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

J Plast Surg Hand Surg. 2022 Feb;56(1):16-22. doi: 10.1080/2000656X.2021.1899934. Epub 2021 Mar 16.

Abstract

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.

Keywords: Qualitative method; corrective osteotomy; daily life; distal radius fracture; malunion; one year post-operative.

MeSH terms

  • Aged
  • Fractures, Malunited* / surgery
  • Humans
  • Osteotomy
  • Radius
  • Radius Fractures* / surgery
  • Range of Motion, Articular
  • Wrist Joint