Functional Outcomes of Locking Plate Fixation in the Management of Displaced Olecranon Fractures Among Adult Patients Presenting to Tertiary Care Hospital

Background: Displaced olecranon fractures are common upper limb injuries in adults and often require surgical intervention to restore elbow function. Locking plate fixation has gained increasing popularity due to its biomechanical stability and ability to allow early mobilization. Objective: To evaluate the functional outcomes of locking plate fixation in the management of displaced olecranon fractures among adult patients. Study Design: Descriptive study. Setting: Department of Orthopedic Surgery, MTI-Khyber Teaching Hospital, Peshawar, Pakistan. Duration of Study: 18-October-2024 to 18-May-2025. Methods: A total of 114 adult patients aged 18–65 years with displaced olecranon fractures were included in this study. All patients underwent open reduction and internal fixation with an olecranon locking plate through a posterior midline approach under general anesthesia, with intraoperative imaging utilized when required. Functional outcomes were assessed at two months postoperatively using the Broberg and Morrey rating system. Data were analyzed using SPSS version 25. Results: The mean age of patients was 45.44 ± 14.42 years, with 59 (51.8%) males and 55 (48.2%) females. Functional outcomes were excellent in 79.8% of cases, good in 14.0%, and fair in 6.1%, with no poor outcomes reported. Conclusion: Locking plate fixation of displaced olecranon fractures demonstrated excellent to good functional outcomes in the majority of patients, highlighting its effectiveness in restoring elbow function with minimal complications.