Honefoss

Researchers are evaluating the treatment options for displaced olecranon fractures in patients aged 75 years or older. The study compares surgical methods, specifically tension band wiring (TBW) or plate fixation (PF), against non-operative treatment. Operative treatments aim to restore the elbow's extensor mechanism but are linked to high complication and reoperation risks in the elderly. Previous trials were limited, prompting this study to better understand outcomes for these patients. Participants will be randomly assigned to receive either operative treatment using TBW or PF, determined by the treating surgeon, or active non-operative treatment. Those in the non-operative group may use a back-slab cast positioned at 60 degrees of elbow flexion for pain relief, which is removed after 7 to 14 days. Surgical procedures follow established orthopedic trauma principles and are performed by experienced surgeons or qualified consultants at participating centers. Throughout the 52-week study, researchers will assess participants using the Oxford Elbow Score to measure elbow function and outcomes. Data on complications, reoperations, and recovery progress will be collected to compare the effectiveness and safety of both treatment approaches. This study helps inform the best care practices for elderly patients with displaced olecranon fractures.