In the pediatric population, distal humerus fractures account for nearly 12% of all elbow fractures often presents as emergency with vascular and neurological complications. Our technique in the operative management of supracondylar fractures uses the external application of an Esmarch bandage as a reduction tool followed by K-wire fixation under fluroscopy. This technique decreases the need for soft-tissue release and, therefore maintains soft-tissue vascularity of the small fracture fragments. This relatively simple operative technique makes for a more seamless operative process, improved reduction, and key preservation of soft-tissue vascularity.