Life has become troublesome – my wrist bothers me around the clock: an interview study relating to daily life with a malunited distal radius fracture

Andreasson, Ingrid; Kjellby-Wendt, Gunilla; Fagevik-Olsén, Monika; Karlsson, Jón; Carlsson, Gunnel

doi:10.1080/09638288.2018.1561954

Cited by 5 publications

(7 citation statements)

References 24 publications

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“…One example of successful 'incorporation of the injured limb to the self' is that some participants reflected on not thinking about the wrist anymore but using it unconsciously, like before. This is noteworthy, as malunion of the distal radius potentially interferes to a large extent with everyday life, sometimes making the individual aware of the wrist at all times [10].…”

Section: Discussionmentioning

confidence: 99%

“…An earlier interview study, conducted prior to corrective osteotomy, showed that a malunion of a distal radius fracture had a great impact on the everyday life of patients [10]. To our knowledge, there are no qualitative studies related to experiences of daily life after corrective osteotomy following the malunion of a distal radius fracture.…”

mentioning

confidence: 98%

“…Wrist function is important for the ability to perform different activities, as the wrist is important for positioning the hand [7,8]. Malunion may lead to residual pain and restricted range of motion, thereby reducing the ability to perform activities [9,10]. Between 15% and 30% of non-surgically treated patients have various persisting disabilities [9,11].…”

mentioning

confidence: 99%

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Daily life one year after corrective osteotomy for malunion of a distal radius fracture an interview study

Andreasson

Carlsson

Kjellby-Wendt

et al. 2021

Journal of Plastic Surgery and Hand Surgery

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The aim of this study was to explore the everyday life experiences of people one year after corrective osteotomy following a symptomatic, malunited, distal radius fracture. Semi-structured interviews were conducted with twenty respondents, median age 65 (22-81) years. The respondents were recruited consecutively. The interviews were subjected to qualitative content analysis. Three authors took part in the analysis. The result is presented as one theme, 'Daily life works again' with five categories: Relief of inconveniences and symptoms, Managing new symptoms and complications, Regaining abilities, Normalised social relationships, Increased wellbeing. The symptoms had declined in severity, some participants regarded themselves as fully restored and used their hand again without hesitation. Others were still bothered by their wrist occasionally and a few had to manage complications. The participants had regained the ability to perform many everyday life activities and reported increased independence and less irritation between spouses, as well as increased wellbeing. One year after a corrective osteotomy following malunion of a distal radius fracture, the patients' experiences represent a continuum. Some are still restricted by their wrist occasionally, the majority experience an increased ease in their performance of activities of daily life and some regard themselves as fully restored. The recovery has a positive impact on social relationships and the patients' wellbeing.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 98%

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Daily life one year after corrective osteotomy for malunion of a distal radius fracture an interview study

Andreasson

Carlsson

Kjellby-Wendt

et al. 2021

Journal of Plastic Surgery and Hand Surgery

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“…Consolidation takes 8 to 12 weeks, which is longer than that of simple fracture healing and similar to distal radius osteotomies. Restoration of carpal alignment following secondary fracture in a malunited distal radius can lead to improved wrist mechanics and function 5,16. The volar approach is well tolerated, and secondary hardware removal surgery is rarely necessary 17.…”

Section: Expected Outcomes and Complicationsmentioning

confidence: 99%

“…Restoration of carpal alignment following secondary fracture in a malunited distal radius can lead to improved wrist mechanics and function. 5,16 The volar approach is well tolerated, and secondary hardware removal surgery is rarely necessary. 17 In addition, fixing the acute fracture with volar locked plating creates a stable construct for early rehabilitation.…”

Section: Expected Outcomes and Complicationsmentioning

confidence: 99%

Surgical Management of Acute on Chronic Distal Radius Fractures: Correcting Malunion Deformities Through the Secondary Fracture Plane

Orbay

Wahood

Vernon

et al. 2022

Techniques in Hand &Amp; Upper Extremity Surgery

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It is challenging to restore the clinically acceptable alignment of the distal radius after an acute on chronic fracture or after a secondary fracture occurring after malunion of a primary distal radius fracture. In cases of insignificant primary deformity, restoration to the primary deformity may suffice to obtain a successful clinical result. A borderline acceptable primary radial deformity can be unacceptable after the second injury, resulting in functional disability. If surgery is indicated, the surgeon must contend with both primary and secondary deformities to restore proper distal radius anatomy. We present our technique to correct both primary and secondary distal radius deformities through the new or secondary fracture plane.

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Fear-avoidant beliefs and behaviours after upper limb fracture in older people: a systematic review and meta-ethnography

Smith,

Brown,

Baxter

2024

Osteoporos Int

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Life has become troublesome – my wrist bothers me around the clock: an interview study relating to daily life with a malunited distal radius fracture

Cited by 5 publications

References 24 publications

Daily life one year after corrective osteotomy for malunion of a distal radius fracture an interview study

Daily life one year after corrective osteotomy for malunion of a distal radius fracture an interview study

Surgical Management of Acute on Chronic Distal Radius Fractures: Correcting Malunion Deformities Through the Secondary Fracture Plane

Fear-avoidant beliefs and behaviours after upper limb fracture in older people: a systematic review and meta-ethnography

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