Ortopedia, traumatologia, rehabilitacja最新文献

{"title":"Analysis of Distant Outcomes of Acetabular Fracture Surgery with 30-years' Follow-up (1990-2020).","authors":"Bartosz Burda, Adam Caban, Paweł Bartosz, Jerzy Białecki, Wojciech Marczyński","doi":"10.5604/01.3001.0055.0634","DOIUrl":"https://doi.org/10.5604/01.3001.0055.0634","url":null,"abstract":"<p><strong>Background: </strong>Literature data shows that the incidence of acetabular fractures is 3/100,000 patients/year. Men account for 69.4% of the patients. The mean age is 38.6 +/- 4.6 years and mortality is 3% (1). The causes are high-energy trauma, traffic accidents (80%), and falls from a height (10.7%) (1). Conventional plain radiographs and 2D and 3D CT scans (3) are usually used to assess the extent of damage. The aim of the study was to analyze the determinants of distant outcomes of surgical treatment of acetabular fractures depending on the type of fracture and the degree of reconstruction of the joint surface.</p><p><strong>Material and methods: </strong>A retrospective analysis was performed of 1,186 patients treated at the Pelvic Trauma and Pathology Ward, Orthopedic Department, Postgraduate Medical Education Centre in Otwock between 1990 and 2020 (30 years). Associated injuries were treated surgically in 29% of cases (n= 344)Results. The radiographic and CT evidence showed that during the early surgical reduction of acetabular fragments, the following results were obtained: very good in 77.2% of the patients (n=916), congruence in 3.9% (n=46), fair in 12.8% (n=152), and poor results in 6% (n=72). Distant outcomes were assessed according to the Merle d 'Aubigne-Postel Score (modified by Matta). Excellent, very good and good results were obtained in 79.8% of patients (n=947), fair results in 8.7% (n=103) and poor results in 11.5% (n=136).</p><p><strong>Conclusions: </strong>1. Distant outcomes of surgical treatment of acetabular fractures depend on numerous factors such as: stability of the patient's general condition, which may delay surgical treatment, detailed radiographic and CT assessment, which make it possible to assess the fractures 3-dimensionally and classify them according to the Judet and Letournel classification, degree of anatomical reduction of the fragments, especially in regard to the weight-bearing portion of the acetabulum, visible on postoperative 2D and 3D CT images. 2. Complex fractures according to Judet and Letournel, especially those that involve the posterior wall of the acetabulum or the acetabular dome, have poorer outcomes.</p>","PeriodicalId":19622,"journal":{"name":"Ortopedia, traumatologia, rehabilitacja","volume":"26 6","pages":"265-274"},"PeriodicalIF":0.0,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143710449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Modified Stoppa's approach as \"all fractures through one approach\" for fractures of the acetabulum and pelvis.","authors":"Asif Sultan, Qazi Waris Manzoor","doi":"10.5604/01.3001.0055.0635","DOIUrl":"https://doi.org/10.5604/01.3001.0055.0635","url":null,"abstract":"<p><strong>Background: </strong>The modified Stoppa approach has gained widespread acceptance for managing acetabular fractures. This study explores its effectiveness as a comprehensive solution for a majority of acetabular, pelvic and combined injuries.</p><p><strong>Material and methods: </strong>This prospective study enrolled 27 patients [21 males, 6 females, mean age 45.4 years] with acetabular fractures and pelvic injury fulfilling the inclusion criteria. The modified Stoppa approach with a transverse incision was used in all cases. The brim plate was used to fix the anterior column, the infra-pectineal plate, hook plate and lag screws were used to fix the posterior column. Symphyseal and ramus fixation was done using a recon plate and the sacroiliac joint was fixed with illiosacral screws. The mean follow up was 3.21 years. The radiological and functional outcome was evaluated by Matta's criteria and the modified D'Aubigne and Postel criteria, respectively, for acetabular fractures and the Matta and Tornetta criteria and Majeed's score, respectively, for pelvic fractures.</p><p><strong>Results: </strong>There were 24 acetabular fractures and 4 pelvic injuries (including 1 combined injury). Average blood loss and operation times were 750 mL and 140 min, respectively. Among 24 acetabular fractures, 22 had congruent reduction and 2 had non-congruent reduction. Functional outcome was excellent in 7, good in 11, fair in 4 and poor in 2 patients. Among 4 pelvic fractures, 2 had excellent and 2 had good reduction. Majeed's score was excellent in 1 and good in 2 patients (the patient with a combined injury had an excellent functional outcome).