Introduction: Distal humerus fractures are uncommon injuries that account for fewer than 2% of all adult fractures. The complex shape of the elbow joint, the adjacent neurovascular architecture, and the sparse soft tissue envelope combine to make these fractures difficult to treat. Acceptable results have been reported in most patients treated by open reduction and internal fixation. Restoration of painless and satisfactory elbow function after a fracture of the distal humerus requires anatomic reconstruction of the articular surface, restitution of the overall geometry of the distal humerus, and stable fixation of the fractured fragments to allow early and full rehabilitation.

Aim: To assess the functional results of surgical management of distal humerus fractures in adults involving the articular surface.

Materials and Methods: Adult Patients having Distal humerus fractures were admitted to SSG Hospital attached to Baroda Medical College were taken up for study after obtaining their informed written consent. This is a prospective study from 2010 to 2012. All patients were treated surgically with open reduction and rigid internal fixation. After discharge, patients were advised to report for follow up after 6 weeks and 12 weeks and thereafter every 3 months. The results were assessed 3 & 6 months after the procedure. The functional assessment of the patient was done per – Mayo elbow performance score.

Results and Discussion: In our study, as per the Mayo Elbow performance score five function were taken into account, excellent results were achieved in 13.33%, good results in 66.67% and fair results in 13.33% of the case and poor in 6.67%. The complications like superficial infection in 1 (3.33%) patient, Radial Nerve Palsy in 1 (3.33%) patient, non-union in 1 (3.33%) patient, were noted.

Conclusion: Open reduction internal fixation should be done as early as possible. Delay in open reduction internal fixation with delayed soft tissue dissection leads to increased chances of elbow stiffness due to periarticular fibrosis.