This is a Study to Find Out Whether Surgery Using a Metal Plate to Fix a Broken Elbow in Older Adults Leads to Better Recovery and Arm Function Compared to Non-surgical Treatment

This study takes place in one hospital and uses a random method to divide patients into groups. It looks at the best way to treat a broken elbow (specifically, a displaced olecranon fracture) in older adults who don't use their arms heavily. There are 84 patients in total, with 42 people in each group

Inclusion Criteria * Patients with an acute (\< 2 weeks) Mayo type 2A or 2B olecranon fracture * Patients aged \> 65 years • Patients with reduced functional demand, with a score \> 2 and \< 7 on the Clinical Frailty Scale * Patients able to provide informed consent and follow all study procedures as indicated in the protocol * Signed informed consent for study participation Exclusion criteria: * Patients aged \< 65 years or with a Clinical Frailty Scale score \> 7 or \< 2 * Patients with a Mayo type 2A or 2B fracture seen more than 2 weeks after injury * Old fracture (\> 6 months), pseudoarthrosis, or unhealed nerve injury of the ipsilateral upper limb * Open (Gustilo-Anderson type 2 or 3) or pathological fracture * Previous injury to, or other condition of, the elbow with severe functional impairment * Patients with severe comorbidities preventing safe surgical treatment * Other acute fracture or nerve damage of the ipsilateral upper limb * Known drug or alcohol abuse * Inability to follow study procedures (e.g., due to language barriers or severe comorbidities)