Protocol for a Systematic Review to validate or not, the philosophic explanation under the mechanism of action of the Tension Band Wiring to estabilizase an Olecranon fracture.
barcia, s.; Boretto, J.
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Olecranon fractures in young people are commonly treated surgically. When a transverse pattern is presented the most used method to fix the fracture is the Tension Band Wiring. The AO Foundation proposed a theory for the mechanism of action of this device. It could transform the tensile forces on the posterior side into compression forces on the joint side during flexion of the elbow. Our objective is to systematically review the available literature in order to confirm or not this hypothesis. We will include biomedical research studies evaluating Tension Band Wiring function. We are planning to search on Medline, Embase and other sources including grey literature. The studies will be selected and the data extracted. Results will include a descriptive analysis and a meta-analysis to compare the observed compression force before and after the flexion of the elbow. Our findings will be discussed having in mind the potentially clinical implications of results.
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