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Perceptions and experiences of wrist surgeons on the management of triangular fibrocartilage complex tears: a qualitative study

Robba, Vanessa I.; Karantana, Alexia; Fowler, Andrew P.G.; Diver, Claire

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Authors

Vanessa I. Robba

ALEXIA KARANTANA ALEXIA.KARANTANA@NOTTINGHAM.AC.UK
Clinical Associate Professor in Hand Surgery

Andrew P.G. Fowler

Claire Diver



Abstract

There is lack of consensus on the management of triangular fibrocartilage injuries. The aim of this study was to investigate wrist surgeons’ experiences and perceptions regarding treatment of triangular fibrocartilage complex injuries and to explore the rationale behind clinical decision-making. A purposive sample of consultant wrist surgeons (n=10) was recruited through ‘snow-balling’ until data saturation was reached. Semi-structured interviews were conducted, digitally recorded and transcribed verbatim. Two researchers independently analysed data using an iterative/thematic approach. Findings suggest that surgeons rely more on their own training and experience, and patient-related factors such as individual expectations, rather than on published material, to inform their decision-making. Current classification systems are largely considered to be unhelpful.

Citation

Robba, V. I., Karantana, A., Fowler, A. P., & Diver, C. (2019). Perceptions and experiences of wrist surgeons on the management of triangular fibrocartilage complex tears: a qualitative study. Journal of Hand Surgery (European Volume), 44(6), 572-581. https://doi.org/10.1177/1753193419826459

Journal Article Type Article
Acceptance Date Dec 18, 2018
Online Publication Date Feb 10, 2019
Publication Date 2019-07
Deposit Date Jan 7, 2019
Publicly Available Date Jan 11, 2019
Journal Journal of Hand Surgery (European Volume)
Print ISSN 1753-1934
Electronic ISSN 2043-6289
Publisher SAGE Publications
Peer Reviewed Peer Reviewed
Volume 44
Issue 6
Pages 572-581
DOI https://doi.org/10.1177/1753193419826459
Keywords Surgery
Public URL https://nottingham-repository.worktribe.com/output/1447113
Publisher URL https://journals.sagepub.com/doi/abs/10.1177/1753193419826459
Contract Date Jan 11, 2019

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