Tehran University of Medical Sciences Journal of Orthopedic and Spine Trauma 2538-2330 11 3 2025 09 03 105 10 EN Vinod Bhuktar Junior Resident, H.B.T Medical College and Dr R.N. Cooper Hospital Bhaktivedanta Swami Road Mumbai Juhu Mumbai, Maharashtra Mihir Patel Additional Professor Department of Anaesthesiology H.B.T Medical College and Dr R.N. Cooper Hospital Bhaktivedanta Swami Road Mumbai Juhu Mumbai, Maharashtra  Bibhas DasGupta Head and Professor Mahesh Shinde Senior resident Karthik Gowda Junior resident H.B.T Medical College and Dr R.N. Cooper Hospital Bhaktivedanta Swami Road Mumbai Juhu Mumbai, Maharashtra Kshitij Sarwey Junior resident H.B.T Medical College and Dr R.N. Cooper Hospital Bhaktivedanta Swami Road Mumbai Juhu Mumbai, Maharashtra Sanket Jethliya Junior Resident, H.B.T Medical College and Dr R.N. Cooper Hospital Bhaktivedanta Swami Road Mumbai Juhu Mumbai, Maharashtra Pushti Shah Medical Student, H.B.T Medical College and Dr R.N. Cooper Hospital Bhaktivedanta Swami Road Mumbai Juhu Mumbai, Maharashtra Anika Zaveri Medical Student, H.B.T Medical College and Dr R.N. Cooper Hospital Bhaktivedanta Swami Road Mumbai Juhu Mumbai, Maharashtra Yash Singh Medical Student, H.B.T Medical College and Dr R.N. Cooper Hospital Bhaktivedanta Swami Road Mumbai Juhu Mumbai, Maharashtra Meghana Date Medical Student, H.B.T Medical College and Dr R.N. Cooper Hospital Bhaktivedanta Swami Road Mumbai Juhu Mumbai, Maharashtra Yash Jain Medical Student, H.B.T Medical College and Dr R.N. Cooper Hospital Bhaktivedanta Swami Road Mumbai Juhu Mumbai, Maharashtra Shreyas Revankar Senior Resident, Department of Orthopedics, H.B.T Medical College and Dr R.N. Cooper Hospital, Juhu, Mumbai, India 2025 03 28 2025 08 02 Background: The complex anatomy of the elbow joint, multiple displaced fragments, and intra-articular extension of the fracture make these cases challenging to treat and prone to complications. Several methods of limited internal fixation, such as Kirschner wires (K-wires), screw fixation, and single plates, have been described. However, these methods do not provide sufficient stability for early mobilization and often yield unpredictable results. The latest generation of pre-contoured anatomical compression locking distal humerus plate systems offers angular stability and rigid fixation for intra-articular distal humerus fractures. This study aims to evaluate the clinical outcomes of distal humerus fractures using dual plate fixation. Methods: After ethics committee approval, this prospective observational study was conducted over a period of 26 months on 20 patients with intra-articular distal humerus fractures. Functional outcome was measured by using the Mayo Elbow Performance Score (MEPS) system. Radiological union was checked at regular intervals. Results: Olecranon osteotomy (65%) showed better outcomes than the paratricipital approach (35%), with 60% of patients achieving excellent MEPS scores at 24 weeks. Radiographic union was observed in 60% of patients by 12-14 weeks, 25% by 16-18 weeks, and 15% by 18-20 weeks [mean ± standard deviation (SD) = 15.00 ± 2.83 weeks]. Mean range of motion (ROM) improved significantly from 65.83 ± 14.89 degrees at 6 weeks to 102.50 ± 15.88 degrees at 24 weeks (P < 0.01). Complications included one case each of wound infection, hardware protrusion, and stiffness, managed with antibiotics or physiotherapy. Conclusion: The dual locking plating for intra-articular humerus fracture may be a better option in terms of stable and rigid fixation, functional outcome, and fewer complications. https://jost.tums.ac.ir/index.php/jost/article/view/668 https://jost.tums.ac.ir/index.php/jost/article/download/668/425