Scandinavian Olecranon Research in the Elderly

SCORE Trial - Scandinavian Olecranon Research in the Elderly

This study is designed to study the difference between operative treatment, either with tension band wiring or plate fixation, and conservative treatment of traumatic, displaced olecranon fractures in elderly population in a non-inferiority study setting.

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