RESUMEN
Olecranon fractures are common injuries of the proximal ulna which constitute about 10% of all upper extremity lesions. The fractures are usually isolated and due to its intra-articular extension of fractures, anatomic reduction and early mobilization should be achieved in any case. Use of a single large-diameter cancellous screw for repair of olecranon fractures has been advocated for a long time. Was to determine and compare the clinical and radiological outcome after tension band wiring and intra-medullary screw [IMS] fixation of olecranon fractures and to compare the incidence of hardware removal and residual pain or disability. 35 patients presented with an isolated transverse olecranon fracture, 15 patients from them, treated by Tension band wiring [TBW] fixation methods, while 20 patients treated by intra-medullary screw, The fracture pattern was assessed using the Mayo classification. The tension band technique for olecranon fractures yields good clinical outcomes; but may associated with significant complications, While we found that [IMS] fixation is much easier Jess operating time, less tissue destruction with more or less fewer complication such as post operative pain, wound infection, soft tissue irritation and the implant removal is much faster and easier. It is concluded that using intra-medullary screw fixation in the clinical situation might provide better results with fewer complications than the currently recommended tension band technique?