Elbow function following tension band fixation of displaced fractures of the olecranon

Fifty-two patients were reviewed following displaced fractures of the olecranon fixed by the tension band technique. Symptoms, range of movement and strength in flexion and extension were assessed, together with the accuracy of reduction. Eighty-five per cent of patients regained very good function. The results confirm that tension band fixation can yield excellent functional results whatever the degree and severity of fracture of the olecranon. The wires must be totally buried to allow full excursion of the triceps tendon.