</p><p><strong>Conclusions: </strong>1. This study confirms the efficacy and safety of the modified Stoppa approach in treating anterior injuries of the acetabulum. 2. This study also underlines the possibility of managing the minimally displaced posterior column injuries and a good portion pelvic ring injuries through anterior approach. 3. The modified Stoppa approach may be considered a workhorse approach for treating a majority of acetabular fractures.</p>","PeriodicalId":19622,"journal":{"name":"Ortopedia, traumatologia, rehabilitacja","volume":"26 6","pages":"275-283"},"PeriodicalIF":0.0,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143710659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Long-term Outcomes of the Treatment of Distal Radial Fractures: a Narrative Review.","authors":"Andrzej Żyluk","doi":"10.5604/01.3001.0055.0632","DOIUrl":"https://doi.org/10.5604/01.3001.0055.0632","url":null,"abstract":"<p><strong>Background: </strong>Distal radius fractures are the second most common type of fractures encountered in the emergency room, with an incidence of 16 to 32 fractures per 10,000 person/year (the most common being hand bone fractures). The objective of this study was to review the literature on the long-term (a minimum of 3 years' follow-up) functional outcomes of treating distal radial fractures with different methods and get insight into the possible superiority of certain treatment methods (operative vs conservative) over other methods.</p><p><strong>Material and methods: </strong>Randomized clinical trials and observational studies reporting on functional and radiological outcomes of distal radial fractures treated conservatively vs operatively in adult patients found in the PubMed and Medline databases were reviewed. Published papers from the PubMed and Medline databases were included.</p><p><strong>Results: </strong>Nine studies were found that met the inclusion criteria for the analysis. The range of follow-up duration varied from 3 to 14 years, the size of the study groups ranged from 32 to 342 individuals and age of the patients ranged from 18 to 76 years. All the papers reported no significant differences between long-term functional outcomes after surgical vs conservative treatment. All studies reported better radiological outcomes after surgical treatment and worse outcomes for plaster cast immobilization, the latter combined with a high rate of re-dislocations and frequent malunions. This, however, did not translate into worse clinical outcomes. We noticed some significant bias in the studies analysed that significantly affects the reliability and validity of conclusions drawn from these studies.</p><p><strong>Conclusions: </strong>1. Our review shows that treatment outcomes of distal radial fractures are generally good regardless of the method used. 2. Current literature does not provide uniform evidence to prove the superiority of a particular treatment method when long-term functional outcomes are compared. 3. Conservative treatment by closed reduction and plaster cast immobilization still appears to be a good option for treatment of these fractures, particularly in older patients. 4. There is still a need for research conducted according to trustworthy and credible scientific criteria, to obtain reliable data and improve the treatment guidelines.</p>","PeriodicalId":19622,"journal":{"name":"Ortopedia, traumatologia, rehabilitacja","volume":"26 6","pages":"245-256"},"PeriodicalIF":0.0,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143710656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bilateral Giant Septic Iliopsoas Bursitis in an Immunocompromised Patient: A Case Report.","authors":"Debajyoti Saha, Aidan P McAnena, Aniket Pandya, Ganesh Joshi, Ryan Tai","doi":"10.5604/01.3001.0055.0636","DOIUrl":"https://doi.org/10.5604/01.3001.0055.0636","url":null,"abstract":"<p><p>We present a case of giant bilateral iliopsoas bursitis (IB) in a patient with Human Immunodeficiency Virus (HIV) who presented to the emergency department with bilateral hip pain and fever. He was initially worked up for septicemia. Inflammatory markers at the time of admission were elevated. He was started on IV antibiotics. Contrast-enhanced CT scan of the abdomen and pelvis demonstrated a retrocrural collection secondary to discitis/osteomyelitis, as well as large bilateral multilocular collections deep to the iliacus muscle concerning for bilateral septic giant IB. The collections were drained and grew MRSA and tailored antibiotics were started. Despite adequate treatment he succumbed to his illness. Knowledge of this entity is important, as delay in diagnosis and management of septic IB can result in a fatal outcome, especially in immunocompromised patients.