This is a Study to Find Out Whether Surgery Using a Metal Plate to Fix a Broken Elbow in Older Adults Leads to Better Recovery and Arm Function Compared to Non-surgical Treatment

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age65+
SponsorEnte Ospedaliero Cantonale, Bellinzona

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

Treatment groups

84 Participants
are divided into 2 treatment groups