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This article has been peer reviewed. It is the authors' final version prior to publication in Hand Clinics. Volume 26, Issue 3, August 2010, Pages 411-421. The published version is available at DOI: 10.1016/j.hcl.2010.05.008 . Copyright © Elsevier Inc.


Distal humerus fractures continue to be a complex fracture to treat. This article describes two surgical techniques that can be used to tackle these difficult fractures: Parallel plating and orthogonal plating. Both techniques have yielded excellent outcomes after open reduction and internal fixation; yet each has its own set of unique considerations. However, the key to successful treatment of these difficult fractures regardless of technique remains obtaining anatomic reduction with stable fixation and the implementation of early motion.

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