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Wallace WA. CORR Insights®: In the Treatment of Lateral Epicondylitis by Percutaneous Perforation, Injectables Have No Added Value. Clin Orthop Relat Res 2024; 482:337-339. [PMID: 37788352 PMCID: PMC10776148 DOI: 10.1097/corr.0000000000002876] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/15/2023] [Accepted: 08/29/2023] [Indexed: 10/05/2023]
Affiliation(s)
- W. Angus Wallace
- Emeritus Professor of Orthopaedic & Accident Surgery, Queen’s Medical Centre, University of Nottingham, Nottingham, UK
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Karimi D, Houkjær L, Skive A, Holmenlund C, Brorson S, Viberg B, Abrahamsen C. Exploring patient experiences after treatment of humeral shaft fractures: A qualitative study. Int J Orthop Trauma Nurs 2022; 46:100957. [PMID: 35921741 DOI: 10.1016/j.ijotn.2022.100957] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2022] [Revised: 07/01/2022] [Accepted: 07/04/2022] [Indexed: 11/26/2022]
Abstract
INTRODUCTION Humeral shaft fracture treatment can induce serious morbidities, and it is unclear how these morbidities impact patients. To gain in-depth knowledge, we explored how patients experience humeral shaft fractures and the subsequent treatment course. METHOD A qualitative study was performed using semi-structured individual interviews. A purposive sampling approach was conducted to recruit patients with traumatic isolated humeral shaft fractures; the patients' ages, genders, primary treatments, and complications varied. Data saturation was met after the data of 12 patients were analyzed using Malterud Systematic Text Condensation. RESULTS Eight women and four men with a median age of 48.5 years (range: 22-83 years) were interviewed. The median time from injury to interview was 12.5 months (range: 8-18 months). Ten out of twelve patients were treated non-surgically; of those ten, four patients experienced major complications from the primary treatment. During the analysis, five overarching themes appeared: expectations, physical changes, support and independence, psychological impact, and the specific treatment and recovery. CONCLUSION First, patients with humeral shaft fractures expressed frustration with treatment in the emergency department. Second, gross fracture movement and pain were central symptoms that led to the loss of basic capabilities. Third, patient preferences were included in the treatment decision-making process and could change throughout the treatment course. Fourth, patients required massive support to perform basic activities of daily living.
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Affiliation(s)
- Dennis Karimi
- Department of Orthopedic Surgery, Lillebaelt Hospital, Kolding Sygehusvej 24, 6000, Kolding, Denmark; Department of Regional Health Research, University of Southern Denmark Campusvej 55, 5230, Odense, Denmark; Department of Orthopedic Surgery, Copenhagen University Hospital, Hvidovre Kettegård Alle 30, 2650, Hvidovre, Denmark.
| | - Line Houkjær
- Department of Orthopedic Surgery, Zealand University Hospital, Køge Lykkebækvej 1, 4600 Køge, Denmark
| | - Anders Skive
- Department of Orthopedic Surgery, Copenhagen University Hospital, Hvidovre Kettegård Alle 30, 2650, Hvidovre, Denmark
| | - Camilla Holmenlund
- Department of Orthopedic Surgery, Copenhagen University Hospital, Hvidovre Kettegård Alle 30, 2650, Hvidovre, Denmark
| | - Stig Brorson
- Department of Orthopedic Surgery, Zealand University Hospital, Køge Lykkebækvej 1, 4600 Køge, Denmark
| | - Bjarke Viberg
- Department of Orthopedic Surgery, Lillebaelt Hospital, Kolding Sygehusvej 24, 6000, Kolding, Denmark; Department of Regional Health Research, University of Southern Denmark Campusvej 55, 5230, Odense, Denmark
| | - Charlotte Abrahamsen
- Department of Orthopedic Surgery, Lillebaelt Hospital, Kolding Sygehusvej 24, 6000, Kolding, Denmark; Department of Regional Health Research, University of Southern Denmark Campusvej 55, 5230, Odense, Denmark
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