Distal Humerus Fractures

Although still a relatively uncommon injury, the incidence of distal humerus fractures is increasing as people live longer and osteoporosis remains epidemic. These fractures continue to represent one of the most challenging fractures to fix with complication being commonplace. Elite implant technology and imaging have improved the basic knowledge of surgical anatomy and soft tissue handling, which are still crucial for the good outcome. This article focuses on how to make an appropriate preoperative diagnosis, indications, surgical exposures, as well as the fracture fixation. The rationale for each technique with specific descriptions is presented. The common complications, including ulnar neuropathy, nonunion, elbow stiffness, and heterotopic ossification, are also addressed.