Background: Fractures involving the lateral condylar physis can be treated with immobilization alone, closed reduction and percutaneous pinning, or open surgical reduction depending on the degree of displacement and amount of instability. About 40% of lateral condylar physeal fractures are nondisplaced, are not at risk for late displacement, and can be treated with immobilization alone. If the facture line is barely perceptible on the original radiographs, including internal oblique views (stage I displacement), the chance for subsequent displacement is low. Immobilization of nondisplaced or minimally displaced (less than 2 mm) fractures in a posterior splint or cast is adequate. Radiographs are obtained during the first 3 weeks after injury to ensure that rare late displacement does not occur. Many procedures are available in fixation of the fracture LHC through open or closed operation by K-wirs, mital screws or bioabsorbable screws. Screws used in fixation of fracture LHC are of two types, metal screws or bioabsorbable screws. screw fixation of lateral condyle fractures results in satisfactory union with a low risk of complications. The use of bioabsorbable screws is a reasonable alternative to the traditional use of metallic materials for the treatment of lateral condyle fracture of the elbow in children