Ortopedia, traumatologia, rehabilitacja最新文献

{"title":"Association of Coronavirus Infection with Higher Mortality Rate and Longer Hospital Stay in Patients with Major Extremity Fractures.","authors":"Ashwin Chawla, Chayanin Angthong, Khanatchet Ratta-Apha","doi":"10.5604/01.3001.0055.2409","DOIUrl":"10.5604/01.3001.0055.2409","url":null,"abstract":"<p><strong>Background: </strong>The Coronavirus disease 2019 (COVID-19) pandemic has significantly affected healthcare systems, raising concerns about patient outcomes, particularly for those with coexisting conditions. Despite various studies on orthopedic injuries during the COVID-19 pandemic, differences in treatment outcomes remain insufficiently known. This retrospective cohort study investigated the effects of SARS-CoV-2 infection on patients with major extremity fractures requiring surgery. We hypothesized that patients with COVID-19 would experience longer hospital stays (LOS) and higher mortality rates.</p><p><strong>Material and methods: </strong>Data from 500 patients (mean age 47.1 years; 69.8% male) admitted to our hospital between March 2020 and July 2022 were analyzed. We collected demographic data, COVID-19 test results, fracture-related data, LOS, and mortality-related data.</p><p><strong>Results: </strong>Of the patients, 23 (4.6%) had COVID-19. While overall LOS showed no significant prolongation in patients with COVID-19, a significantly longer LOS was observed for patients with COVID-19 and lower extremity fractures (14.62 vs. 11.39 days, p&lt;0.00001) and upper extremity fractures (11.90 vs. 5.73 days, p=0.0271).</p><p><strong>Conclusions: </strong>1. Patients with COVID-19 exhibited a markedly longer LOS than those without COVID-19, with this effect being more pronounced in patients with lower extremity fractures. 2. When all patients had major extremity fractures, patients with COVID-19 had a significantly higher mortality rate than those with out COVID-19.</p>","PeriodicalId":19622,"journal":{"name":"Ortopedia, traumatologia, rehabilitacja","volume":"27 2","pages":"65-71"},"PeriodicalIF":0.0,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144874408","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":"Case Reports on Avascular Necrosis of the Hip Joints in Pediatric Oncology Patients. Evaluation and Efficacy of Debridement Treatment.","authors":"Jacek Karski, Rafał Kreft, Łukasz Matuszewski, Ewa Dudkiewicz, Tomasz Madej, Klaudia Karska","doi":"10.5604/01.3001.0055.2410","DOIUrl":"10.5604/01.3001.0055.2410","url":null,"abstract":"<p><p>Avascular necrosis (AVN) of the femoral head is a recognized complication of steroid and cytostatic treatment commonly used for leukemia, lymphoma and other cancers. It is often linked to high doses of oral and intravenous corticosteroids and extended therapy duration. AVN occurs due to a temporary or permanent loss of blood supply to the bone, leading to bone necrosis. The femoral head is the most frequently affected site. Patients with AVN typically experience pain and restricted joint motion. The primary goal of treatment is to improve joint function and prevent further bone damage. Modern therapeutic approaches include physical therapy and surgical interventions such a core decompression with bone substitute filling or total hip replacement. In this article, we present two cases of AVN in pediatric oncology patients treated with the former surgical approach - core decompression and bone substitute filling.</p>","PeriodicalId":19622,"journal":{"name":"Ortopedia, traumatologia, rehabilitacja","volume":"27 2","pages":"73-78"},"PeriodicalIF":0.0,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144874409","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":"Talus Fracture - a Pathomechanical Study Using Finite Element Analysis.","authors":"Mongkol Kaewbumrung, Chayanin Angthong, Prasit Rajbhandari, Naruebade Rungrattanawilai","doi":"10.5604/01.3001.0055.2408","DOIUrl":"10.5604/01.3001.0055.2408","url":null,"abstract":"<p><strong>Background: </strong>The talus is a peculiar bone in the human body that plays a key role in load transfer due to its unique shape and characteristics. Fractures involve challenging treatment and potential complications. We aimed to simulate the talus using real-world data and analyze its biomechanical responses to potential forces that might cause its fracture.