Failed Fixation of Olecranon Fractures

Olecranon fractures represent 10% of upper limb injuries. Transverse simple fractures of the olecranon can be treated with tension band wiring, representing a simple and effective technique for transforming the triceps distraction forces into forces that cause fracture compression. This valuable surgical fixation technique has basic rules that only succeed if followed. Post-fixation failure of olecranon fractures is not uncommon and can lead to morbidity and increased cost of care. Herein, we present a case of olecranon fixation failure and discuss the aetiology of failure and the strategy for revision surgery.