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Artikel ; Online: Effects of tendon elongation on plantar pressure and clinical outcomes: A comparative analysis between open repair and minimally invasive surgery.

Karlidag, Taner / Bingol, Olgun / Kulakoglu, Burak / Keskin, Omer Halit / Durgal, Atahan / Ozdemir, Guzelali

Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA

2024

Abstract: Purpose: The aim of this study was to assess whether variances in Achilles tendon elongation are linked to dissimilarities in the plantar pressure distribution following two different surgical approaches for an Achilles tendon rupture (ATR).: Methods!# ...

Abstract	Purpose: The aim of this study was to assess whether variances in Achilles tendon elongation are linked to dissimilarities in the plantar pressure distribution following two different surgical approaches for an Achilles tendon rupture (ATR). Methods: All patients who were treated with open or minimally invasive surgical repair (MIS) and were over 2 years post their ATR were eligible for inclusion. A total of 65 patients with an average age of 43 ± 11 years were included in the study. Thirty-five patients were treated with open repair, and 30 patients were treated with MIS. Clinical outcomes were evaluated using the American Orthopedic Foot and Ankle Society (AOFAS) and ATR Score (ATRS). Achilles tendon elongation was measured using axial and sagittal magnetic resonance imaging scans. Plantar pressure measurements for the forefoot, midfoot and hindfoot during gait were divided into percentages based on total pressure, measured in g/cm Results: The average AOFAS score was found 'excellent' (93 ± 2.8) in the MIS group, while it was found 'good' (87.4 ± 5.6) in the open repair group. In addition, the MIS group showed significantly superior ATRS scores (78.8 ± 7.4) compared to the open repair group (56.4 ± 15.4) (p < 0.001). The average tendon elongation in the MIS group was 11.3 ± 2 mm, while it was 17.3 ± 4.3 mm (p < 0.001) in the open repair group. While the open repair group showed significantly higher plantar pressure distribution in the initial contact and preswing phases compared to uninjured extremities, there was no significant difference between the uninjured extremities and the MIS group. Conclusion: In conclusion, the findings of this study demonstrated that minimally invasive surgery was associated with less tendon elongation, more proximity to the plantar pressure distributions of the uninjured extremity and superior clinical outcomes compared to open surgical repair. Therefore, minimally invasive surgery may be considered a more suitable option for acute Achilles tendon repair to achieve overall better outcomes. Level of evidence: Level III.
Sprache	Englisch
Erscheinungsdatum	2024-04-17
Erscheinungsland	Germany
Dokumenttyp	Journal Article
ZDB-ID	1159064-6
ISSN	1433-7347 ; 0942-2056
ISSN (online)	1433-7347
ISSN	0942-2056
DOI	10.1002/ksa.12163
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Hyperbaric oxygen therapy does not change the amputation level in patients with fasciotomy after an earthquake: Our single-center experience after 2023 Kahramanmaras earthquake.

Kilic, Enver / Bingol, Olgun / Durgal, Atahan / Karlidag, Taner / Keskin, Omer Halit / Ozdemir, Guzelali

Joint diseases and related surgery

2023 Band 34, Heft 2, Seite(n) 516–522

Abstract: Objectives: This study aims to evaluate the effect of hyperbaric oxygen therapy (HBOT) on the amputation level in patients undergoing fasciotomy with a Mangled Extremity Severity Score (MESS) score of ≥7 after 2023 Kahramanmaras earthquake.: Patients ... ...

