Tension band wiring or plate fixationSling or a long-arm plaster
Tension band wiring or plate fixation: Operative fixation of olecranon fracture with either of the methods mentioned in the intervention name
Sling or a long-arm plaster: Non-operative treatment and progressive range of motion as tolerated. A long-arm plaster will be used, if necessary, for pain relief.
Study summary
This study is designed to study the difference between operative treatment, either with tension band wiring or plate fixation, and conservative treatment of traumatic, displaced olecranon fractures in elderly population in a non-inferiority study setting.
Eligibility
Sex
ALL
Min age
75 Years
Max age
—
Healthy volunteers
Accepted
Inclusion Criteria:
* Radiologically (standard AP and lateral radiographs) confirmed, displaced (≥2mm dislocation of the joint surface) fracture of the olecranon
* Age of patient is 75 years or over at the time of the injury
Exclusion Criteria:
* A delay more than 2 weeks after traumatic event to the day of intervention
* Mayo type 3 fracture
* Fracture continuation distal to coronoideus
* Other acute fracture or nerve damage of the ipsilateral upper limb
* Old fracture (\<6 months) or pseudoarthrosis or unhealed nerve injury of the ipsilateral upper limb
* Open fracture
* Pathological fracture
* History of alcoholism, drug abuse, psychological or other emotional problems likely to jeopardize informed consent
* Patient's inability to understand written and spoken Finnish or Swedish or Danish
* Patient's denial for participation or cognitive incapability to provide consent
* Patient physically unfit for surgery
Primary outcome measure(s)
the Disabilities of Arm, Shoulder and Hand (DASH) — 1 year Minimum value 0, maximum value 100. Higher scores mean worse outcome.
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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