Tension band wiring and plate fixation for Olecranon fractures: a systematic review and meta-analysis
Mikhail A. Bethell, Tom R Doyle, Eoghan T. Hurley, Hilary Allen, Tyler S. Pidgeon, Christian A. Péan, Oke Anakwenze, Christopher S. Klifto
Abstract
Background: The purpose of this study is to perform a systematic review of the literature comparing the utilization of tension-band wiring (TBW) and plate fixation for the surgical management of olecranon fractures. Methods: value of < .05 was considered to be statistically significant. Results: = .86). Conclusion: This study highlights that while TBW and plate fixation offer similar functional outcomes for olecranon fractures, plate fixation demonstrates superior results in terms of lower rates of fixation failure, implant removal, reoperation, and overall complications compared to TBW. These findings suggest that plate fixation should be preferred for surgical management for most patients.