Distal Humerus Failed Plate Fracture Fixation

Distal humerus fractures present with either intra-articular involvement or they are pure extra-articular fractures. Initial clinical evaluation must assess the neurovascular status of the affected extremity and associated injuries to the ipsilateral shoulder and wrist joints. A computed tomography (CT) scan must be obtained when extension of the fracture is suspected in the articular surface or when there is intra-articular involvement with comminution. Bic-column fixation usually provides optimum stability allowing early range of motion of the elbow joint reducing the risk of joint stiffness. We present a case that failed following fixation, analyse the aetiology of failure and discuss the treatment that was successfully implemented.