</p>","PeriodicalId":19622,"journal":{"name":"Ortopedia, traumatologia, rehabilitacja","volume":"26 6","pages":"285-288"},"PeriodicalIF":0.0,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143710651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of Surgical Timing on Complications and Clinical Outcomes in Surgery for Displaced Pediatric Supracondylar Humerus Fracture.","authors":"Furkan Erdoğan, Özkan Öztürk, Tolgahan Cengiz, Şafak Aydın Şimşek, Hüseyin Sina Coskun, Nevzat Dabak","doi":"10.5604/01.3001.0055.0633","DOIUrl":"https://doi.org/10.5604/01.3001.0055.0633","url":null,"abstract":"<p><strong>Background: </strong>Pediatric supracondylar humerus fractures are common in children aged 5-7. The mechanism of injury, fracture type, and its relationship to the epiphysis significantly affect long-term outcomes. This study examines the impact of demographic data, fracture characteristics, and surgical timing and duration on postoperative results.</p><p><strong>Material and methods: </strong>Patients treated for supracondylar humerus fractures between February 2009 and January 2021 were included. Pre- and postoperative radiographs were analyzed, and surgical timing and duration were compared with fracture type and clinical outcomes.</p><p><strong>Results: </strong>A total of 121 patients (72 males, 49 females) at a mean age of 6.6 2.8 years were evaluated. The mean surgery duration was 50.1 29.2 minutes. Fractures were classified as Gartland type 2a (38 patients), type 2b (59 patients), and type 3 (24 patients). Closed reduction with percutaneous pinning was performed in 82 cases. Complications occurred in 7 patients with surgery delays of less than 8 hours and in 4 patients with delays over 8 hours. A significant correlation was found between surgical timing, hospital stay, and complications (p&lt;0.05). The Flynn criteria indicated better outcomes in patients with surgery performed between midnight and 08 a.m. and within 8 hours of injury.</p><p><strong>Conclusions: </strong>1. Pediatric patients operated on during nighttime hours exhibited higher complication rates and longer hospital stays. 2. Outcomes assessed using the Flynn criteria were superior in patients operated on during daytime hours or with surgical waiting times of less than 8 hours. 3. These findings suggest that there is no universal definitive limit for optimal surgical timing. 4. Patient-specific conditions and clinical features should guide surgeons in determining the appropriate timing for surgery.</p>","PeriodicalId":19622,"journal":{"name":"Ortopedia, traumatologia, rehabilitacja","volume":"26 6","pages":"257-263"},"PeriodicalIF":0.0,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143710664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Role of Citrate in Formation of Mineral Structure of Bone.","authors":"Stanisław Moskalewski, Anna Hyc, Justyna Niderla-Bielińska, Anna Osiecka-Iwan, Jakub Jaroszewicz, Karol Szlązak, Wojciech Święszkowski","doi":"10.5604/01.3001.0054.9875","DOIUrl":"https://doi.org/10.5604/01.3001.0054.9875","url":null,"abstract":"<p><p>Ceramic materials produced by various methods from calcium phosphates have long been used in orthopaedic and dental surgery. Until recently, it was generally believed that at least some of them faithfully reproduce bone minerals. Newer studies, however, have shown that hydroxyapatite in bone is closely associated with citrate molecules. This raises the yet unanswered question whether the materials used in clinical practice are optimal in relation to the tasks which they are supposed to fulfil. The description of the function of citrate in bone mineralization requires appropriate background information, which is presented in this review.