Background <p>Elbow fractures are common in elderly patients with osteoporotic bones, typically resulting from falls onthe elbow. Common fracture types include distal humerus, olecranon, and radial head fractures. Occasionally, acombination of these fractures occurs, creating complex injuries such as terrible triad injuries. Accurate evaluationusing X-rays and CT scans is essential for optimal treatment planning. Careful preoperative planning, including thedecision between non-operative and operative treatment and selecting appropriate surgical implants, is critical forachieving successful outcomes.</p> Objective <p>This chapter focuses on common elbow fractures in elderly patients and explores the available treatmentoptions. Given the lack of clear consensus on managing elbow fractures in osteoporotic bones, we address theassociated complications and highlight various treatment approaches.</p> Current Knowledge <p>Numerous treatment methods have been proposed for osteoporotic elbow fractures, includingvarious fixation techniques, arthroplasty, and excisions. Despite the availability of multiple treatment options, nomethod has emerged as superior. Each method has distinct advantages and disadvantages. This chapter aims tocompile and compare these options, outlining their respective pros and cons.</p> Conclusions <p>Elbow fractures in osteoporotic bones present significant challenges for surgeons. Although elderlypatients with osteoporotic bones generally have lower functional demands compared to younger individuals, theystill require adequate, pain-free elbow function for daily activities. Advances in surgical techniques and implanttechnology have expanded treatment options for these fractures. Achieving successful outcomes requires selectingthe appropriate implant, meticulous preoperative planning, and expert surgical execution tailored to the specificfracture characteristics.</p>