</p><p><strong>Material and methods: </strong>We retrieved a three-dimensional (3D) file of the intact talus, submitted it to a 3D finite element analysis (FEA) using software (ANSYS Mechanical V2023R2), and then set the elastic modulus or Young's modulus values of the talus based on a previous study. To analyze talar fractures, we employed both positive and negative force directions to examine fracture behavior. The talar configurations were 0 , 15, 30, and 45 cases. Force applied in the y-direction compressed the top of the talus. The bottom surface of the talus, subjected to compression, supports the boundary conditions that mimic realistic talus motion mechanics.</p><p><strong>Results: </strong>FEA demonstrated that the neck of the talus exhibited the highest magnitude of total deformation, suggesting susceptibility to crack initiation. A sudden increase in force in the positive direction increased the likelihood of a talar fracture. Stress analysis depicted the maximum equivalent (von Mises) stress on the talus, indicating that the highest stress occurred when the force was applied in the positive direction, particularly at 15 (posterosuperior to the anteroinferior direction). Our analysis underscores that the angle of force is the primary contributor to talar fractures.</p><p><strong>Conclusion: </strong>Our 3D FEA study concluded that the talar neck area was the most vulnerable to fracture in the axial force simulation, especially in the 15 force direction. Safety measures should be implemented for people performing risky activities related to axial force injuries.</p>","PeriodicalId":19622,"journal":{"name":"Ortopedia, traumatologia, rehabilitacja","volume":"27 2","pages":"59-64"},"PeriodicalIF":0.0,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144874411","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":"Effect of Global Postural Reeducation in Patients with Nonspecific Chronic Low Back Pain - a Pilot Study.","authors":"Selma Bouden, Syrine Zanned, Leila Rouached, Aicha Ben Tekaya, Siwar Ben Dhia, Ines Mahmoud, Rawdha Tekaya, Olfa Saidane, Leila Abdelmoula","doi":"10.5604/01.3001.0055.2407","DOIUrl":"10.5604/01.3001.0055.2407","url":null,"abstract":"<p><strong>Background: </strong>Global postural reeducation (GPR) has been developed over recent decades and has shown success in the treatment of chronic low back pain (LBP). The aim of this study was to compare the effectiveness of GPR associated with a conventional reeducation protocol to that of the conventional reeducation protocol alone on pain, mobility, function and psychological symptoms in patients with non-specific LBP.</p><p><strong>Material and methods: </strong>This randomized controlled trial enrolled patients diagnosed with chronic LBP. The patients were randomized into two groups: a GPR group who received GPR associated with a conventional reeducation protocol and a control group who received conventional reeducation alone. Two evaluations were performed for both groups: at baseline (T0) and at the end of the 4-week session period (T1). The parameters evaluated comprised pain (measured using the Visual Analog Scale, VAS), mobility (by the Fingertip-to-floor test (FFT) and the Schober index), muscle endurance (by the Shirado and the Sorensen tests), function (by the Oswestry Disability index (ODI)) and anxiety-depressive symptoms (by the Hospital Anxiety and Depression scale (HADs)).</p><p><strong>Results: </strong>A total of 26 patients were enrolled, with 13 in the GPR group and 13 in the control group. At the 4 weeks' evaluation, the GPR group showed significantly greater improvements in pain (p=0.04), lumbar mobility (p=0.007) and functional disability (p=0.02) compared to the control group. No differences between the two groups were found regarding muscular endurance and anxiety-depressive symptoms at the 4-weeks evaluation.</p><p><strong>Conclusion: </strong>Our findings suggested that GPR combined with conventional reeducation methods holds promise as an effective treatment approach for common LBP, particularly in improving pain levels, lumbar mobility and functional disability.