Background: The incidence of olecranon fractures is about 10.8 per 100,000 adult individuals per year. The present study was conducted to compare tension band wiring (TBW) and olecranon hook plate fixation in fracture olecranon. Materials & Methods: 40 fracture olecranon of both genderswere divided into 2 groups of 20 each. Group I was TBW and group II was olecranon hook plate. Parameters such as side involved, mode of injury, site, duration of injury, radiological union and complications was recorded. Outcome was evaluated with Mayo Elbow Performance score (MEPS). Results: There were 11 males and 9 females in group I and 12 males and 8 females in group II.side involved was right in 13 and 10 and left in 7 and 10. Mode of injury was fallin 11 and 8, RTA in 6and 8 and direct blowin 3 and 4. Site of fracture was type I (proximal third) in 7 and 6, type II (Middle third) in 5 and 9 and type III (Distal third) in 8 and 5. Duration of injury was <48 hours in 13 and 11 and 48 hours- 7 days in 7 and 9. Radiological union was 9 weeks in 10 and 7, 12 weeks in 7and 8 and 18 weeks in 3 and 5. Complicationswere superficial infection in 1and 0, deep infectionin 0 and 1 and delayed union in 1 and 2. MPES was excellent in 14 and 13, good in 5 and 4, fair in 1 and 2 and poor in 0 and 1 in group I and II respectively. The difference was significant (P< 0.05). Conclusion: Tension band wiring is a simple, inexpensive technique and effective means offixing fracture based on biomechanicalprinciple with minimum complications.