Biomechanical comparison of tension band suture fixation and tension band wiring in olecranon fractures.

Purpose: Traditional tension band wire fixation (TBWF) of olecranon fractures is associated with high revision rates due to implant-related complications. The purpose of the study was to compare the strength of fixation in olecranon fractures between TBWF and an all-suture based technique.

Methods: A transverse fracture was created in 20 paired fresh-frozen human cadaveric elbows.