Ortopedia, traumatologia, rehabilitacja最新文献

{"title":"Hand Arm Vibration Syndrome [HAVS]: What Do We Know So Far? - Journal Review.","authors":"Adam Popiołek, Marta Billewicz, Laura Lis, Karolina Makowska, Aleksandra Marczyk, Julia Pietrzykowska, Aleksandra Turek, Oksana Zatorska","doi":"10.5604/01.3001.0054.7351","DOIUrl":"https://doi.org/10.5604/01.3001.0054.7351","url":null,"abstract":"<p><strong>Background: </strong>Since over century it has been known that hand to arm transmitted vibrations (HAV) can affect health and quality of life. Exposure over certain level and intensity over time are risk causes of Hand Arm Vibration Syndrome (HAVS). Symptoms varies from the damaged structures which most commonly are secondary Raynaud Phenomenon known as Vibration Induced White Finger (VWF), carpal tunnel syndrome, tingling, loss of manual dexterity, osteoarthritis or even Dupuytren's contracture. The usage of pneumatic vibrating tools among physical workers and specialists like dentists, without any doubt has grown significantly since the start of previous technological era. Unfortunately, development of medicine is not sufficient to reverse harmful effects of vibrations on human body but is able to diagnose and treat symptoms faster and with better efficiency than it used to in the past. Brief update and awareness booster of occupational disease which is silently present in our society, giving more insight and knowledge about current possibilities of treatment and diagnosis for medical personnel and everyone interested.</p><p><strong>Material and methods: </strong>The article presents actual state of knowledge and scientific discoveries collected and researched via databases of platforms: Journal of Education Health and Sport, PubMed, Google Scholar, National Library of Medicine, Elsevier. Used keywords in research: Vibration induced White Finger, HAVS, Hand Arm Vibration Syndrome.</p><p><strong>Conclusion: </strong>While full protection from occupational vibrations is not possible, we should advance in spreading knowledge of occupational hazards, updating and regulating work standards policies, as continue research in new aimed therapies and effects of vibrations on human body.</p>","PeriodicalId":19622,"journal":{"name":"Ortopedia, traumatologia, rehabilitacja","volume":"26 4","pages":"121-130"},"PeriodicalIF":0.0,"publicationDate":"2024-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543055","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":"Diagnosis and Treatment of Cervical Spine Fractures in Children.","authors":"Łukasz Wiktor, Ryszard Tomaszewski, Karol Pethe","doi":"10.5604/01.3001.0054.8377","DOIUrl":"https://doi.org/10.5604/01.3001.0054.8377","url":null,"abstract":"<p><strong>Background: </strong>Cervical spine injuries in children are relatively uncommon and account for approximately 1.5% of trauma admissions. The aim of our study was to determine the incidence and patterns of pediatric cervical spine fractures in a single Trauma Center over the last decade.</p><p><strong>Material and methods: </strong>The hospital's medical database was queried for data from the period between January 2014 and December 2023. An initial search revealed that 511 patients had been hospitalized with neck injuries in that time frame. Among these records, we identified 24 patients with a fracture of the cervical spine. The inclusion criteria were: (1) age under 18 yo, (2) fracture of the cervical spine (3) follow-up of at least 6 months. A thorough analysis was performed, including injury mechanism, diagnosis, medical procedures and final outcome., A Neck Disability Index (NDI) was assessed for all patients at the six months' follow-up visit to evaluate treatment outcomes.</p><p><strong>Results: </strong>The study group consisted of 14 boys and 10 girls aged 4.6 to 18 years (average age 14.2). We diagnosed one case of an isolated C1 fracture, six C2 fractures, two C4 fractures, two C5 fractures, two C7 fractures, and nine cases of multiple spinal fractures. Additionally, we diagnosed two cases of cervical spine dislocation: one of right-sided rotational dislocation of C6/C7 and one of complete dislocation of C2/C3. Eight patients were treated surgically by open reduction combined with anterior plate fixation. Four patients were treated using a halo vest. Eleven patients were treated conservatively: six using a Minerva orthosis, four with a cervical-thoracic orthosis, and one with a rigid cervical collar. The highest NDI values were encountered in the group of patients with concomitant intracerebral injury, where the mean value was 18.6/45 (12-26/45). The mean NDI score for the remaining patients was 4/45 (0 - 9/45).