intraarticular fractures of the distal humerus, because of their rarity and often associated significant displacement, comminution, and osteopenia, present the orthopedist with a difficult injury to reliably treat successfully. As with any displaced intraarticular fracture, the principles of anatomic restoration of the articular surface, stable fixation, and early motion are the optimal treatment goals. To obtain reproducible results, an established treatment protocol is required and is described in detail here. The average excellent-togood results with surgical treatment for Type C fractures (,,T*' or "Y'* bicondylar fractures) is 75% (range, 65-100%). Complications include heterotopic ossification (4%)' infection (4%), ulnar nerve palsy (7%), failure of fixation (5%), and nonunion (2%).Bicondylar intraarticular fractures of the distal humerus are relatively rare (less than 1% of adult fractures) and can be very challenging to treat successfully. As with most difficult and problematic fractures, the literature is replete with conflicting opinions. Most would agree that an anatomic restitution of the articular surface would be optimal, but only if this can be achieved reliably, and without loss of function or complications.Recent trends support open reduction, stable internal fixation, and early postoperative ac-

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