{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T14:25:31Z","timestamp":1793283931110,"version":"4.5.0"},"reference-count":16,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"2","license":[{"start":{"date-parts":[[2011,2,1]],"date-time":"2011-02-01T00:00:00Z","timestamp":1296518400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery. British volume"],"published-print":{"date-parts":[[2011,2]]},"abstract":"<jats:p> Compression and absolute stability are important in the management of intra-articular fractures. We compared tension band wiring with plate fixation for the treatment of fractures of the olecranon by measuring compression within the fracture. Identical transverse fractures were created in models of the ulna. Tension band wires were applied to ten fractures and ten were fixed with Acumed plates. Compression was measured using a Tekscan force transducer within the fracture gap. Dynamic testing was carried out by reproducing cyclical contraction of the triceps of 20 N and of the brachialis of 10 N. Both methods were tested on each sample. Paired t-tests compared overall compression and compression at the articular side of the fracture. <\/jats:p><jats:p> The mean compression for plating was 819 N (sd 602, 95% confidence interval (CI)) and for tension band wiring was 77 N (sd 19, 95% CI) (p = 0.039). The mean compression on the articular side of the fracture for plating was 343 N (sd 276, 95% CI) and for tension band wiring was 1 N (sd 2, 95% CI) (p = 0.038). <\/jats:p><jats:p> During simulated movements, the mean compression was reduced in both groups, with tension band wiring at \u221214 N (sd 7) and for plating \u2212173 N (sd 32). No increase in compression on the articular side was detected in the tension band wiring group. <\/jats:p><jats:p> Pre-contoured plates provide significantly greater compression than tension bands in the treatment of transverse fractures of the olecranon, both over the whole fracture and specifically at the articular side of the fracture. In tension band wiring the overall compression was reduced and articular compression remained negligible during simulated contraction of the triceps, challenging the tension band principle. <\/jats:p>","DOI":"10.1302\/0301-620x.93b2.24613","type":"journal-article","created":{"date-parts":[[2011,2,1]],"date-time":"2011-02-01T00:15:08Z","timestamp":1296519308000},"page":"245-250","source":"Crossref","is-referenced-by-count":89,"title":["Biomechanical comparison of interfragmentary compression in transverse fractures of the olecranon"],"prefix":"10.1302","volume":"93-B","author":[{"given":"J.","family":"Wilson","sequence":"first","affiliation":[{"name":"North West Deanery, 3 Piccadilly Place, Manchester M1 3BN, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Bajwa","sequence":"additional","affiliation":[{"name":"James Cook University Hospital, Marton Road, Middlesbrough TS4 3BW, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V.","family":"Kamath","sequence":"additional","affiliation":[{"name":"Victoria Hospital, Whinney Heys Road, Blackpool, Lancashire FY3 8NR, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Rangan","sequence":"additional","affiliation":[{"name":"James Cook University Hospital, Marton Road, Middlesbrough TS4 3BW, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"42","reference":[{"key":"R1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2003.12.002"},{"key":"R2","unstructured":"Birch R, Singh D. Principles of management of fractures, joint injuries and peripheral nerve injuries. In: Henry MM, Thompson JN, eds. Clinical surgery. Edinburgh: WB Saunders, 2001:617\u201332."},{"key":"R3","unstructured":"Schatzker J. Diaphyseal fractures. In: Schatzker J, Tile M. The rationale of operative fracture care. Third ed. Heidelburg: Springer-Verlag, 2005:22."},{"key":"R4","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2008.12.013"},{"key":"R5","doi-asserted-by":"crossref","unstructured":"Murphy DF, Greene WB, Gilbert JA, Dameron TB Jr. Displaced olecranon fractures in adults: biomechanical analysis of fixation methods. Clin Orthop 1987;224:210\u201314.","DOI":"10.1097\/00003086-198711000-00028"},{"key":"R6","doi-asserted-by":"crossref","unstructured":"Hutchinson DT, Horwitz DS, Ha G, Thomas CW, Bachus KN. Cyclic loading of olecranon fracture fixation constructs. J Bone Joint Surg [Am] 2003;85-A:831\u20137.","DOI":"10.2106\/00004623-200305000-00010"},{"key":"R7","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-200006000-00011"},{"key":"R8","unstructured":"Brinker MR, O\u2019Connor DP. Basic sciences. In: Miller MD, ed. Review of orthopaedics. Fourth ed. Philadelphia: WB Saunders, 2004:18."},{"key":"R9","doi-asserted-by":"crossref","unstructured":"Hume MC, Wiss DA. Olecranon fractures: a clinical and radiographic comparison of tension band wiring and plate fixation. Clin Orthop 1992;285:229\u201335.","DOI":"10.1097\/00003086-199212000-00031"},{"key":"R10","unstructured":"DePoy E, Gitlin LN. Introduction to research: understanding and applying multiple strategies. Third ed. Missouri: Elsevier Mosby, 2005:101."},{"key":"R11","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0b013e318165214f"},{"key":"R12","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.67B3.3997942"},{"key":"R13","unstructured":"Petrie A, Sabin C. Medical statistics at a glance. Oxford: Blackwell Science, 2000:42\u201382."},{"key":"R14","unstructured":"No authors listed. Acumed congruent elbow plate system: olecranon surgical technique. http:\/\/www.acumed\/net\/sites\/default\/files\/congruent-elbow-plate-system-brochure.pdf (date last accessed 29 October 2010)."},{"key":"R15","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200007000-00007"},{"key":"R16","doi-asserted-by":"crossref","unstructured":"Rowland SA, Burkhart SS. Tension band wiring of olecranon fractures: a modification of the AO technique. Clin Orthop 1992;277:238\u201342.","DOI":"10.1097\/00003086-199204000-00029"}],"container-title":["The Journal of Bone and Joint Surgery. 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