Fig. 1.

Surgical procedure for locked tension band wiring: a The fracture was crimped using pointed reduction forceps and tension band wiring in a double knot according to the AO surgical reference. b The proximal end of the K-wires was bent at a right angle. c, d An elevator was used to create a gap between the bent portion of the K-wires and the figure-of-eight wire, and the triceps. The proximal bent portions of the K-wires and the figure-of-eight wire were coiled and fixed with a 0.5-mm flexible wire (white arrow). e, f Postoperative X-rays indicated that the proximal end of the K-wires and the figure-of-eight wire were fixed with the flexible wire. In this case, there were multiple bone fragments, so additional flexible wire was used for the circular wiring to improve stability (color figure online)