{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T00:04:44Z","timestamp":1787616284340,"version":"build-2736575974"},"reference-count":34,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,5,1]],"date-time":"2024-05-01T00:00:00Z","timestamp":1714521600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,5,1]],"date-time":"2024-05-01T00:00:00Z","timestamp":1714521600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Sci Rep"],"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Although tension band wiring (TBW) is popular and recommended by the AO group, the high rate of complications such as skin irritation and migration of the K-wires cannot be ignored. Ding\u2019s screw tension band wiring (DSTBW) is a new TBW technique that has shown positive results in the treatment of other fracture types. The objective of this study was to evaluate the stability of DSTBW in the treatment of olecranon fractures by biomechanical testing. We conducted a Synbone biomechanical model by using three fixation methods: DSTBW, intramedullary screw and tension band wiring (IM-TBW), and K-wire TBW, were simulated to fix the olecranon fractures. We compared the mechanical stability of DSTBW, IM-TBW, and TBW in the Mayo Type IIA olecranon fracture Synbone model using a single cycle loading to failure protocol or pullout force. During biomechanical testing, the average fracture gap measurements were recorded at varying flexion angles in three different groups: TBW, IM-TBW, and DSTBW. The TBW group exhibited measurements of 0.982\u00a0mm, 0.380\u00a0mm, 0.613\u00a0mm, and 1.285\u00a0mm at flexion angles of 0\u00b0, 30\u00b0, 60\u00b0, and 90\u00b0 respectively. The IM-TBW group displayed average fracture gap measurements of 0.953\u00a0mm, 0.366\u00a0mm, 0.588\u00a0mm, and 1.240\u00a0mm at each of the corresponding flexion angles. The DSTBW group showed average fracture gap measurements of 0.933\u00a0mm, 0.358\u00a0mm, 0.543\u00a0mm, and 1.106\u00a0mm at the same flexion angles. No specimen failed in each group during the cyclic loading phase. Compared with the IM-TBW and TBW groups, the DSTBW group showed significant differences in 60\u00b0 and 90\u00b0 flexion angles. The mean maximum failure load was 1229.1\u2009\u00b1\u2009110.0 N in the DSTBW group, 990.3\u2009\u00b1\u200940.7 N in the IM-TBW group, and 833.1\u2009\u00b1\u200968.7 N in the TBW group. There was significant difference between each groups (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001).The average maximum pullout strength for TBW was measured at 57.6\u2009\u00b1\u20095.1 N, 480.3\u2009\u00b1\u200939.5 N for IM-TBW, and 1324.0\u2009\u00b1\u200943.8 N for DSTBW. The difference between maximum pullout strength of both methods was significant to <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.0001. DSTBW fixation provides more stability than IM-TBW and TBW fixation models for olecranon fractures.<\/jats:p>","DOI":"10.1038\/s41598-024-60264-7","type":"journal-article","created":{"date-parts":[[2024,5,1]],"date-time":"2024-05-01T14:48:33Z","timestamp":1714574913000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["The effect of Ding\u2019s screws and tension band wiring for treatment of olecranon fractures: a biomechanical study"],"prefix":"10.1038","volume":"14","author":[{"given":"Yong","family":"Zhao","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hongbo","family":"Tian","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nuo","family":"Yin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li","family":"Du","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mingmang","family":"Pan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liang","family":"Ding","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,5,1]]},"reference":[{"issue":"8","key":"60264_CR1","doi-asserted-by":"publisher","first-page":"1606","DOI":"10.1016\/j.jhsa.2014.05.014","volume":"39","author":"JA Wilkerson","year":"2014","unstructured":"Wilkerson, J. A. & Rosenwasser, M. P. Surgical techniques of olecranon fractures. J. Hand Surg. Am. 39(8), 1606\u20131614 (2014).","journal-title":"J. Hand Surg. Am."},{"issue":"3","key":"60264_CR2","doi-asserted-by":"publisher","first-page":"343","DOI":"10.1016\/j.injury.2011.10.017","volume":"43","author":"AD Duckworth","year":"2012","unstructured":"Duckworth, A. D., Clement, N. D., Aitken, S. A., Court-Brown, C. M. & McQueen, M. M. The epidemiology of fractures of the proximal ulna. Injury 43(3), 343\u2013346 (2012).","journal-title":"Injury"},{"issue":"11","key":"60264_CR3","first-page":"CD010144","volume":"2014","author":"HE Matar","year":"2014","unstructured":"Matar, H. E., Ali, A. A., Buckley, S., Garlick, N. I. & Atkinson, H. D. Surgical interventions for treating fractures of the olecranon in adults. Cochrane Database Syst. Rev. 2014(11), CD010144 (2014).","journal-title":"Cochrane Database Syst. Rev."},{"key":"60264_CR4","unstructured":"Mu \u00c8 ller, M.E., Allgo \u00c8 wer, W., Willengger, H., editors. Manual of Internal Fixation. Techniques Recommended by the AO-Group. New York: Springer, 1970."},{"key":"60264_CR5","first-page":"90","volume":"56","author":"BG Weber","year":"1963","unstructured":"Weber, B. G. & Vasey, H. Osteosynthese, BEI OLEKRANONFRAKTUR [OSTEOSYNTHESIS IN OLECRANON FRACTURES]. Z Unfallmed Berufskr 56, 90\u201396 (1963).","journal-title":"Z Unfallmed Berufskr"},{"key":"60264_CR6","doi-asserted-by":"publisher","first-page":"205","DOI":"10.1097\/00003086-200210000-00030","volume":"403","author":"MK Karlsson","year":"2002","unstructured":"Karlsson, M. K., Hasserius, R., Karlsson, C., Besjakov, J. & Josefsson, P. O. Fractures of the olecranon: A 15- to 25-year followup of 73 patients. Clin. Orthop. Relat. Res. 403, 205\u2013212 (2002).","journal-title":"Clin. Orthop. Relat. 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