Abstract
Transverse fractures of the olecranon can be reliably treated with tension band wiring. However, complications have been reported with this procedure [1–3]. The scope for complications is increased in the presence of pre-existing disease such as rheumatoid arthritis. We report a case of failure of fixation of an oblique fracture of the olecranon in a patient with rheumatoid arthritis of the elbow treated with tension band wiring. This was subsequently successfully treated with total elbow replacement. The elbow was approached through the ununited fracture of the olecranon using an olecranon osteotomy type of approach. Following the total elbow replacement the olecranon was fixed using the tension band wiring technique. To our knowledge such a case has not been reported.
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