</p>","PeriodicalId":19622,"journal":{"name":"Ortopedia, traumatologia, rehabilitacja","volume":"27 2","pages":"53-58"},"PeriodicalIF":0.0,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144874410","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 Endoscopic Spinal Decompression Surgery in Amelioration of Disability in Patients with Lumbar Spinal Stenosis.","authors":"Nurbyek Baban, Gonchigsuren Dagvasumberel, Shiirevnyamba Avirmed","doi":"10.5604/01.3001.0055.2405","DOIUrl":"10.5604/01.3001.0055.2405","url":null,"abstract":"<p><strong>Background: </strong>Degenerative lumbar spinal stenosis (LSS) is a common cause of chronic low back pain (LBP) and is often associated with various degrees of disability. Endoscopic spinal decompression (ESD) is a minimally invasive surgical approach for treating degenerative LSS. However, the impact of ESD on the rehabilitation of disability in patients with LSS remains unclear.</p><p><strong>Material and methods: </strong>Patients with LSS who underwent ESD surgery were selected prospectively. The disability status was evaluated as the Oswestry Disability Index (ODI) using a standard Oswestry LBP disability questionnaire pre- and post-surgery and at 1-year follow-up. Based on pre-surgical ODI, patients were classified into mild and moderate-to-severe disability groups.</p><p><strong>Results: </strong>A total of 93 patients with LSS who underwent ESD surgery (mean age5514 and female 55%) were included. Fourteen patients were classified into a mild disability group, while 79 patients were placed in a moderate-to-severe disability group. Pre-surgical ODI scores were significantly lower in the mild disability group compared to the moderate-to-severe disability group (17, IQR 13-19 vs. 31, IQR 25-35, p&lt;0.001). After ESD surgery, ODI was significantly reduced in both mild (17, IQR 13-19 vs. 3, IQR 0-4, p=0.016) and moderate-to-severe disability groups (3, IQR 0-4 vs. 2, IQR 1-5, p&lt;0.001). Post-surgical ODI scores were similar between the study groups (3, IQR 0-4 vs. 2, IQR 1-5, p=0.656). These improvements in ODI were maintained at the 1-year follow-up in the mild (3, IQR 0-4 vs. 2, IQR 0-8, p=0.766) and moderate-to-severe disability groups (2, IQR 1-5 vs. 3, IQR 1-5, p=0.078). The 1-year ODI scores remained comparable between the mild and moderate-to-severe disability groups (2, IQR 0-8 vs. 3, IQR 1-5, p=0.581) Conclusions. 1. Endoscopic spinal decompression surgery is associated with significant improvements in disability, as measured by the Oswestry Disability Index, in both mild and moderate-to-severe disability patients. 2. Post-surgical amelioration of disability is sustained for at least one year following the surgery. 3. These findings support the use of early intervention with minimally invasive endoscopic spinal decompression in mild disability patients with degenerative lumbar spinal stenosis.</p>","PeriodicalId":19622,"journal":{"name":"Ortopedia, traumatologia, rehabilitacja","volume":"27 2","pages":"45-52"},"PeriodicalIF":0.0,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144874412","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":"Early Outcomes of Total Cementless Hip Joint Arthroplasty with Short-Stem Prothesis.","authors":"Rafał Skowroński, Tomasz Stołtny, Jan Skowroński","doi":"10.5604/01.3001.0055.1541","DOIUrl":"https://doi.org/10.5604/01.3001.0055.1541","url":null,"abstract":"<p><strong>Background: </strong>The steady increase in the number of implants of so-called short-stem hip endoprostheses has prompted clinical evaluation of new models being introduced to the market. The purpose of this study was to evaluate the clinical and radiological early results and experience of the new Medgal-HIp short-stem endoprosthesis implant.</p><p><strong>Material and methods: </strong>This prospective study involved 121 patients at a mean age of 65.2 years (range 42-87) who underwent implantation of a short-stem Medgal-HIp cementless prosthesis. Clinical and radiological evaluations were performed the day before surgery and at 6 weeks, 6 months, 1 year and 2 years after surgery. Functional outcomes were assessed with the HHS scale and pain, with a VAS scale. Radiological examinations evaluated the presence of osteolytic foci, radio-opaque lines, ossifications and axial stem migration as well as limb length difference.