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Aim: The aim of this study is to compare the clinical and functional outcomes of transverse olecranon fractures treated with tension band wiring and transcortical screw. Materials and Methods: A prospective randomized controlled trial study was carried out for a total of 40 cases of transverse olecranon fractures aged between 18-70 years. After initial work up the patients underwent surgery by either of two techniques. All patients were followed up for a minimum period of 6 months and the results were assessed radiologically and clinically using Mayo Elbow Performance Score. Result: The average range of motion in patients treated with TBW was found to be 105.5 0 as compared to screw fixation, which was 100.1 0 . MEPS showed satisfactory results (good + excellent) in 90% cases treated with TBW in comparison to 75% cases treated with screw fixation. The average time taken for union in tension band wiring group was 10.15 weeks and that for screw fixation was 10.6 weeks. Conclusion: Tension band wiring and parallel screw fixation are equally effective method of fixation in terms of union and elbow movements. However post operative patient satisfaction was found to be more in screw fixation technique though the procedure requires more accuracy.

Treatment of Transverse Olecranon Fractures: Comparison Between Tension Band Wiring And Transcortical Screw