The biomechanical strength of olecranon fixation constructs: a systematic review and meta-regression

<p class="abstract">Olecranon fractures are often operative when displaced over 2 mm, but the most stable fixation construct is debated. The purpose of this study was to provide an overview biomechanical properties commonly used surgical fixations olecranon fractures. This systematic review included 13 studies comparing displacement during cyclic loading fixated with either tension band wiring (TBW), intramedullary screw, or plate fixation. In regard overall gapping, plates displayed (and screws trended towards) increased stability versus TBW. However, there no difference between constructs in gapping at articular surface. Plating along posterior No allowed suggesting safe early post-operative motion any techniques.</p>