Abstract: Objective To explore the method and the clinical efficacy of modified golf plate for A2 distal humeral fractures in adults. Methods We operated 12 patients with modified golf plate for distal humeral fractures of type A2 according to AO classification. Through posterior approach,the triceps were split and exposed the fractures. After reduction of the fracture,the modified golf plate was placed in the posterior-lateral column of humerus,then screws were inserted for fixation. Early mobilization to the functional restoration should be ensured. Results Twelve patients were followed up from 8 to 21 months, averaging 12. 6 months. All the fractures obtained satisfactory heal in the first stage. The patients were evaluated using the criteria of Mayo elbow performance score:excellent in 9 cases,good in 2 cases,fair in 1 case. Conclusion Modified golf plate is effective to treat distal humeral fractures of type A2.

Key words: humeral fractures, internal fixators, treatment outcome