The most known pediatric fractures are supracondylar humerus fractures are nearby the elbow and have a peak incidence in the first decade of life. There is no consensus between the orthopedic surgeons as regarding the best treatment for supracondylar humeral fractures in children. Closed reduction and percutaneous pin fixation using Kirschner wires are still the current treatment of choice of the displaced supracondylar fractures. This study was performed prospectively which included 30 pediatric patients who undergone for closed reduction and percutaneous pinning for management of supracondylar humeral fractures age group ranged from 2 to 9 years old. Out of the 30 patients, 17 (65.6%) were preserved by closed reduction and percutaneous pinning with the overlapped pinning technique (medial and lateral wires) and 13 (34.4%) with 2-lateral pin fixation.26 (86.7%) patients had Gartland type III and 4(13.4%). patients had Gartland type II fractures. Four patients from the lateral group (30.8%) had unstable fixation 3 of them (75%) were rotated and only one case (25%) was displaced, and ulnar nerve neuropraxia occurred in one patient from the crossed group (5.80%) and improved by physiotherapy. The crossed pin configuration method provides more stability than the lateral pin configuration method in management of the humerus supracondylar fracture in children.