Comparing Surgery Using Metal Plate Versus Non-Surgical Treatment for Older Adults With Broken Elbows

What this Trial Is About

Researchers are evaluating the best treatment approach for displaced olecranon fractures a type of broken elbow in older adults who have low arm use. This study randomly assigns 84 patients, all aged 65 or older, into two groups to compare surgical and non-surgical options. The goal is to see which method leads to better recovery and arm function. One group receives surgery involving a cut along the back of the elbow to realign the bone and fix it with a special metal plate and screws. The surgeon uses live X-rays to ensure proper placement and starts gentle exercises early to regain movement. The other group receives conservative treatment with a sling for about two weeks followed by gradual arm movements and strengthening exercises to allow healing while maintaining elbow function. Participants will be followed for at least six months, during which researchers will assess their arm function, pain, and social-psychological effects using the Oxford Elbow Score. The study includes regular monitoring of recovery progress and rehabilitation. Participants must be able to consent and comply with study procedures, with outcomes focused on comparing recovery quality between treatments.

This is a Study to Find Out Whether Surgery Using a Metal Plate to Fix a Broken Elbow in Older Adults Leads to Better Recovery and Arm Function Compared to Non-surgical Treatment