Comparing surgical and conservative treatments for olecranon fractures in elderly patients

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study investigates the effectiveness of two surgical methods, tension band wiring and plate fixation, compared to conservative treatment for displaced olecranon fractures in patients aged 75 and older. It aims to determine if surgical intervention is non-inferior to conservative management in this elderly population. The study will include patients with confirmed displaced fractures and will exclude those with certain complications or conditions that may affect treatment outcomes.

Why it matters

Who can join: the full rules

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

Where it's running

• Turku Central University Hospital
  Turku, Southwest Finland, Finland Recruiting
• Hospital Nova
  Jyväskylä, Finland Recruiting
• Tampere University Hospital
  Tampere, Finland Recruiting
• Danderyd Hospital
  Stockholm, Sweden Not yet recruiting

Study contacts

• Study coordinator: Ida Rantalaiho, MD
• Email: ida.rantalaiho@tyks.fi
• Phone: +35823135040

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

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• Fixing a broken elbow with a metal plate versus non-surgical care in older adults

  This test sees if using a metal plate to fix a displaced olecranon fracture helps older adults with low arm demands recover better and regain arm function than non-surgical treatment.

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• Comparing two surgical methods for treating olecranon fractures

  This study is testing which surgical method, cerclage fixation or tension band wiring, works better for treating certain types of elbow fractures in adults to see if it leads to fewer complications and re-operations.

  Recruiting at 2 sites Region Skane · Lund, Skåne County and 1 other locations · NCT05657899

How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.