The Unreconstructable Distal Humerus Fracture: Options and Bail Outs in Complex Articular Fractures.

Distal humerus fractures are challenging injuries due to their soft tissue envelop, and the complex 3 dimensional anatomy including 3 articular surfaces. Modern fixation principles have allowed for improved outcomes even in previously unreconstructible fracture patterns. Despite these advances bone loss, and articular comminution may require alternative or adjunctive strategies such as grafting, fusion, hemi-arthroplasty and total elbow arthroplasty options.