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Tension Band Fixation of Olecranon Fractures

ABSTRACT Olecranon fractures encompass a diverse array of fracture patterns that require knowledge of several methods of operative fixation for surgical management. Operative goals are restoration of the normal contour and dimensions of the trochlear notch to restore stability, healing of the fracture to restore triceps function, and early mobilization of the elbow to limit stiffness. When proper technique is applied, tension band wiring and plate fixation have been shown to yield optimal long-term results for specific types of olecranon fractures.