</p>","PeriodicalId":19622,"journal":{"name":"Ortopedia, traumatologia, rehabilitacja","volume":"26 5","pages":"189-201"},"PeriodicalIF":0.0,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Regeneration of Bone and Cartilage Tissue - New Treatment and Rehabilitation Strategy.","authors":"Iwona Krysiak-Zielonka","doi":"10.5604/01.3001.0054.9879","DOIUrl":"https://doi.org/10.5604/01.3001.0054.9879","url":null,"abstract":"<p><p>Regeneration of bone and cartilage tissues is a key area of research and practice in sports medicine and orthopedics. Modern technologies, integrating traditional methods with innovative solutions, open new perspectives in therapy and improvement of patients' quality of life. Examples of such methods and their clinical applications confirm the dynamic development of this field of medicine, which gives hope for achieving more satisfactory therapeutic outcomes in the future.Nuclear Magnetic Resonance Therapy (NMRT), also known as MBST, is an innovative therapeutic method that is gaining popularity in the treatment of musculoskeletal disorders, including bone and cartilage regeneration. This method is an answer to the growing demand for effective and non-invasive methods of treating musculoskeletal conditions. Clinical trials conducted over the last 10 years provide ample evidence for the effectiveness of NMRT in the treatment of musculoskeletal conditions. NMRT is used to treat both chronic and acute diseases such as arthrosis and osteoporosis. Thanks to its properties, it focuses on the source of the problem, and not only on relieving the symptoms. An additional advantage is that no side effects have been demonstrated to date. Magnetic resonance therapy can be used as an adjunct to traditional treatments. Thanks to the ability to stimulate regenerative processes at the cellular level, it significantly accelerates the process of returning to full fitness.This article aims to discuss the processes of bone and cartilage tissue regeneration in response to nuclear magnetic resonance therapy (NMRT), present the results of clinical trials and therapeutic guidelines against the background of other treatment methods.</p>","PeriodicalId":19622,"journal":{"name":"Ortopedia, traumatologia, rehabilitacja","volume":"26 5","pages":"225-232"},"PeriodicalIF":0.0,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Results of the Treatment of Carpo-metacarpal Joints Dislocations.","authors":"Andrzej Żyluk","doi":"10.5604/01.3001.0054.9876","DOIUrl":"https://doi.org/10.5604/01.3001.0054.9876","url":null,"abstract":"<p><strong>Background: </strong>Carpometacarpal (CMC) joint dislocations are rare, accounting for less than 1% of all hand injuries. They result from direct high-energy blows to the hand, i.e. falls on the outstretched hand, falls from bicycles or punching one's fist against an object. The objective of this case-series study was to analyse the results of treatment of these injuries in 6 patients who presented to the author's institution.</p><p><strong>Material and methods: </strong>In the 3-year period between 2021 and 2023, a total of 6 male patients, mean age of 39 years, with CMC joints dislocations were treated. Three patients had single CMC joint dislocation and the other three had 2 or 3 CMC joints dislocated. Three patients had concomitant fractures of metacarpals or the hamate. Four patients were treated operatively, one conservatively, and one patient with a neglected injury was given physiotherapy. Results were assessed at an average of 16 months post-treatment by a telephone interview in 5 patients.</p><p><strong>Results: </strong>None of the patients reported pain at rest in his hand and 4 reported mild pain after major loading of the hand. Two patients reported minor pain when the weather changed. Function of the hand as assessed with the quickDASH form was normal. All patients believed that they had fully recovered and all had resumed their pre-injury jobs.</p><p><strong>Conclusions: </strong>1. Presented case-series shows satisfactory outcomes of the treatment of CMC joint dislocations, both in isolated injuries and in complex cases. 2. Early diagnosis and rapid reduction of joint dislocations are crucial to regaining proper hand function.