{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T17:48:31Z","timestamp":1782496111479,"version":"3.54.5"},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T00:00:00Z","timestamp":1778025600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:p>Several methods of surgically treating displaced, ulno-humerally stable olecranon fractures (Mayo type 2a and 2b) have been suggested. Cerclage wires have been used for at least a century to achieve fracture fixation but have been replaced by tension band wiring or plate fixation as the commonly recognized \u201cgold standard\u201d treatments. Thin soft tissues and migrating K-wires result in high complication rates following these 2 methods. We suggest double cerclage wiring as an alternative method that allows for the omission of K-wires. The method can be used for the same indications as tension band wiring: Mayo type 2a and 2b fractures. Two cerclages are placed, in figure-of-eight and figure-of-zero configurations, respectively, through separate drill holes distally and through the triceps tendon proximally. In a retrospective study, the reoperation rate and complication rate were twice as high following tension band wiring compared with double cerclage wiring (27% vs. 13% and 45% vs. 18%, respectively). An ongoing RCT will provide more robust evidence, but current studies indicate that double cerclage wiring is a safe and possibly superior alternative to tension band wiring.<\/jats:p>","DOI":"10.1097\/bth.0000000000000557","type":"journal-article","created":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T18:01:07Z","timestamp":1778090467000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Double Cerclage Wiring (DCW) of Displaced Stable Olecranon Fractures"],"prefix":"10.1097","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6943-5633","authenticated-orcid":false,"given":"Gustav","family":"Cornefjord Voigt","sequence":"first","affiliation":[{"name":"Orthopedics, Department of Clinical Sciences, Malm\u00f6, Lund University"},{"name":"Department of Orthopedics, Sk\u00e5ne University Hospital, Malm\u00f6, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ioannis","family":"Kostogiannis","sequence":"additional","affiliation":[{"name":"Orthopedics, Department of Clinical Sciences, Malm\u00f6, Lund University"},{"name":"Department of Orthopedics, Sk\u00e5ne University Hospital, Malm\u00f6, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cecilia","family":"Rogmark","sequence":"additional","affiliation":[{"name":"Orthopedics, Department of Clinical Sciences, Malm\u00f6, Lund University"},{"name":"Department of Orthopedics, Sk\u00e5ne University Hospital, Malm\u00f6, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Wenger","sequence":"additional","affiliation":[{"name":"Orthopedics, Department of Clinical Sciences, Malm\u00f6, Lund University"},{"name":"Department of Orthopedics, Sk\u00e5ne University Hospital, Malm\u00f6, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,6]]},"reference":[{"key":"R1-20260626","doi-asserted-by":"crossref","first-page":"691","DOI":"10.1016\/j.injury.2006.04.130","article-title":"Epidemiology of adult fractures: a review","volume":"37","author":"Court-Brown","year":"2006","journal-title":"Injury"},{"key":"R2-20260626","doi-asserted-by":"crossref","first-page":"855","DOI":"10.1136\/bmj.2.1192.855","article-title":"An address on the treatment of fracture of the patella","volume":"2","author":"Lister","year":"1883","journal-title":"Br Med J"},{"key":"R4-20260626","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1097\/00003086-198711000-00028","article-title":"Displaced olecranon fractures in adults: biomechanical analysis of fixation methods","volume":"224","author":"Murphy","year":"1987","journal-title":"Clin Orthop Relat Res"},{"key":"R5-20260626","first-page":"CD010144","article-title":"Surgical interventions for treating fractures of the olecranon in adults","author":"Matar","year":"2014","journal-title":"Cochrane Database Syst Rev"},{"key":"R6-20260626","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1186\/1749-799X-3-9","article-title":"Is tension band wiring technique the \u201cgold standard\u201d for the treatment of olecranon fractures? 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