Treatment of Olecranon Fractures in the Elderly
Operative or Non-Operative Treatment of Displaced Fractures of the Elderly - a Nordic Multicenter Randomized Trial
Oslo University Hospital
76 participants
Mar 22, 2021
INTERVENTIONAL
Summary
Operative treatment, with tension band wiring or plate fixation, will be compared with non-operative treatment of displaced olecranon fractures (Mayo classification 2A and 2B) in patients 75 years or older.
Eligibility
Inclusion Criteria1
- Displaced olecranon fracture (Mayo 2A and 2B).
Exclusion Criteria4
- Associated fractures in the coronoid process, radial head or distal humerus.
- Open fracture, Gustilo-Andersen 2 or 3
- Severe cardiopulmonary disease or other medical condition which contraindicates surgery.
- Previous injury to or other condition in the elbow with serious functional impairment
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Interventions
Choice of operative treatment is TBW or PF with a precontoured anatomical plate. The treating surgeon decides if TBW or PF is chosen as operative treatment method. The surgeries are performed according to OTA principles by an experienced surgeon, a trauma fellow or a consultant as approved by the participating hospitals.
Patients allocated to non-operative treatment are offered a back-slab in 60 degrees of flexion for pain-relief. The back-slab is removed 7-14 days following injury.
Locations(12)
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NCT04670900