</p>","PeriodicalId":19622,"journal":{"name":"Ortopedia, traumatologia, rehabilitacja","volume":"26 5","pages":"203-211"},"PeriodicalIF":0.0,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multistage Reconstructions of Multi-ligamentous Injury in Arthrofibrosis Knee: a Case Report.","authors":"Husnul Fuad Albar, R Permana Yudha Dibrata, Andrew Budiartha Budisantoso","doi":"10.5604/01.3001.0054.9878","DOIUrl":"https://doi.org/10.5604/01.3001.0054.9878","url":null,"abstract":"<p><p>Multiligamentous knee injuries occur as a result of both high- and low-energy trauma to the knee, most commonly due to motor vehicle accidents and sports-related injuries. Commonly reported complications after multi-ligament knee reconstruction include wound infection, deep venous thrombosis (DVT), and arthrofibrosis. A 42-year-old female was struck by a motor vehicle and suffered pain and swelling in her left knee. The patient was ambulated using a wheelchair. She underwent debridement and a synovial fluid evacuation procedure. An MRI examination and arthroscopy revealed arthrofibrosis and multi-ligamentous injury in her left knee. Arthroscopic debridement was performed, and the evaluation of the knee showed a multi-ligamentous injury. Ligament reconstruction was performed and produced a favorable outcome in terms of range of motion.Arthrofibrosis causes knee symptoms during walking and standing, and the condition is frequently more debilitating than the original injury or degenerative condition. Even a small loss of knee extension of 5 results in difficulty walking, while a loss of flexion creates problems with stair climbing, sitting, getting in and out of chairs and cars, and driving. Post-operative fibrosis of the knee is defined as a limited ROM in extension and/or flexion. Arthrofibrosis is classified as mild, moderate, and severe. Staged surgery consists of acute primary repair of collateral ligaments with cruciate reconstruction once improved range of motion has been obtained, and good outcomes have been reported for range of motion and stability. Conditions that play a role in the development of arthrofibrosis include acute ACL reconstruction, late rehabilitation, and meniscus injury. Arthroscopic debridement plays a pivotal role in the management of arthrofibrosis.</p>","PeriodicalId":19622,"journal":{"name":"Ortopedia, traumatologia, rehabilitacja","volume":"26 5","pages":"221-224"},"PeriodicalIF":0.0,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Outcome of Tibiotalocalcaneal Fusion with Retrograde Hindfoot Nail.","authors":"Mohinder Singh Chib, Sumeet Singh Charak, Preeti Jamwal, Satvir Singh, Deepika Jamwal","doi":"10.5604/01.3001.0054.9877","DOIUrl":"https://doi.org/10.5604/01.3001.0054.9877","url":null,"abstract":"<p><strong>Background: </strong>Tibiotalocalcaneal arthrodesis (TTCA) has been an effective surgical treatment for ankle and hindfoot deformity correction and pain relief. This paper presents the results of tibiotalocalcaneal arthrodesis using a hindfoot nail and bone grafting.</p><p><strong>Material and methods: </strong>From November 2016 to December 2019, 15 patients underwent tibiotalocalcaneal arthrodesis with a hindfoot nail for treatment of advanced ankle and hindfoot disease. Included cases were 10 instances of end-stage arthritis characterized by severe pain, instability, and challenges in weight-bearing, 4 cases of hindfoot pain with hindfoot fusion non-union (failed arthrodesis fixation), and 1 case of Charcot arthropathy. Unilateral procedures were conducted in all instances, comprising 9 male and 6 female participants. The average age at the surgery date was 56.25 years, ranging from 45 to 63 years. The follow-up duration averaged 16 months, falling within a range of 12 to 18 months.</p><p><strong>Results: </strong>Successful fusion was observed in all 15 cases. The average AOFAS score, with a maximum of 73 points, increased from an initial mean of 18 points (ranging from 5 to 31) to a mean of 57 points (ranging from 41 to 73), excluding stability and range of motion scores. Patient satisfaction on a scale of 10 points rose from 3 to 7 for both pain and function.</p><p><strong>Conclusions: </strong>1. The results of the present study suggest that TTCA using a short, retrograde intramedullary nail is a worldwide accepted technique for achieving fusion with minimal complications. However, long-term follow-up is necessary to provide definitive information about topics such as adjacent degenerative arthritis. 2. Tibiotalocalcaneal fusion with intramedullary nail (Hindfoot Nail) resulted in a higher fusion rate, no/minimal infections, lower pain levels, higher quality of life, and quicker return to work. 3. Retrograde intramedullary nailing offers a safe and reliable salvage option and a very viable alternative to amputation in patients with severe ankle and hindfoot pathologies.</p>","PeriodicalId":19622,"journal":{"name":"Ortopedia, traumatologia, rehabilitacja","volume":"26 5","pages":"213-219"},"PeriodicalIF":0.0,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}