Intramedullary Screw Fixation of Simple Olecranon Fracture

Background: Olecranon fractures are prevalent bone injuries, constituting about ten percent of fractures of the upper extremity in adults. Aim: To document the clinical, radiological, and functional results of fractures of olecranon managed with an intramedullary screw. Patients and methods: This was a prospective study, carried out on patients attending to orthopedic department in Al-Azhar University hospitals from October 2023 and continued 6 months on fifteen patients. Results: The majority, 63.3%, experienced issues on the right side, while 36.7% reported issues on the left side and the mode of trauma among studied patients, with 76.7% attributing their condition to direct impact and 23.3% to eccentric contraction. Postoperative complications were experienced by the studied patients. The most common complication is pain during movement, affecting 6.7% of patients. Meanwhile, delayed union, infection, loss of reduction, painful implant, and limitation of elbow ROM each affect 3.3% of patients. Conclusion: Intermediary screw fixation is an effective and easy method for repairing simple olecranon fractures, resulting in good functional and radiological outcomes with low complications and implant removal.