</p><p><strong>Results: </strong>Functional tests showed an increase in mean HHS scores at 2 years post-surgery from 39.1 points (range 34-56) to 88.9 points. (range 59-100) at p=0.041. The mean VAS pain score had decreased at 2 years from a value of 8.7 to 0.81 at p=0.012. No infections, thigh pain or periarticular fractures were noted in any patient. No foci of osteolysis or radio-opaque lines around the implant were noted on radiographs. Minor asymptomatic ossification (Brooker grade 1) appeared in 2 patients. In each case, stem healing occurred through osteointegration between 6 months and 2 years post-surgery. Mean axial migration of the stem was 1.6 mm (SD 1.79 mm and range from 0 to 6mm) at p &lt;0.05. Limb length difference reached a mean value of 6.5 mm (SD 6.7 mm with a range from -11 mm to +12 mm) at p= 0.23. Two cases required revision surgeries related to the acetabulum. Survival of the prosthesis after 2 years according to Kaplan-Meier was 98.3% and that of the stem alone was 100%Conclusions 1. These early clinical results of the Medgal-HIp short-stem endoprosthesis are comparable to data regarding other commercially available short-stem implants. 2. The results of radiological analysis together with clinical results suggest that the stem of the endoprosthesis carries minimal risk of thigh pain, peri-prosthesis fracture or excessive stem migration. 3. Due to the short follow-up period, an authoritative evaluation of the implant will be possible when the distant outcomes are available.</p>","PeriodicalId":19622,"journal":{"name":"Ortopedia, traumatologia, rehabilitacja","volume":"27 1","pages":"9-17"},"PeriodicalIF":0.0,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144817171","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":"Assessing Leg Length Discrepancy Post-Total Hip Arthroplasty for Neck of Femur Fractures: A Retrospective Analysis.","authors":"Ahmed Ismail, Ahmed Ashour, Neil Ashwood, Mohamed Nagy, Ahmed Fahmy, Islam Sarhan","doi":"10.5604/01.3001.0055.1542","DOIUrl":"https://doi.org/10.5604/01.3001.0055.1542","url":null,"abstract":"<p><strong>Background: </strong>Limb length discrepancy is a concern following total hip arthroplasty for hip pathologies. THA aims to alleviate pain and restore function, but LLD can impact satisfaction and outcomes. This study aimed to detect LLD following THA for neck of femur fractures and evaluate its effect on functional outcomes.</p><p><strong>Material and methods: </strong>A retrospective study was conducted from 01/2019 to 12/2021, including NOF fracture patients eligible for THA based on mobility and clinical assessment. Data were obtained from patient records, postoperative notes, radiographs, and physiotherapy assessments.</p><p><strong>Results: </strong>Fifty-eight patients underwent THA for NOF fractures, with an average age of 75.6 years (range 62-92). Most (96%) were ASA 2. The average time to surgery was 38.6 hours (range 8-266). No patients reported LLD postoperatively. Radiological measurements showed a vertical offset mean of 0.47 cm (range 3.46-7.1 mm) and a horizontal offset mean of 0.51 cm (range 3.34-6.89 mm) between operated and normal sides.</p><p><strong>Conclusions: </strong>1. Following total hip arthroplasty for neck of femur fractures, patients were able to achieve full weight-bearing and ambulation with clinically no significant leg length discrepancies or functional limitations. 2. Radiographic analysis showed moderate variations, but no functional impairment. 3. Surgical techniques and prosthetic selection minimized discrepancies. 4. Radiological and minor clinical discrepancies require further follow-up and research for identifying long-term effects on biomechanics.</p>","PeriodicalId":19622,"journal":{"name":"Ortopedia, traumatologia, rehabilitacja","volume":"27 1","pages":"19-24"},"PeriodicalIF":0.0,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144817168","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":"Bone Density Measurement with IMAGE J-software in Primary Uncemented Total Hip Replacement.","authors":"Daniel Godoy-Monzon, Patricio Telesca, Jose Manuel Pascual Espinosa","doi":"10.5604/01.3001.0055.1543","DOIUrl":"https://doi.org/10.5604/01.3001.0055.1543","url":null,"abstract":"<p><strong>Background: </strong>The success of cementless total hip arthroplasty (THA) relies on its primary mechanical stability and secondary biological fixation, which can be assessed by specific exams like dual-energy x-ray absorptiometry (DEXA) or computed tomography (CT). We evaluated the bone adaptation of a cementless primary THA using a validated image analysis tool and plain radiographs.</p><p><strong>Material and methods: </strong>Patients who received a cementless THA from September 2020 to July 2022 were included in the study. Clinical scores and X-rays were collected prospectively. Relative bone density (RBD) was calculated for each patient, using Rossler validated method with Image-J software, to assess bone density changes after THA.