</p><p><strong>Conclusions: </strong>1. The incidence of cervical spine fractures in children is low. 2. Most cervical spine injuries in children are treated conservatively with good outcomes. 3. Both conservative and surgical treatment of cervical spine fractures in children produces good results 4. Computed Tomography remains the gold standard for diagnosing cervical spine fractures in children. 5. The halo-vest in pediatric patients suffering from C2 fractures was well tolerated and provided good outcomes. 6. Surgical treatment of lower cervical fractures by open reduction with anterior fusion is efficient in terms of fusion status and patient satisfaction. 7. Prospective, randomized, multicenter studies are required to assess the epidemiology, methodology, and treatment effects of cervical spine fractures in children.</p>","PeriodicalId":19622,"journal":{"name":"Ortopedia, traumatologia, rehabilitacja","volume":"26 4","pages":"143-152"},"PeriodicalIF":0.0,"publicationDate":"2024-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543015","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":"Increasing cost of Trauma Hospitalizations in the Pediatric Population. Cost Analysis of Treatment of Musculoskeletal Injuries in Children and Adolescents.","authors":"Sławomir Kiepura, Julian Dutka, Maria Wieczorek-Grohman","doi":"10.5604/01.3001.0054.8376","DOIUrl":"https://doi.org/10.5604/01.3001.0054.8376","url":null,"abstract":"<p><strong>Background: </strong>Musculoskeletal injuries in children and adolescents have rarely been investigated in the recent literature. This study aimed to perform a comparative medical and economic analysis of the cost of treatment of musculoskeletal injuries and that of selected pediatric surgical procedures in children and adolescents.Material and methods, We performed a retrospective analysis of data of children treated in a pediatric surgery department for musculoskeletal injuries and selected general surgical conditions in 2021-2023. The number of hospitalizations, procedures, the number of NHF credits awarded, and the monetary value (PLN) of procedures performed were assessedResults. There were a total of 3,809 children hospitalized in 2021-2023, of whom 1,933 received surgical treatment (51%). In this group, 529 children (28%) were treated due to musculoskeletal injuries (Group I), and 402 (20%), due to general surgical conditions (Group II). The average monetary value of the procedures performed was 949,238.2 PLN / year for Group I and 740,583.6 PLN / year for Group II.</p><p><strong>Conclusions: </strong>1. In the pediatric population, musculoskeletal injuries account for the highest percentage of injuries associated with serious sequelae. 2. The monetary value of procedures for treating musculoskeletal injuries is higher compared to selected general surgical procedures according to DRGs. 3. The cost of performing trauma procedures constitutes 56% of the NHF contract value and has been gradually increasing. 4. The significant and increasing incidence of traumatic injuries and the high cost of their treatment require an increase in the overall contract value for centers treating injuries in children and adolescents.</p>","PeriodicalId":19622,"journal":{"name":"Ortopedia, traumatologia, rehabilitacja","volume":"26 4","pages":"131-141"},"PeriodicalIF":0.0,"publicationDate":"2024-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543056","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":"Functional Outcome of Intra-Articular Distal End Radius Fracture Treated Surgically by Volar Locking Plate: A Prospective Study.","authors":"Bhanu Prakash Bojanapu, Himanshu Jain, Manoj Kumar, Durga Kurra, Divanshu Goel, Abhishek Singh, Satvik Muralidhar, Ishan Mittal, Prasad Sakhare, Ramesh Chand Jindal","doi":"10.5604/01.3001.0054.8378","DOIUrl":"https://doi.org/10.5604/01.3001.0054.8378","url":null,"abstract":"<p><strong>Background: </strong>Unstable distal end intra-articular fractures of the radius pose a greater risk of reduction loss, potentially resulting in malunion and poor functional outcomes. Therefore, the amount of reduction and the technique of fracture fixation play a crucial role in achieving improved functional outcomes and ensuring patient satisfaction.</p><p><strong>Material and methods: </strong>This is a study of prospectively enrolled 27 patients with displaced intra-articular distal end radius fractures treated surgically by volar locking plate through modified Henry's approach in the department of orthopedics at a tertiary care center. Patients were post-operatively evaluated for functional outcome and complications.