Abstract
BACKGROUND: This study evaluates the efficacy of suture fixation for treating simple olecranon fractures, hypothesizing that it provides a low complication rate, low reoperation rate, and favorable functional outcomes compared to tension band wiring fixation. METHODS: Between 2017 and 2024, 34 patients with olecranon fractures were treated using tension suture fixation. There were 8 Mayo IA, 23 IIA, 1 IB and 2 IIB. Mean follow-up period was 31.4 months. Primary outcomes included complication and reoperation rates, radiographic healing time, while secondary outcomes included functional scores and range of motion. RESULTS: Only one patient required revision for failure of the tension suture fixation. One patient had a refracture revised with plate fixation. There were two superficial infections treated with oral antibiotics. Mean radiographic healing time was 1.48 ± 0.5 months. Mean extension 6.76° ± 10.14°, flexion 139.11° ± 5.83°, pronation 89.55° ± 1.43°, supination 89.70° ± 1.19°. Mean quick Disabilities of the Arm, Shoulder and Hand was 3.15 ± 5.28, Mayo Elbow Performance Score 95.3 ± 9.82, and numeric pain rating scale 1.2 ± 1.93. CONCLUSIONS: Suture fixation is a reliable technique for simple olecranon fractures with low complication and reoperation rates compared to tension band wiring as reported in the literature. This technique is a viable alternative for treating these injuries. LEVEL OF EVIDENCE: Level IV, Case Series, Prognostic study.