ABSTRACT
The common approach for the distal humeral shaft is the posterior one, and in treating fractures at the distal third this approach includes exploration of the radial nerve through the triceps muscle. In this study an alternative approach avoiding triceps splitting is experienced. This approach has been experienced in twenty one patients with fracture at the distal third of the humeral shaft treated by open reduction and internal fixation using plates and screws. All the fractures have united with very good functional results. Two cases developed postoperative radial nerve neuropraxia, and both have recovered within ten weeks. This approach was found satisfactory as it allows good exposure of an adequate part of the humerus as well as starting early postoperative rehabilitation