Evidence map›Paper›PMID 40697304›Full record

ReviewJSES reviews, reports, and techniques2025

Tension band wiring and plate fixation for Olecranon fractures: a systematic review and meta-analysis.

Mikhail A Bethell, Tom R Doyle, Eoghan T Hurley, Harvey Allen, Tyler S Pidgeon, Christian A Péan, Oke Anakwenze, Christopher S Klifto

Abstract readReview
In one paragraph

Review in JSES reviews, reports, and techniques, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Mikhail A BethellDepartment of Orthopedic Surgery, Duke University, Durham, NC, USA.
Tom R DoyleDepartment of Orthopedic Surgery, Duke University, Durham, NC, USA.
Eoghan T HurleyDepartment of Orthopedic Surgery, Duke University, Durham, NC, USA.
Harvey AllenDepartment of Orthopedic Surgery, Duke University, Durham, NC, USA.
Tyler S PidgeonDepartment of Orthopedic Surgery, Duke University, Durham, NC, USA.
Christian A PéanDepartment of Orthopedic Surgery, Duke University, Durham, NC, USA.
Oke AnakwenzeDepartment of Orthopedic Surgery, Duke University, Durham, NC, USA.
Christopher S KliftoDepartment of Orthopedic Surgery, Duke University, Durham, NC, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

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: A systematic search of articles in PubMed and Embase databases was carried out according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Studies comparing TBW to plate fixation for olecranon fractures were included. All statistical analyses were performed using Review Manager. A Results: Twenty studies with 2164 patients were included. There were no significant differences in the Disabilities of the Arm, Shoulder, and Hand score (12.3 ± 4.7 vs. 12.1 ± 4.9, 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.

Indexed as

FractureMeta-analysisOlecranonPlate fixationSystematic reviewTension band wiring

Identifiers

PMID40697304
PMCPMC12277715

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.