Comparing two surgical methods for treating olecranon fractures

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 clinical trial investigates the effectiveness of cerclage fixation versus tension band wiring in treating stable olecranon fractures classified as Mayo type 2a and 2b. Patients aged 18 and older at Skåne University Hospital will be randomly assigned to one of the two surgical methods. The study aims to determine which method results in lower re-operation and complication rates. Participants will be monitored by physiotherapists throughout the recovery process.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Sustained Olecranon type fracture of Mayo 2a or 2b
* Seeking healthcare in at the Skåne University Hospital in Lund and Malmö, Sweden.

Exclusion Criteria:

* Subjects unable to participate in follow up (for example subjects with active substance abuse, dementia, inability to communicate or understand the questionnaires or subjects living in other administrative healthcare regions).
* Subjects unable to give informed written consent.
* Subject where non operative treatment is indicated due to frailty or severe ongoing disease.
* Fracture not operated within 14 days from the date the fracture was sustained.
* Subjects with severe open fractures of Gustilo-Anderson class III
* Subject with pathological fractures from metastatic disease.
* Subject with simultaneous or previous severe injury to the same arm are excluded for patient reported outcome measures but included for all other outcomes.
* Subjects with previously severe injuries to the same arm will be excludes for PROM analyses but included for reoperation and complication analyses.
* Subjects operated by an orthopedic trauma surgeons that did not attended our education on the study and the interventions, unless surgery is supervised by an orthopedic surgeon that has attended the education the subject will not be excluded.

Where it's running

• Dept. of Orthopaedics
  Lund, Skåne County, Sweden Recruiting
• Dept. of Orthopaedics
  Malmö, Skåne County, Sweden Recruiting

Study contacts

• Principal investigator: Daniel Wenger, MD, PhD — Department of Orthopedics, Skåne University Hospital and Lund University
• Study coordinator: Daniel Wenger, MD, PhD
• Email: daniel.wenger@med.lu.se
• Phone: +46 73-815 15 50

Similar studies

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

• EASY Algorithm: Bedside ultrasound to screen children aged 5 to 15 for elbow fractures

  This project will test whether a quick bedside ultrasound can reliably show or rule out elbow fractures in children aged 5 to 15 after an injury.

  Recruiting at 2 sites Charite University, Berlin, Germany · Amberg and 12 other locations · NCT07429344

• 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.

  Recruiting Ente Ospedaliero Cantonale, Bellinzona · Lugano · NCT07400692

• Comparing surgical and conservative treatments for olecranon fractures in elderly patients

  This study is trying to see if two types of surgery for elbow fractures work just as well as non-surgical treatment for people aged 75 and older.

  Recruiting at 3 sites Turku University Hospital · Turku, Southwest Finland and 3 other locations · NCT04401462

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.