Treatment of grossly comminuted fractures of the olecranon by excision

Operative reduction with internal fixation for the fractured olecranon is generally considered to be the treatment of choice whenever there is separation of the fragments. In grossly comminuted fractures, however, anatomical reconstruction often cannot be achieved satisfactorily. In such cases excision of the loose fragments of the olecranon and re-attachment of the triceps tendon to the shaft of the ulna offers a better solution when the fracture is proximal to the coronoid process.