</p><p><strong>Results: </strong>155 patients at a mean age of 56.4 years (range 31-84) were followed up for 38.5 months. Harris Hip Score was 92.2 at the latest follow-up. Radiographically, all the cups were positioned in the Lewinnek safe zone. Five cups showed non-progressive radiolucent lines. RBD showed a significant decrease in Gruen zone 1, while the percentage difference in the other zones ranged from -9% to +4%. In the cohort, there were 2 intraoperative fractures treated with cerclage wires. One patient had a superficial infection, and another one had a deep infection.</p><p><strong>Conclusions: </strong>1. ImageJ stands out as a robust tool for the quantitative assessment of osteointegration in uncemented hip implants. 2. Its ability to analyse regular x-ray data with precision supports better clinical outcomes. 3. By incorporating ImageJ into routine assessments, orthopaedic surgeons can achieve a more accurate understanding of bone-implant interactions, leading to optimized patient care and improved implant survival rates analysis. 4. The consideration of cost and time efficiency further underscores the value of ImageJ in clinical practice, making it a valuable asset.</p>","PeriodicalId":19622,"journal":{"name":"Ortopedia, traumatologia, rehabilitacja","volume":"27 1","pages":"25-30"},"PeriodicalIF":0.0,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144817170","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":"Septic and Aseptic Iliopsoas Bursitis - A Systematic Review of the Literature.","authors":"Debajyoti Saha, Aidan P McAnena, Aniket Pandya, Ganesh Joshi, Ryan Tai","doi":"10.5604/01.3001.0055.1540","DOIUrl":"https://doi.org/10.5604/01.3001.0055.1540","url":null,"abstract":"<p><p>Iliopsoas bursitis (IB) is a rare entity and usually presents with ambiguous clinical presentation similar to other musculoskeletal conditions in the anatomic area. In septic IB, patients usually present with vague complaints of hip pain and fever.To better understand this vague clinical entity, a systematic review of cases of iliopsoas bursitis published in the open literature was performed to better characterize the clinical presentation, demographics and clinical outcome in patients with IB. An analysis of 50 articles and 54 patients including our index case revealed that hip pain was the most common presenting complaint in 74% of the patients, followed by lower limb edema (16.7% of patients). Common etiologies were total hip arthroplasty (16.7%) and infection (14.8%). The mortality rate calculated in the reported cases of septic IB was high. Therefore, knowledge of this entity is important as delay in diagnosis and management, especially in septic IB, can result in fatal outcome.</p>","PeriodicalId":19622,"journal":{"name":"Ortopedia, traumatologia, rehabilitacja","volume":"27 1","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144817172","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 Open Knee Dislocation Following an Agricultural Injury: A Case Report and Review of the Literature. Bilateral Open Knee Dislocation.","authors":"Mesut Tahta, Recep Selçuk Eyceyurt, Melikşah Uzakgider, Onur Suer, Sinan Alkan, Cemil Kayalı","doi":"10.5604/01.3001.0055.1544","DOIUrl":"https://doi.org/10.5604/01.3001.0055.1544","url":null,"abstract":"<p><p>Bilateral open knee dislocation is an extremely rare injury, with only one previously documented case in the literature. A 65-year-old male sustained bilateral open knee dislocations in an agricultural accident. The left knee was treated with early multiligamentous reconstruction, achieving full recovery. The right knee, complicated by infection and extensive bone loss, required multiple debridements, soft tissue coverage with a medial gastrocnemius flap, and primary arthrodesis. At 18 months, the patient walked independently, with full function in the left knee and a stable, painless right knee. This case highlights the importance of staged management and individualized treatment strategies in complex knee trauma.</p>","PeriodicalId":19622,"journal":{"name":"Ortopedia, traumatologia, rehabilitacja","volume":"27 1","pages":"31-37"},"PeriodicalIF":0.0,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144817169","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}