</p><p><strong>Results: </strong>Out of the 27 patients 26 came for regular follow up, ranging from 3 months to 18 months and one patient was lost to follow-up. The functional outcome was investigated with the Mayo wrist score. Excellent scores were noted in 34.6%, good in 53.8% and satisfactory in 11.5% of the patients.</p><p><strong>Conclusion: </strong>Irrespective of the direction and degree of displacement, the volar locking plate as a treatment for an intraarticular distal end radius fracture is a good option as it provides stable fixation, and good to excellent outcomes with less complications.</p>","PeriodicalId":19622,"journal":{"name":"Ortopedia, traumatologia, rehabilitacja","volume":"26 4","pages":"153-158"},"PeriodicalIF":0.0,"publicationDate":"2024-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543054","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":"Is Proprioceptive Training Effective During the Acute Rehabilitation Period of Danis-Weber Type B Ankle Fractures?","authors":"Yuliia Divnych, Mariia- Alina Yovzhii, Liliia Tverdokhlib, Fedyniak Maksym, Maksymchuk Arsen, Uluana Kuz, Vadym Sulyma","doi":"10.5604/01.3001.0054.8379","DOIUrl":"https://doi.org/10.5604/01.3001.0054.8379","url":null,"abstract":"<p><strong>Backgrounds: </strong>Ankle fractures of Danis-Weber type B represent common lower limb injuries. The aim of the study was to compare the effectiveness of standard physical therapy and proprioception training during the acute rehabilitation period.</p><p><strong>Materials and methods: </strong>The study group comprised 38 patients with Danis-Weber type B ankle fractures during the acute rehabilitation period in 2022-2023. All patients underwent surgery and were randomized into: Group I (18 patients), who received a rehabilitation program that included standard physiotherapy and proprioceptive exercises, and Group II (20 patients), who received a rehabilitation program of standard physiotherapy only.</p><p><strong>Results: </strong>Before the start of rehabilitation, AOFAS scores were 33.910.4 in Group I and 21.38.9 in Group II. At the end of the study, scores were 67.626.1 and 38.57.8, respectively. In contrast, the FADI scores were almost identical at beginning (11.62.4 vs. 11.452.4). At the end of the study, there was a small but significant improvement in Group II, with scores of 37.05.4 compared to 32.55.4 in Group I. The barotensometric indicators at the beginning of the intervention were not significantly different between the groups.</p><p><strong>Conclusions: </strong>1. Incorporating proprioception stimulation training during the acute rehabilitation period may offer some advantages in enhancing ankle and foot function following a Danis-Weber type B ankle fracture. 2. It may be beneficial to perform prolonged monitoring to develop an evidence-based approach to rehabilitation strategy after ankle fractures.</p>","PeriodicalId":19622,"journal":{"name":"Ortopedia, traumatologia, rehabilitacja","volume":"26 4","pages":"159-166"},"PeriodicalIF":0.0,"publicationDate":"2024-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543057","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":"Comparison of the outcomes of Total Knee Arthroplasty (TKA): tourniquet and tourniquet-less arthroplasty.","authors":"Natalia Tekiela, Adam Smolik, Michał Tabor","doi":"10.5604/01.3001.0054.7270","DOIUrl":"https://doi.org/10.5604/01.3001.0054.7270","url":null,"abstract":"<p><p>Total knee replacement surgery (TKA) ranks among the most commonly performed orthopedic procedures nowadays. Many surgeons perform TKA with the use of tourniquet. It is also possible to carry out a tourniquet-less TKA. As with every surgery, TKA comes with the possibility of postoperative complications. The aim of this paper is to review the available scientific literature in order to systematize current knowledge and compare the pros and cons of tourniquet-based and tourniquet-less methods of total knee arthroplasty. This objective will serve to enhance patient awareness regarding the methods of total knee arthroplasty and provide reliable information to surgeons performing this procedure. The use of a tourniquet in total knee arthroplasty reduces intraoperative blood loss and operation time but may increase postoperative blood loss. It is associated with a higher risk of infection. Patients without a tourniquet experience less postoperative pain, shorter hospital stays, and comparable muscle function recovery over time. Tourniquet use increases the risk of deep vein thrombosis, influenced by tightening time. The choice between these methods involves balancing advantages and drawbacks in blood loss, infection risk, pain, and muscle recovery. Each method presents its own set of advantages and potential drawbacks, and the choice between the two methods requires a careful consideration of these factors.