Displaced olecranon fractures in the elderly: outcomes after non-operative treatment - a narrative review.
Olga D Savvidou, Panagiotis Koutsouradis, Angelos Kaspiris...
https://pubmed.ncbi.nlm.nih.gov/32818066Actively Recruiting
Phase Not Applicable
Age: 75Years +
All Genders
ID04670900
Operative or Non-Operative Treatment of Displaced Olecranon Fractures in Elderly Patients - A Nordic Multicenter Randomized Trial
Led by Oslo University Hospital · Updated on 2025-03-25
76
Participants Needed
12
Research Sites
8 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Researchers are evaluating treatments for displaced olecranon fractures in patients aged 75 years or older. These fractures affect the elbow's extensor mechanism, and surgical options like tension band wiring and plate fixation are common but come with high complication and reoperation rates, especially in elderly patients. The study aims to compare operative treatment with non-operative care to determine the best approach for this population. Patients in the study will be randomly assigned to receive either surgery or non-operative treatment. Those in the surgical group will undergo tension band wiring or plate fixation using an anatomical precontoured plate, performed by experienced surgeons according to Orthopedic Trauma Association principles. Patients in the non-operative group will be offered a plaster cast or back-slab for 1 to 2 weeks to relieve pain, which is then removed after 7 to 14 days. During the trial, participants will be monitored through various assessments over 52 weeks, including measuring elbow function with the Oxford Elbow Score, range of motion, elbow extension strength, and satisfaction. Researchers will also track complications and any reoperations throughout the study period. The total follow-up time for each participant is one year, allowing thorough evaluation of treatment outcomes and safety.
CONDITIONS
Brief Title
Treatment of Olecranon Fractures in the Elderly
Who Can Participate
Age: 75Years +
All Genders
Eligibility Criteria
You may qualify if you...
- Displaced olecranon fracture classified as Mayo 2A or 2B
- Age 75 years or older
You will not qualify if you...
- Fractures involving the coronoid process, radial head, or distal humerus
- Open fractures classified as Gustilo-Andersen type 2 or 3
- Severe heart or lung disease or other medical conditions that make surgery unsafe
- Previous injury or serious functional impairment in the affected elbow
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
1
2
3
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Surgery and Immediate Post-operative Care
Duration - Up to 2 weeks
Participants randomized to operative treatment receive surgery with either tension band wiring or plate fixation performed by an experienced surgeon.
1 surgery visit and follow-up visits as needed
Treatment
Duration - 1 to 2 weeks
Participants randomized to non-operative treatment receive active non-operative care, including an optional plaster cast worn for 1 to 2 weeks.
1 to 2 visits depending on plaster cast application and removal
Post-operative Follow-up
Duration - Up to 52 weeks
Participants in both treatment groups attend follow-up visits to assess range of motion, elbow strength, satisfaction, complications, and recovery progress.
Visits at approximately 6 weeks, 12 weeks, and 52 weeks
Trial Site Locations
Total: 12 locations
1
Baerum Hospital
Sandvika, Gjettum, Norway
Actively Recruiting
2
Vestre Viken Hospital Trust
Hønefoss, Norway, Norway, 3511
Actively Recruiting
3
St. Olavs Hospital
Trondheim, Trønderlag, Norway
Actively Recruiting
4
Arendal Hospital
Arendal, Norway
Actively Recruiting
5
Haukeland University Hospital
Bergen, Norway
Actively Recruiting
6
Østfold Hospital Trust
Grålum, Norway
Actively Recruiting
7
Orthopedic Center, Ulleval University Hospital
Oslo, Norway, 0408
Actively Recruiting
8
Diakonhjemmet Hospital
Oslo, Norway
Not Yet Recruiting
9
Telemark Hospital
Skien, Norway
Actively Recruiting
10
Stavanger University Hospital
Stavanger, Norway
Actively Recruiting
11
Tønsberg Hospital
Tønsberg, Norway
Actively Recruiting
12
Akademiska Hospital
Uppsala, Sweden
Not Yet Recruiting
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Research Team
F
Frede Frihagen, PhD
K
Kaare S Midtgaard, MD
How is the study designed?
Study Type
INTERVENTIONAL
Masking
DOUBLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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