Figure 1: Intraoperative photograph of ORIF including V-shaped transection approach, internal fixation and reconstruction of soft tissue, and postoperative X-ray image (a) approach to the fracture site through V-shaped transection of triceps, (b) internal fixation of distal humerus using double plating, (c) reconstruction of triceps, (d) X-ray image of postoperative reduction and fixation status