Evidence map›Paper›PMID 39085686›Full record

ReviewMusculoskeletal surgery2025

Conservative versus surgical treatment for displaced olecranon fractures in the elderly: a retrospective study and a review of the literature.

V Luppi, D Regis, T Maluta, A Sandri, A Trivellato, A Mirabile, B Magnan

Abstract readComparative StudyReview
PubMed Publisher
In one paragraph

Review in Musculoskeletal surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Management of Elderly Elbow Fractures.Indian journal of orthopaedics · 2025
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

V LuppiDepartment of Orthopedics and Traumatology, Azienda Ospedaliera Universitaria Integrata di Verona, Piazzale A. Stefani n. 1, 37126, Verona, Italy. valentina.luppi1@gmail.com.ORCID http://orcid.org/0000-0002-1111-3356
D RegisDepartment of Orthopedics and Traumatology, Azienda Ospedaliera Universitaria Integrata di Verona, Piazzale A. Stefani n. 1, 37126, Verona, Italy.
T MalutaDepartment of Orthopedics and Traumatology, Azienda Ospedaliera Universitaria Integrata di Verona, Piazzale A. Stefani n. 1, 37126, Verona, Italy.
A SandriDepartment of Orthopedics and Traumatology, Azienda Ospedaliera Universitaria Integrata di Verona, Piazzale A. Stefani n. 1, 37126, Verona, Italy.
A TrivellatoDepartment of Orthopedics and Traumatology, Azienda Ospedaliera Universitaria Integrata di Verona, Piazzale A. Stefani n. 1, 37126, Verona, Italy.
A MirabileDepartment of Orthopedics and Traumatology, Azienda Ospedaliera Universitaria Integrata di Verona, Piazzale A. Stefani n. 1, 37126, Verona, Italy.
B MagnanDepartment of Orthopedics and Traumatology, Azienda Ospedaliera Universitaria Integrata di Verona, Piazzale A. Stefani n. 1, 37126, Verona, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSurgery is the gold standard treatment of displaced olecranon fracture, but it presents a high rate of complications, especially in the elderly, including wound breakdown and fixation failure. Conservative treatment of these fractures has recently been proposed with good functional outcomes. The aim of this retrospective study was to compare the functional results and level of satisfaction of displaced olecranon fractures which were managed surgically or conservatively in geriatric patients. The rate of implant removal and reoperation in the surgical group were also calculated. MATERIALS AND

methodsSixteen and eleven patients aged ≥ 75 years (mean 83 and 86.2, respectively) with isolated Mayo IIA or IIB olecranon fracture were surgically and conservatively treated, respectively. All but 1 were females. Due to coronavirus pandemic, they were contacted by phone to validated clinical scores (QuickDASH, PREE and VAS), which were used to assess the outcome.

resultsAt an average follow-up of 26.5 months in the conservative group and 53.1 in the surgical group (range 4-82), the mean Quick DASH was 11.67 and 11.2, respectively, while the mean PREE was 11.36 and 12.67, respectively. There was no significant difference in functional outcomes between the two groups, and all patients were satisfied. Seven complications occurred in the surgical cohort (33.3%), requiring reoperation in 4 cases (19%).

conclusionsDisplaced olecranon fractures can successfully be treated conservatively in low-demand geriatric patients with good functional results and high satisfaction rate.

Indexed as

Conservative TreatmentFracture Fixation, InternalOlecranon ProcessUlna FracturesAgedAged, 80 and overFemaleHumansMaleOlecranon FracturePatient SatisfactionReoperationRetrospective StudiesTreatment OutcomeConservative treatmentElderlyGeriatricOlecranon fracturesOsteosynthesis

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.