Indication: simple, non-comminuted transverse olecranon fractures (AO 21-B1) with intact dorsal cortex. Principle: converts triceps tensile force into compression at the articular fracture line during elbow flexion. Technique: two parallel K-wires + figure-of-8 wire anterior to axis. Avoid in comminution, osteoporosis, or Monteggia — plate preferred. Complications: hardware prominence, wire migration, loss of reduction, stiffness.
What is the primary indication for using tension band wiring (TBW) in olecranon fractures?
What principle does tension band wiring (TBW) utilize during elbow flexion?
Which of the following is a complication of tension band wiring for olecranon fractures?
In which scenario is tension band wiring (TBW) NOT recommended?
What is the role of the figure-of-eight wire in tension band wiring for olecranon fractures?
What type of fracture pattern is typically associated with indirect trauma to the olecranon?
What is the first step in the surgical technique for tension band wiring of an olecranon fracture?
What type of imaging is most commonly used to evaluate olecranon fractures?
What is a common clinical feature of an olecranon fracture?
What is the preferred surgical management for a stable displaced olecranon fracture?
