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Surgical and nonoperative management of olecranon fractures in the elderly: A systematic review and meta-analysis

Journal of Orthopaedic Trauma Dec 24, 2020

Chen MJ, Campbell ST, Finlay AK, et al. - Researchers conducted this comparative effectiveness study with the aim to perform a meta-analysis of adverse events and outcomes in closed geriatric olecranon fractures, without elbow instability, after treatment with surgical or nonoperative management. PubMed, Web of Science, and Embase databases were searched for articles that incorporated clinical data evaluating outcomes in patients ≥ 65 years of age with closed olecranon fractures, without elbow instability, treated surgically, or with nonoperative management. Per findings, surgical and nonoperative management of olecranon fractures result in achievement of comparable outcomes in geriatric patients. Risk of reoperation was high in correlation with surgical intervention; this was noted regardless of whether plate or tension band wire fixation was used. In low-demand elderly patients, functional nonunion can be anticipated if election of nonoperative treatment is done.

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