</p>","PeriodicalId":19622,"journal":{"name":"Ortopedia, traumatologia, rehabilitacja","volume":"26 3","pages":"93-98"},"PeriodicalIF":0.0,"publicationDate":"2024-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142392234","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":"Changes in Selected Radiographic Parameters in Feet after Arthroplasty of First Metatarsophalangeal Joint (MTP-1) - Pilot Study.","authors":"Sławomir Duda, Kamil Adamczyk, Jakub Adamczyk, Tomasz Potaczek, Jacek Lorkowski, Barbara Jasiewicz","doi":"10.5604/01.3001.0054.7268","DOIUrl":"https://doi.org/10.5604/01.3001.0054.7268","url":null,"abstract":"<p><strong>Background: </strong>Hallux rigidus is found in more than 2% of individuals aged 50 and above. As this condition progresses, mobility in the first metatarsophalangeal (MTP-1) joint decreases, leading practically to rigid fixation of the toe in the plantar flexion position, while pain and joint deformity caused by osteophytes intensify over time. Surgical approaches for hallux rigidus include joint arthroplasty of the first metatarsophalangeal joint, which is commonly employed. This study aimed to assess selected radiographic parameters of the foot before and after MTP-1 joint arthroplasty.</p><p><strong>Material and methods: </strong>The study involved 15 patients (15 feet), comprising 11 women and 4 men, at an average age of 54.7 years (range: 43 to 70). All participants underwent arthroplasty of MTP-1 using the Tornier FGT endoprosthesis. Various radiologic parameters were examined, including the hallux valgus angle, intermetatarsal angle, Horton's index, Meary's angle, Nikolaev's angle, and hallux angle in a lateral view.</p><p><strong>Results: </strong>Radiological measurements were analysed using the R3.6.2 statistical package (R Core Team, 2019). After surgery, Horton's index showed a significant increase, rising from 7.2 to 8. Additionally, the HVA-L angle increased from 11.26 to 14.4.</p><p><strong>Conclusion: </strong>Arthroplasty of MTP-1 produces significant changes in radiographic parameters of foot statics.</p>","PeriodicalId":19622,"journal":{"name":"Ortopedia, traumatologia, rehabilitacja","volume":"26 3","pages":"77-86"},"PeriodicalIF":0.0,"publicationDate":"2024-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142392176","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":"Exploring Knee Flexion Techniques in Tibial Nailing: A Comparative Study of Two Different Methods Knee Flexion Techniques in Tibial Nailing.","authors":"Mustafa Wameedh Khalid Al-Ibrahim, Ahmed Nasser Qasim Al-Nasrawi, Amjad Abdulameer Mutasher","doi":"10.5604/01.3001.0054.7267","DOIUrl":"10.5604/01.3001.0054.7267","url":null,"abstract":"<p><strong>Background: </strong>Tibial fractures, particularly diaphyseal fractures, are common and can result in prolonged non-weight-bearing periods, especially in older adults. Intramedullary nailing has become the standard treatment, offering early weight-bearing and improved functional outcomes. This study aims to compare the efficacy and safety of two knee flexion methods - Method A (using an adjustable triangular frame) and Method B (Seyhan method) - in tibial nailing procedures.</p><p><strong>Material and methods: </strong>A prospective randomized controlled trial was conducted with 90 adult patients aged 18-70 requiring intramedullary nailing for isolated closed tibial fractures. Method A utilized an adjustable triangular frame, allowing various degrees of knee flexion. In Method B (Seyhan method), knee flexion was achieved by leg sloping on the operation table with a cushion pillow under the distal thigh.</p><p><strong>Results: </strong>In terms of complication rates, a key finding was a significantly higher incidence of edema in Method B compared to Method A. The results indicated minor differences in satisfaction levels, with a slightly higher percentage of 'Well Satisfied' and a higher dissatisfaction rate in Method B. However, these variations in surgeon satisfaction did not reach statistical significance.