Abstract	Objectives: This study aims to evaluate the effect of hyperbaric oxygen therapy (HBOT) on the amputation level in patients undergoing fasciotomy with a Mangled Extremity Severity Score (MESS) score of ≥7 after 2023 Kahramanmaras earthquake. Patients and methods: Between February 6 Results: Six (26.08%) of the patients had a bone fracture (n=2 forearm, n=1 femur, n=2 tibia, and n=1 ankle fracture). The mean number of HBOT session was 13.24±5.4 (range, 7 to 30) and the mean duration of HBOT was 26.5±10.8 (range, 14 to 60) h. The mean MESS score was 9.96±1.36 (range, 7 to 12). All of the patients were trapped under the rubble with a mean time of 12.3±5.4 (range, 6 to 23) h. All fasciotomies were performed within the first 30 h. Twenty-two of the patients were amputated at the level previously determined by the experienced trauma surgeons. The amputation level changed in only one patient. After 38 h of HBOT, transradial amputation was performed to the patient in whom transhumeral amputation level was determined previously. None of the patients had any adverse event related to HBOT. Conclusion: Our study results suggest that the MESS is a useful scoring system for amputation decision after a high-energy trauma, such as an earthquake, with a high accuracy rate. The outcomes of HBOT are not satisfactory for high-energy traumas, such as earthquakes, in those requiring fasciotomy having more muscle necrosis and a MESS score of ≥7.
Mesh-Begriff(e)	Male ; Female ; Humans ; Young Adult ; Adult ; Middle Aged ; Earthquakes ; Hyperbaric Oxygenation ; Fasciotomy ; Amputation, Surgical ; Necrosis
Sprache	Englisch
Erscheinungsdatum	2023-05-25
Erscheinungsland	Turkey
Dokumenttyp	Journal Article
ISSN	2687-4792
ISSN (online)	2687-4792
DOI	10.52312/jdrs.2023.1104
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel: Does the Surgical Approach Influence Bleeding in Hip Fracture Patients Taking Clopidogrel?

Kılıç, Enver / Bingöl, Olgun / Ozdemir, Guzelali / Sarıkaya, Baran / Durgal, Atahan / Karahan, Taha E

Cureus

2023 Band 15, Heft 11, Seite(n) e48559

Abstract: Background The aim of this study was to evaluate the effect of the choice of approach on bleeding in patients with femoral neck fractures who are on clopidogrel. Materials and methods The study included patients over the age of 60 who were taking ... ...

Abstract	Background The aim of this study was to evaluate the effect of the choice of approach on bleeding in patients with femoral neck fractures who are on clopidogrel. Materials and methods The study included patients over the age of 60 who were taking clopidogrel and had hemiarthroplasty surgery for a femoral neck fracture. A total number of 61 patients were evaluated in the study. Patients who underwent surgery using the posterior approach were assigned to group 1, while those who underwent surgery using the anterolateral approach were assigned to group 2. Preoperative and postoperative hemoglobin levels, transfusion needs, red blood cell (RBC) loss, duration of surgery, and the length of hospitalization were evaluated. Results The mean age of the patients was 79.36 ± 7.72 years. Twenty-nine patients were included in group 1 and 32 patients were included in group 2. There was no significant difference between the two groups in terms of gender, age, and comorbidities (p=0.74, p=0.12, p=0.23, respectively). There were no significant differences between group 1 and group 2 in terms of duration of surgery and length of hospital stay (p=0.41, p=0.37, respectively). Also, there was no significant difference in RBC loss between group 1 and group 2 (p=0.37). Conclusion The use of anterolateral or posterior approaches has no effect on bleeding in clopidogrel-treated patients having hemiarthroplasty for femoral neck fracture. The authors recommend surgeons choose the approach according to their experience and patients' needs.
Sprache	Englisch
Erscheinungsdatum	2023-11-09
Erscheinungsland	United States
Dokumenttyp	Journal Article
ZDB-ID	2747273-5
ISSN	2168-8184
ISSN	2168-8184
DOI	10.7759/cureus.48559
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Preventing extremity amputations after earthquakes: a quantitative analysis of fasciotomy and extrication time.

Bingol, Olgun / Karlidag, Taner / Keskin, Omer Halit / Kilic, Enver / Sarikaya, Baran / Ozdemir, Guzelali

European journal of trauma and emergency surgery : official publication of the European Trauma Society

2023 Band 49, Heft 6, Seite(n) 2515–2520

Abstract: Purpose: The purpose of this study is to evaluate the impact of prolonged extrication time and the time to fasciotomy applications on amputation requirement by giving quantitative and cutoff values.: Methods: In this single-center study, the clinical ...

