Can a simpler wiring technique reduce repeat surgeries for elbow fractures?
NCT ID NCT05657899
First seen Sep 01, 2026 · Last updated Sep 02, 2026 · Updated 1 time
Summary
This trial compares two surgical techniques for fixing a type of elbow fracture where the bone ends are separated but the joint remains stable. One method uses pins and wire (tension band wiring), while the other uses wire alone (cerclage fixation). Researchers will randomly assign 200 adults with these fractures to one of the two surgeries and track them for 36 months to see which approach leads to fewer re-operations and complications, and better elbow function.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Two surgical procedures: cerclage fixation (wiring alone) versus tension band wiring (wiring with pins)
- What this could lead to
- If cerclage fixation works better, it could reduce the need for repeat surgeries and complications after elbow fracture repair.
- What could go wrong
- This is a randomized trial, but results may not apply to all patients. The study is limited to one hospital network, and the outcome depends on surgical skill and patient factors.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 200 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jan 2023
- Expected to finish
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Sep 2029
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Sustained Olecranon type fracture of Mayo 2a or 2b * Seeking healthcare in at the Skåne University Hospital in Lund and Malmö, Sweden. Exclusion Criteria: * Subjects unable to participate in follow up (for example subjects with active substance abuse, dementia, inability to communicate or understand the questionnaires or subjects living in other administrative healthcare regions). * Subjects unable to give informed written consent. * Subject where non operative treatment is indicated due to frailty or severe ongoing disease. * Fracture not operated within 14 days from the date the fracture was sustained. * Subjects with severe open fractures of Gustilo-Anderson class III * Subject with pathological fractures from metastatic disease. * Subject with simultaneous or previous severe injury to the same arm are excluded for patient reported outcome measures but included for all other outcomes. * Subjects with previously severe injuries to the same arm will be excludes for PROM analyses but included for reoperation and complication analyses. * Subjects operated by an orthopedic trauma surgeons that did not attended our education on the study and the interventions, unless surgery is supervised by an orthopedic surgeon that has attended the education the subject will not be excluded.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
2 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Dept. of Orthopaedics
RECRUITINGLund, Skåne County, 22242, Sweden
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Dept. of Orthopaedics
RECRUITINGMalmö, Skåne County, 20502, Sweden
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