Writing Resources
Apart from difficulty in aligning the comminuted fragments due to complexity of distal humeral anatomy limited subchondral bone stock and small fragments to realign there are few other challenges like restricted space for instrumentation at the distal segment the proximity of the nerve and the need to maintain repair integrity under a large range of motion and low to moderate loading 4 Open reduction and internal fixation using double plating system is considered as the gold standard method of fixation of intra articular distal humerus fracture 3 5 There always been a controversy regarding the plate configuration which is strong enough to provide rigid fixation
