Background: The present study was conducted for comparing the efficacy oftwo different double plating methods for intraarticular distal humerus fractures. Materials & methods: 40patients were randomly assigned to 2 groups based on plate positions. 20 patients were treated using 2 orthogonal plates: 1 placed along the medial supracondylar ridge and another placed posterolaterally, with the plates approximately perpendicular to each other (group 1). Remaining 20 patients received pre-contoured anatomical plates along each supracondylar ridge approximately parallel to each other (group 2). Results were subjected to radiological and clinical evaluations, and internal fixation status for the 2 groups was compared. Clinical evaluations consisted of recording the incidences of complications and determining Mayo elbow performance scores (MEPS). The outcome was evaluated and compared. Results: Mean postoperative range of extension among patients of group 1 and group 2 was 12.6º and 10.7º respectively. Mean postoperative MEPS among patients of group 1 and group 2 was 92.7 and 95.3. Although non-significant, slightly better results were obtained among patients of group 2. Mean union time among patients of group 1 and group 2 was 6.8 months and 6.1 months respectively. Non-union was seen among 1 patient of group 1. Conclusion: A parallel plating methodappears to better provide rigid fixation that is adequatefor obtaining bone union. However, no significantdifferences were observed in terms of clinicaloutcomes and complication rates.