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Triceps function and elbow motion were evaluated in nine elbows after open reduction of complex distal humeral fractures through a triceps dividing approach. At 3-year 6-month follow-up, the patients had an average flexion/extension of 136° to −6°. Triceps peak torque decreased slightly, measured by Cybex testing with a 6% deficit at 60°/s, 3% deficit at 120°/s, and 3% deficit at 180°/s. We recommend triceps division rather than olecranon osteotomy in children who require open reduction of complex distal humeral fractures.