</p><p><strong>Conclusions: </strong>1. The Seyhan method and the adjustable triangular frame were compared in our study, with the latter showing advantages in terms of ease of use and reduced complications. 2. While complications like knee pain were observed in some cases, the triangular frame showed superior results in surgical efficiency and patient outcomes. 3. Further research is needed to confirm these findings and explore specific scenarios where each method may excel.</p>","PeriodicalId":19622,"journal":{"name":"Ortopedia, traumatologia, rehabilitacja","volume":"26 3","pages":"69-75"},"PeriodicalIF":0.0,"publicationDate":"2024-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142392235","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":"An Analysis of the Effectiveness of Strengthening or Stretching Exercises in Patients Performing Prolonged Sedentary Work with Non-Specific Lower Back Pain.","authors":"Ewa Szczepaniak-Kucharska","doi":"10.5604/01.3001.0054.7266","DOIUrl":"10.5604/01.3001.0054.7266","url":null,"abstract":"<p><strong>Background: </strong>Non-specific LBP refers to back pain which arises from the spine, intervertebral discs and surrounding soft tissues in the absence of pathologic lesions. Most cases of non-specific LBP are not the result of a single injury from a high load, but the result of repetitive, cumulative micro-injuries. The aim of the study was to assess the effectiveness of strengthening, stretching and mixed exercises in patients with non-specific LBP and their impact on pain intensity.</p><p><strong>Material and methods: </strong>We analysed 90 patients with non-specific LBP who performed prolonged sedentary work. Patients were qualified following history-taking, a physical examination and radiological evaluation if no pathology had been revealed on examination or on the available diagnostic imaging scans. The participants were randomly divided into 3 groups of 30 individuals each. The patients in each group performed one type of exercise (strengthening, stretching, mixed) for a period of 3 months. Both before starting and on completion of the exercise period, the patients were assessed with an original questionnaire as well as the Rolland-Morris, Oswestry and SF-12 scoring systems.</p><p><strong>Results: </strong>Strengthening exercises were the most effective in reducing pain; on completion of the exercise period, pain assessed with the NRS scale was 2 points in the strengthening exercise group, 3 points, in the mixed group, and 4 points in the stretching group. The SF-12 questionnaire showed an improvement in the patients' health (increase in \"excellent\" and \"very good\" scores from 7% to 60%). According to the Oswestry disability questionnaire, strengthening exercises were the most effective (mean disability score of 4).</p><p><strong>Conclusions: </strong>1. The use of strengthening exercises in patients with non-specific LBP most effectively improves function and reduces back pain. 2. The use of stretching and mixed exercises in patients with non-specific LBP improves function and reduces back pain, but to a lesser extent than strengthening exercises.</p>","PeriodicalId":19622,"journal":{"name":"Ortopedia, traumatologia, rehabilitacja","volume":"26 3","pages":"57-68"},"PeriodicalIF":0.0,"publicationDate":"2024-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142392175","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":"Subacute Osteomyelitis of the Symphysis Pubis After Left Oophoritis Caused by Pseudomonas Aeruginosa. A Case Report.","authors":"Sabit Sllamniku, Ardiana Murtezani, Emir Q Haxhija","doi":"10.5604/01.3001.0054.7269","DOIUrl":"10.5604/01.3001.0054.7269","url":null,"abstract":"<p><p>Osteomyelitis of the symphysis pubis is a rarely described bone infection. The main strain of bacteria causing this infection is Staphylococcus aureus, while Pseudomonas aeruginosa is seen most commonly in intravenous drug users. Symmetrical involvement of both pubic bones is usually present. Osteomyelitis of the pubic bones following genital infections in females without a history of previous surgery is very unusual. We present a 47-year-old female patient who, to our best knowledge, is the first case in the literature to develop osteomyelitis of the pubic symphysis after adnexitis caused by Pseudomonas aeruginosa without having had previous surgery in that region.</p>","PeriodicalId":19622,"journal":{"name":"Ortopedia, traumatologia, rehabilitacja","volume":"26 3","pages":"87-91"},"PeriodicalIF":0.0,"publicationDate":"2024-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142392236","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}