1yr ago removed implant for distal humerus elbow fracture. arm partial stiff & triceps atrophy, no progress. continue physio, try surgery, or no hope?

Get 2nd opinion: Elbow fractures that require orif( open reduction and internal fixation) are prone to elbow stiffness. If p.T./ bracing( dyna splint to improve extension) is not improving your motion consider seeing an ors who is proficient @ elbow arthroscopy. Arthroscopic release can improve elbow motion dramatically in some pts. It can be technically demanding so speak w/ your ors and see if this is an option.