What is the study about?

Over 4500 adults per year suffer a broken elbow and whilst common in all ages are increasingly seen in older people. Amongst older patients there are two commonly used treatments. Either: replace the elbow with an artificial metal and plastic joint (replacement) or try to realign and repair the break using metal plates attached with screws (fixation). There is no agreement which is the best method. This study aims to find out which is the better of the two treatments.

Who can take part in the study?

≥ 60years, presenting acutely with a distal humerus fracture AO type B or C, that is suitable for surgery.

What is being tested in the study?

Elbow arthroplasty - any mode of surgical intervention involving the use of joint replacement (metalwork inserted into the bone to replace all or part of the elbow joint), as considered appropriate by the treating specialist.

What is this being compared to?

Fixation of the fracture using plates and screws - any mode of surgical intervention involving fixation of the fracture with plates and screws as considered appropriate by the treating specialist.

What are we trying to find out?

The aim is to establish the clinical and cost effectiveness of elbow arthroplasty undertaken for distal humeral fractures in older adults (≥60yrs) when compared to open reduction and internal fixation.

How many patients do we need?

320 participants

Funder

National Institute for Health and Care Research - Health Technology Assessment (NIHR - HTA)