Distal humerus fractures are uncommon injuries that account for fewer than 2% of all adult fractures, the complex shape of the elbow joint, the adjacent neurovascular structures combine to make these fractures difficult to treat. The ultimate aim of this study is to evaluate anatomical and functional outcome and impact of fixation related complications after fixation of distal humerus fracture. A prospective study of 30 cases of supracondylar / intercondylar fracture of lower end humerus were studied from july 2014 to july 2015. Total 30 cases of supracondylar / intercondylar humerus fractures were operated and observed for minimum 6 month follow up. Rigid internal fixation is best accomplished by dual plate fixation and for optimum biomechanical stability both plates should be placed at a right angle to each other. More than 90% of excellent to fair results can be obtained by open reduction internal fixation.