Review ArticleDistal Humerus Fractures in the Elderly PopulationVarecka, Thomas F. MD; Myeroff, Chad MD Author Information From the Department of Orthopaedic Surgery, Hennepin County Medical Center, Minneapolis, MN. Neither of the following authors nor any immediate family member has received anything of value from or has stock or stock options held in a commercial company or institution related directly or indirectly to the subject of this article: Dr. Varecka and Dr. Myeroff. Journal of the American Academy of Orthopaedic Surgeons 25(10):p 673-683, October 2017. | DOI: 10.5435/JAAOS-D-15-00683 Metrics Abstract Distal humerus fractures present complex challenges in the elderly patient. These fractures often occur in patients who are living independently but have poor bone quality and low physiologic reserve, thus complicating management decisions and treatment. The goal is a painless, functional, stable elbow that allows completion of the activities of daily living. Nonsurgical management is reserved for those who cannot tolerate surgery. Open reduction and internal fixation is the preferred choice in fractures amenable to rigid fixation and early motion. Although total elbow arthroplasty provides improved early function and similar overall outcomes in appropriately selected patients, it has the potential to cause devastating complications. With modern technology and treatment principles, as well as early definitive treatment by an experienced specialist, predictable return to function can be expected. Copyright 2017 by the American Academy of Orthopaedic Surgeons.