{
    "abstract": "The aim of this study was to evaluate the difference of the clinical outcome of elderly patients who were treated surgically or conservatively for a displaced olecranon fracture (Mayo type IIA or IIB).\nPatients above the age of 70\u00a0years who were treated surgically (n\u2009=\u200911) for a displaced Mayo type IIA and IIB olecranon fracture between July 2015 and February 2019 were retrospectively compared with patients who were treated conservatively (n\u2009=\u20096). The range of motion, elbow strength, grip strength, VAS, DASH, OES, MEPI and Broberg and Morrey scores were evaluated.\nThe conservative group showed a non-union with a persistent fracture gap of 17\u00a0mm (SD 12\u00a0mm) at the articular rim and 31\u00a0mm (15\u00a0mm) at the dorsal rim while there was no case of non-union in the surgical group. The arch of motion was 120\u00b0 in the conservative group and 136\u00b0 in the surgical group. There was no obvious difference in elbow extension strength in comparison to the healthy contralateral side (p\u2009=\u20090.20; 88% group I/87% group II). There was no difference in the OES (p\u2009=\u20090.30; 42 (SD 7) vs. 45 (SD 5)) and MEPI score (p\u2009=\u20090.46; (SD 8) vs. 96 (SD 19)). The conservative group presented a slightly worse DASH [p\u2009=\u20090.10; 26 (SD 25) vs 7 (SD 14)] and a significantly worse Broberg and Morrey score (p\u2009=\u20090.02; 84(SD 9) vs. 95 (SD 7)). The conservative group presented one complication (ulnar nerve palsy), while the surgical group presented two cases (prolonged lymphedema; blocked forearm rotation due to screw length with consecutive revision surgery).\nWidely displaced olecranon fractures can successfully be treated conservatively in low-demanding geriatric patients with a satisfactory outcome. Patient selection is essential as patients that are more active might benefit from surgical treatment. Yet, treatment risks and benefits need to be balanced carefully in regard to the patient`s demands and requests.",
    "authors": [
        {
            "affiliation": "Department of Orthopaedics and Traumatology, Medical University of Innsbruck, Anichstr. 35, 6020, Innsbruck, Austria.",
            "firstname": "Peter",
            "initials": "P",
            "lastname": "Kaiser"
        },
        {
            "affiliation": "Department of Orthopaedics and Traumatology, Medical University of Innsbruck, Anichstr. 35, 6020, Innsbruck, Austria.",
            "firstname": "Kerstin",
            "initials": "K",
            "lastname": "Stock"
        },
        {
            "affiliation": "Department of Orthopaedics and Traumatology, Medical University of Innsbruck, Anichstr. 35, 6020, Innsbruck, Austria.",
            "firstname": "Stefan",
            "initials": "S",
            "lastname": "Benedikt"
        },
        {
            "affiliation": "Department of Orthopaedics and Traumatology, Medical University of Innsbruck, Anichstr. 35, 6020, Innsbruck, Austria.",
            "firstname": "Tobias",
            "initials": "T",
            "lastname": "Kastenberger"
        },
        {
            "affiliation": "Department of Orthopaedics and Traumatology, Medical University of Innsbruck, Anichstr. 35, 6020, Innsbruck, Austria.",
            "firstname": "Gernot",
            "initials": "G",
            "lastname": "Schmidle"
        },
        {
            "affiliation": "Department of Orthopaedics and Traumatology, Medical University of Innsbruck, Anichstr. 35, 6020, Innsbruck, Austria. rohit.arora@i-med.ac.at.",
            "firstname": "Rohit",
            "initials": "R",
            "lastname": "Arora"
        }
    ],
    "conclusions": "Widely displaced olecranon fractures can successfully be treated conservatively in low-demanding geriatric patients with a satisfactory outcome. Patient selection is essential as patients that are more active might benefit from surgical treatment. Yet, treatment risks and benefits need to be balanced carefully in regard to the patient`s demands and requests.",
    "copyrights": "\u00a9 2021. The Author(s).",
    "doi": "10.1007/s00402-021-04031-7\n10.1016/j.injury.2011.10.017\n10.1007/s12306-016-0449-5\n10.1016/j.injury.2008.12.013\n10.1016/j.jhsa.2008.12.022\n10.1186/s12891-015-0789-6\n10.1016/j.hcl.2015.07.003\n10.1097/00005131-199209000-00004\n10.1016/S0020-1383(98)00223-X\n10.1302/0301-620X.99B7.BJJ-2016-1112.R2\n10.1177/1457496919893599\n10.1016/j.jse.2016.02.011\n10.1016/j.jse.2015.02.017\n10.1007/s007760000050318.776\n10.2106/JBJS.L.01137\n10.1302/0301-620X.96B4.33339\n10.1016/j.injury.2016.04.015\n10.2106/00004623-198163060-00002\n10.1007/s11678-018-0488-7\n10.1016/j.jhsa.2012.12.036\n10.1016/j.jacc.2013.09.070\n10.1016/j.jamcollsurg.2010.01.028\n10.3171/2010.12.SPINE10486",
    "journal": "Archives of orthopaedic and trauma surgery",
    "keywords": [
        "Conservative",
        "Elderly",
        "Fracture",
        "Geriatric",
        "Mayo",
        "Olecranon",
        "Surgery",
        "Treatment"
    ],
    "methods": null,
    "publication_date": "2021-07-07",
    "pubmed_id": "34226982\n22077988\n28050809\n19394931\n19181239\n26507718\n26498547\n1403246\n10476278\n28663405\n31822216\n27083580\n25842030\n10982677\n24382727\n24692623\n2086804\n27211227\n7240327\n23428192\n24291279\n20510798\n21294615\n20820153",
    "results": "The conservative group showed a non-union with a persistent fracture gap of 17\u00a0mm (SD 12\u00a0mm) at the articular rim and 31\u00a0mm (15\u00a0mm) at the dorsal rim while there was no case of non-union in the surgical group. The arch of motion was 120\u00b0 in the conservative group and 136\u00b0 in the surgical group. There was no obvious difference in elbow extension strength in comparison to the healthy contralateral side (p\u2009=\u20090.20; 88% group I/87% group II). There was no difference in the OES (p\u2009=\u20090.30; 42 (SD 7) vs. 45 (SD 5)) and MEPI score (p\u2009=\u20090.46; (SD 8) vs. 96 (SD 19)). The conservative group presented a slightly worse DASH [p\u2009=\u20090.10; 26 (SD 25) vs 7 (SD 14)] and a significantly worse Broberg and Morrey score (p\u2009=\u20090.02; 84(SD 9) vs. 95 (SD 7)). The conservative group presented one complication (ulnar nerve palsy), while the surgical group presented two cases (prolonged lymphedema; blocked forearm rotation due to screw length with consecutive revision surgery).",
    "title": "Retrospective comparison of conservative treatment and surgery for widely displaced olecranon fractures in low-demanding geriatric patients.",
    "xml": "<Element 'PubmedArticle' at 0x7885045bf9c0>"
}