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Biomechanical study on different internal fixation methods for treating Mayo type IIA olecranon fractures of the ulna
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  • Published: 09 January 2026

Biomechanical study on different internal fixation methods for treating Mayo type IIA olecranon fractures of the ulna

  • Jun Zhang1,2,
  • Yuqin Fang1,2,
  • Yunqiang Zhuang1,2,
  • Fude Jiao1,2 &
  • …
  • Yang Gu1,2 

Scientific Reports , Article number:  (2026) Cite this article

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We are providing an unedited version of this manuscript to give early access to its findings. Before final publication, the manuscript will undergo further editing. Please note there may be errors present which affect the content, and all legal disclaimers apply.

Subjects

  • Anatomy
  • Engineering
  • Health care
  • Medical research

Abstract

The aim of this experiment is to compare the biomechanical strength of six distinct internal fixation techniques for Mayo type IIA olecranon fractures using biomechanical analysis. This study utilized tensile tests on artificial, shape-mimicking olecranon bones to assess their biomechanical properties. A tensile test was performed on the artificial, shape-mimicking olecranon bone at a 90° angle, with the tensile load applied at a rate of 2 mm/min until the test displacement reached 2 mm, at which point the test was halted. Throughout the test, the testing system was able to collect load and displacement data in real-time and simultaneously monitor the changes in the load-displacement relationship. The maximum loads for groups A-F were (75.34 ± 2.54), (85.53 ± 2.45), (106.57 ± 3.57), (115.21 ± 11.96), (92.76 ± 3.22), and (147.19 ± 4.29) N, respectively, and the stiffnesses were (33.46 ± 2.96), (39.29 ± 1.12), (51.07 ± 3.22), (53.76 ± 5.26), (40.99 ± 1.34), and (71.66 ± 1.77) N/mm, respectively. When the implantation depth of the Kirschner wires reached four times the standard deviation depth, its maximum load and stiffness performance were superior to those of the double cortical Kirschner wire tension band fixation.

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Data availability

The datasets generated and analysed during the current study are not publicly available due to the research project is still being further developed and deepened but are available from the corresponding author on reasonable request.

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Funding

This work was supported by the following funding sources: Science and Technology Project of Yinzhou District (Project No: 2022AS062); Medical and Health Science and Technology Project of Zhejiang Province (Project No: 2020KY892); Ningbo Public Welfare Science and Technology Program Project (Project No: 2024S173); Ningbo Clinical Research Center for Orthopedics, Sports Medicine & Rehabilitation (Project No:2024L004). The funders had no role in study design, data collection/analysis, decision to publish, or preparation of the manuscript.

Author information

Authors and Affiliations

  1. Department of Trauma Orthopedic Center, Ningbo No.6 Hospital, Ningbo, Zhejiang, China

    Jun Zhang, Yuqin Fang, Yunqiang Zhuang, Fude Jiao & Yang Gu

  2. Ningbo Clinical Research Center for Orthopedics, Sports Medicine & Rehabilitation, Ningbo, Zhejiang, China

    Jun Zhang, Yuqin Fang, Yunqiang Zhuang, Fude Jiao & Yang Gu

Authors
  1. Jun Zhang
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Contributions

Jun Zhang and Yuqin Fang.wrote the main manuscript text and Fude Jiao.Yang Gu.prepared Figs. 1, 2, 3, 4, 5, 6 and 7 and Yunqiang Zhuang.prepared Table 1, and 2. All authors reviewed the manuscript.

Corresponding author

Correspondence to Yunqiang Zhuang.

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Zhang, J., Fang, Y., Zhuang, Y. et al. Biomechanical study on different internal fixation methods for treating Mayo type IIA olecranon fractures of the ulna. Sci Rep (2026). https://doi.org/10.1038/s41598-026-35057-9

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  • Received: 18 July 2025

  • Accepted: 01 January 2026

  • Published: 09 January 2026

  • DOI: https://doi.org/10.1038/s41598-026-35057-9

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Keywords

  • Biomechanics
  • K-wire
  • Intramedullary fixation
  • Olecranon fractures
  • Tension band wiring
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