Study Comparing Surgery and Non-Surgical Care for Olecranon Fractures in People Aged 75 and Older

What this Trial Is About

Researchers are evaluating the difference between surgical treatment, using tension band wiring or plate fixation, and non-surgical treatment for displaced olecranon fractures in people aged 75 and older. This study focuses on whether non-surgical treatment is not worse than surgery in helping patients recover arm function. The trial is sponsored by Turku University Hospital and aims to improve treatment options for elderly patients with this type of elbow fracture. Participants are randomly assigned to one of two groups one receiving surgery to fix the fracture with tension band wiring or plate fixation, and the other receiving conservative treatment using a sling or long-arm plaster for pain relief and allowing gradual movement as tolerated. The conservative treatment may include a plaster cast if needed. The study compares these approaches over a year to assess recovery and function. During the study, participants undergo several assessments including questionnaires to measure arm, shoulder, and hand disabilities at 3 months and 1 year, pain and satisfaction scales, elbow X-rays at multiple time points, and tests of elbow motion and strength. Researchers monitor adverse events for up to 12 months. The total participation time includes follow-ups at 2 weeks, 3 months, and 12 months after treatment to fully evaluate recovery.

Scandinavian Olecranon Research in the Elderly