Fixation of Open Olecranon Fracture Case Study

History: Patient is an 84 year old female with a history of rheumatoid arthritis who sustained a ground-level fall, tripping over a curb and landing on her elbow, resulting in a left elbow open olecranon fracture. In addition to the 1cm open wound, there were multiple tears of her fragile skin in the region of planned operation. Significant past medical history includes rheumatoid arthritis currently on Imuran, Methotrexate and Prednisone.