ArticleBMC musculoskeletal disorders2023
The effect of ding's screw and tension band wiring for treatment of olecranon fractures: a finite element study.
Article in BMC musculoskeletal disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 4 citations in OpenAlex.
- Biomechanical efficacy of a medial buttress plate in the management of concomitant ipsilateral subcapital and intertrochanteric femoral fractures: a finite element analysis.BMC musculoskeletal disorders · 2026Article
- Tension-band high-strength suture combined with absorbable screws with cortical penetration for treating Mayo type IIA olecranon fractures: finite element analysis, biomechanical testing, and clinical study.Frontiers in bioengineering and biotechnology · 2026Article
- Analysing plate fixation of a comminuted fracture of the proximal ulna in relation to the elbow joint: a finite element study.Journal of orthopaedic surgery and research · 2025Article
- The effect of Ding's screws and tension band wiring for treatment of olecranon fractures: a biomechanical study.Scientific reports · 2024Article
- A novel technique of a new cannulated screw for treatment of inferior pole patellar fractures: a finite element study.Journal of orthopaedic surgery and research · 2023Article
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Authors and funding
5 authors at 2 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundTension band wiring (TBW) is a common surgical intervention for olecranon fractures. However, high rate of complications such as loss of reduction, skin irritation, and migration of the K-wires were reported up to 80%. Ding's screw tension band wiring (DSTBW) is a new TBW technique that has shown positive results in the treatment of other fracture types. The objective of this study was to evaluate the stability of DSTBW in the treatment of olecranon fractures by finite element analysis.
methodWe used Ding's screw tension band fixation (DSTBW) and K-wire tension band fixation (TBW) to establish a finite element model to simulate and fix olecranon fractures. The stress distribution, opening angle, twisting angle, and pullout strength of K-wires or screws were analyzed and compared.
resultsThe maximum von Mises stress was observed on the internal fixation for 90° elbow motion in both groups. The von Mises value of the screw in DSTBW was 241.2 MPa, and the von Mises value of k-wire in TBW was 405.0 MPa. Opening angle: TBW was 0.730° and DSTBW was 0.741° at 45° flexion; TBW was 0.679° and DSTBW was 0.693° at 90° flexion. Twisting angle: TBW was 0.146° and DSTBW was 0.180° at 45° flexion; TBW was 0.111° and DSTBW was 0.134° at 90° flexion. The pullout strength of DSTBW was significantly higher than that of TBW. Maximum pullout strength of Ding's screw was 2179.1 N, maximum pullout strength of K-wire was 263.6 N.
conclusionDSTBW technology provides stable fixation for olecranon fractures, reducing the risk of internal fixation migration and failure.
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