Isolated fracture of the trochlea is a rare variety of partial articular fracture of the distal humerus. A 32 year old gentleman presented with trauma to the left elbow sustained due to fall from height. Radiographs revealed an isolated fracture of the trochlea. CT Scan was done to better evaluate the fracture geometry. An ORIF(Open reduction internal fixation) was done through medial approach and fracture was fixed with Herbert and Cancellous cannulated screws. Post operatively early range of motion exercises of the elbow was commenced. Patient regained nearly full elbow range of movements.