Open Reduction and Internal Fixation of Distal Humerus Fractures

Distal humerus fractures are common and represent 2% of all fractures and approximately 30% of those affecting the humerus. The management of distal humerus fractures is complicated by the complex 3-dimensional anatomy of the elbow, the limited bone stock for internal fixation, and often comminuted and osteopenic nature of the articular segment. Surgical treatment should be conducted in a systematic manner to minimize complications. Using the principles of anatomic articular reconstruction with stable fixation to allow early range to motion, good to satisfactory outcomes can be expected in most patients.