Aim: To assess the effectiveness of using either single extra-articular humerus plating or bipillar plating for treating distal humerus fractures in a tertiary healthcare facility. Material and methods: Present Study was conducted at LHMC and associated Hospital during May 2016 to may 2017. This study was conducted in the Department of orthopaedics. Total 100 patients were included in this study. Patients were grouped into two groups. 50 patients in group A included humerus fracture treated with single extra articular plating and 50 patients in group B included patients treated by bipillar plating. Results: Mean duration of surgery was significantly less in Group A (91.43± 12.27mins) than Group B (182.53± 4.38 mins) (P<0.05). Mean operative blood loss in Group A was 177± 42 ml while in Group B it was 214± 36 ml. Difference between these two groups is statistically significant (p<0.05). Mean fracture union time was 22.2±1.1 and 21.4± 1.2 in Group A and Group B respectively. Bone impingement was not seen in Group A. only one patient had Bone impingement in Group B. Score of > 90 was considered as excellent and score of 75-89 was considered as good. In our study we found that 49 patients from group A were with excellent score and 347 patients from Group B were with excellent score. Good score was achieved by 1 patient in Group A and 3 patients in Group B. Conclusion: Single extra articular humerus plating is better than bipillar plating for distal humerus fracture as it has less duration of surgery and less blood loss with good performance score.