About this trial
This study takes place in one hospital and uses a random method to divide patients into groups. It looks at the best way to treat a broken elbow (specifically, a displaced olecranon fracture) in older adults who don't use their arms heavily. There are 84 patients in total, with 42 people in each group
Eligibility criteria
Qualifiers
Patients with an acute (< 2 weeks) Mayo type 2A or 2B olecranon fracture
Patients aged > 65 years • Patients with reduced functional demand, with a score > 2 and < 7 on the Clinical Frailty Scale
Patients able to provide informed consent and follow all study procedures as indicated in the protocol
Signed informed consent for study participation
Disqualifiers
Patients aged < 65 years or with a Clinical Frailty Scale score > 7 or < 2
Patients with a Mayo type 2A or 2B fracture seen more than 2 weeks after injury
Old fracture (> 6 months), pseudoarthrosis, or unhealed nerve injury of the ipsilateral upper limb
Open (Gustilo-Anderson type 2 or 3) or pathological fracture
Trial design
Treatments tested in this trial
- Open reduction and plate osteosynthesis
- Conservative treatment with early mobilisation