence based treatment protocol for displaced pediatric SCHF at TASH, aiming to optimize surgical decision making, improve patient outcomes and guide resource allocation.en: Supracondylar Humerus FracturePediatricCRPPORPPFunctional OutcomesTikur Anbessa Specialized HospitalEthiopia.Thesis