@article{cc9bcc48-a4cb-4d7a-bfcb-7dfe25edbf6a,
  abstract     = {{<p>Several methods of surgically treating displaced, ulno-humerally stable olecranon fractures (Mayo type 2a and 2b) have been suggested. Cerclage wires have been used for at least a century to achieve fracture fixation but have been replaced by tension band wiring or plate fixation as the commonly recognized "gold standard" treatments. Thin soft tissues and migrating K-wires result in high complication rates following these 2 methods. We suggest double cerclage wiring as an alternative method that allows for the omission of K-wires. The method can be used for the same indications as tension band wiring: Mayo type 2a and 2b fractures. Two cerclages are placed, in figure-of-eight and figure-of-zero configurations, respectively, through separate drill holes distally and through the triceps tendon proximally. In a retrospective study, the reoperation rate and complication rate were twice as high following tension band wiring compared with double cerclage wiring (27% vs. 13% and 45% vs. 18%, respectively). An ongoing RCT will provide more robust evidence, but current studies indicate that double cerclage wiring is a safe and possibly superior alternative to tension band wiring.</p>}},
  author       = {{Cornefjord Voigt, Gustav and Kostogiannis, Ioannis and Rogmark, Cecilia and Wenger, Daniel}},
  issn         = {{1089-3393}},
  keywords     = {{cerclage wiring; double cerclage wiring and cerclage compression wiring.; olecranon fractures; tension band wiring}},
  language     = {{eng}},
  number       = {{2}},
  publisher    = {{Lippincott Williams & Wilkins}},
  series       = {{Techniques in Hand & Upper Extremity Surgery}},
  title        = {{Double Cerclage Wiring (DCW) of Displaced Stable Olecranon Fractures}},
  url          = {{http://dx.doi.org/10.1097/BTH.0000000000000557}},
  doi          = {{10.1097/BTH.0000000000000557}},
  volume       = {{30}},
  year         = {{2026}},
}