Risk factors for complications and poor function after open reduction and fixation of olecranon fractures

Surgical treatment of olecranon fractures is associated with a high rate of complications, patients undergoing revisions beyond implant removal had poorer functional outcome; however, no significant differences in functional outcomes or secondary operations were found with respect to fracture type, gender, or surgical method. The size of the postoperative joint gap or step-off did not significantly affect the functional outcome. Despite acceptable functional scores, optimizing treatment and patient selection remains essential, as revisions are frequently necessary.