Fifty-two displaced olecranon fractures in adults were treated over a
5-year period. Minimum follow-up was 6 months. Forty-eight fractures w
ere operated and 38 were treated by tension band wiring technique. Thi
s technique, applied for all types of fractures, gave good functional
results in 33 cases (87 %) and fair functional results in 5 cases. Com
plications include 1 pseudarthrosis, 2 loss of reduction, 2 transient
tourniquet palsy and 13 skin problems due to wire protrusion. Tension
band wiring is a simple safe and effective technique for displaced ole
cranon fractures but often requires K-wire removal.