AbstractBackground: Fractures of distal humerus represent one of the most complicated and challenging fractures in the upperextremity. These are rare fractures. Most fractures involve the joint surface, significant proportions are open, and thecomplex three-dimensional geometry of the distal humerus poses a considerable challenge to reconstruction.Objectives: To study the treatment of fracture distal end humerus with open reduction and internal fixation with plateosteosynthesisMethods: A prospective study of 15 consecutive cases of intercondylar fractures of humerus treated by open reductionand internal fixation over two and half years was conducted. These included 12 fresh cases and 3 old cases. Case wisedetailed study was done in 12 cases by noting the age, sex social status, nature of violence and the duration of injury,information regarding medical problems and any local problems, in relation to bone and joint.Results: At follow up, patients were assessed clinically and radiologically, most patients regained fair to good range ofmotion obtained in 3 months time fracture was united in an average of a 10 weeks and olecranon osteotomy in an averageof 8 weeks. Patients were followed up for an average of 9 months, excellent results were found in five cases (33.33%).Good results in five cases(33.33%) and fair results were obtained in three (20%) cases, poor results in two cases(13.33%)Conclusion: Comminuted fractures of distal humerus in the hands of competent surgeon with open reduction, anatomicassemblage and internal fixation of the fragments offer better results in majority of the cases. In young patients the resultsare good and in old patients results fair probably because of good physiotherapy in young and also cartilage changes limitthe functional outcome in the old. Physiotherapy has a great role in the outcome of functional result.