Reduction and fixation of articular surfaces followed by attachment to humeral shaft. Reduction and fixation of Medial and Lateral condyles to shaft, then reconstruction of articular surfaces. 8 patients (25%) had excellent, 9 patients (30%) had good and 9 patients (30%) had fair outcome according to MAYO performance score. Nonunion is not encountered superficial infection in 5% cases treated by daily dressing and IV antibiotics. A high rate of union can be achieved in complex intra-articular fractures of distal humerus if the proper principle of stable fracture fixation are followed i.e. a posterior trans-olecranon approach and dual fixation of both columns and restoration of continuity of articular surfaces