Although being relatively uncommon, condylar and epicondylar fractures of the distal humerus are very demanding and often result in nonunion, malunion, joint stiffness or instability. In order to prevent these complications, maximum stability provided by the osteosynthesis and early mobilization are of paramount importance. Fractures at distal humerus have bimodal age distribution: high energy injuries occur in the young, and low energy injuries occur in the elderly. While the young group consists mainly of male patients between 12–19, the elderly group mostly of female patients older than 80 years of age. The treatment strategy differs significantly in different age groups. Many classification systems have been proposed and used previously; however, the classification system described by Davies and Stanley in 2006 has proved to be and validated clinically useful, as it provided a management algorithm enabling reproducible decision-making for the treatment even in complex distal humeral fractures. The best results are achieved in experienced hands; thus, treatment of these fractures should not be attempted at the beginning of the learning curve without supervision.