The goal of restoring normal, pain-free elbow function after a fracture of the distal humerus requires anatomic reconstruction of the articular surface, restitution of the overall geometry of the distal humerus and stable fixation of the fracture fragments to allow early and full rehabilitation [1–7]. Although these goals are now widely accepted by the orthopedic community, they may be technically difficult to achieve, especially in the presence of substantial osteoporosis or comminution [7].