Background: Patients treated with bi columnar locking compression plates show a greater functional range of motion, better restoration of articular congruity, secure bony fixation, better bone healing, and early rehabilitation. The aim of this study to assessed whether distal humerus fractures (AO type 13-C) treated with open reduction and internal fixation with bi columnar plating allows early mobilization and improves functional outcomes in patients and also to assess its associated complications.