A 13-year-old right-handed girl fell on an out-stretched right arm after being tackled while playing basketball. The patient did not feel pain in the early stages. As the swelling of the elbow increased, the patient admitted to a state hospital's emergency service. A dorsal splint was applied as a first intervention and suggested for an orthopedic consultation. Two days later, an orthopedic surgeon examined the patient and made a closed reduction in the office. The surgeon ordered control radiography, but the patient left the hospital without control. The patient admitted 3 weeks later, and we removed the splint. The anteroposterior and lateral radiographs showed over 80 degrees of angulation at the radial neck and luxation of the radiocapitellar joint (Fig. 1). At this point, we decided on the surgical intervention. We attempted closed reduction maneuvers in the operation room, but we could not achieve an acceptable reduction. We corrected the radial head by a lateral approach with an osteotomy from the metaphyseal region while preserving medial periosteal continuity. We secured the reduction by two trans-epiphyseal percutaneous 1.7 mm Kirschner wires. We applied a dorsal splint to hold the elbow at 90 degrees of flexion (Fig. 2). The splint discontinued in the 3rd week post-operatively and started a gentle range of motion exercises for the elbow and wrist (Fig. 3). Kirschner wires were removed in the 1st month at the office, then started physiotherapy to stretch and strengthen (Fig. 4). Complete healing of the fracture with the alignment of the radial neck and radiocapitellar joint with no epiphyseal injury was provided by post-operative 6th-month follow-up. Painless full range of motion without any restriction on pronation and supination was achieved (Fig. 5, 6).