Abstract	Purpose: The purpose of this study is to evaluate the impact of prolonged extrication time and the time to fasciotomy applications on amputation requirement by giving quantitative and cutoff values. Methods: In this single-center study, the clinical records of patients with musculoskeletal injuries due to the 6 February Kahramanmaraş earthquake in Turkey were retrospectively reviewed. All patients who underwent fasciotomy or amputation regardless of age and gender were included in the study. 163 extremities of 140 patients who met the inclusion criteria were evaluated. Demographic data of the patients, such as age and gender, were recorded in this study. The primary outcome of this study was the correlation of the time between injury and fasciotomy applications with the amputation requirement. At the same time, the effect of prolonged extrication time of earthquake victims on amputation requirement. Results: The mean age was 29.01 ± 15.55 of earthquake victims included in the current study and the gender distribution of the patients is almost equal. 87 amputations of 65 patients were performed and transtibial amputation was the most common type (41.3%). The mean fasciotomy time was 38.78 ± 23.64 h. Delayed fasciotomies performed after 45.5 h increase 28.48 times the amputation requirement. The mean extrication time in the current study was 36.49 h. The patients with extrication time longer than 23 h was associated with an 8.8 times higher risk of amputation. Conclusions: Authors believe that knowledge of the relationship between earthquake survivors' prognosis and time of extrication, as well as the impact of fasciotomy timing on extremity loss, is essential for a more successful treatment management in future disasters.
Mesh-Begriff(e)	Humans ; Adolescent ; Young Adult ; Adult ; Earthquakes ; Fasciotomy ; Retrospective Studies ; Disasters ; Amputation, Surgical
Sprache	Englisch
Erscheinungsdatum	2023-07-13
Erscheinungsland	Germany
Dokumenttyp	Journal Article
ZDB-ID	2275480-5
ISSN	1863-9941 ; 1863-9933
ISSN (online)	1863-9941
ISSN	1863-9933
DOI	10.1007/s00068-023-02325-6
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Zs.A 1221: Hefte anzeigen			Standort: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG)
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Artikel ; Online: Impact of Posterior Malleolus Fixation on Clinical and Functional Results.

Bingol, Olgun / Ozdemir, Guzelali / Karlidag, Taner / Korucu, Alperen / Yasar, Niyazi Erdem / Deveci, Alper

Journal of the American Podiatric Medical Association

2023 Band 113, Heft 1

Abstract: Background: Clinical studies have shown that posterior malleolar fractures treated with a posterior buttress plate have improved outcomes compared to anterior-to-posterior screw fixation. The aim of this study was to evaluate the impact of posterior ... ...

Abstract	Background: Clinical studies have shown that posterior malleolar fractures treated with a posterior buttress plate have improved outcomes compared to anterior-to-posterior screw fixation. The aim of this study was to evaluate the impact of posterior malleolus fixation on clinical and functional results. Methods: The patients with posterior malleolar fractures who were treated between January of 2014 and April of 2018 at our hospital were investigated retrospectively. Fifty-five patients included in the study were divided into three groups according to the fixation preferences of fractures (group I, posterior buttress plate; group II, anterior-to-posterior screw; and group III, nonfixated). The groups consisted of 20, nine, and 26 patients, respectively. These patients were analyzed according to demographic data, fixation preferences of fractures, mechanism of injury, hospitalization length of stay, surgical time, syndesmosis screw use, follow-up time, complications, Haraguchi fracture classification, van Dijk classification, American Orthopaedic Foot and Ankle Society score, and plantar pressure analysis. Results: There were no statistically significant differences between the groups in terms of gender, operation side, injury mechanism, length of stay, anesthesia types, and syndesmotic screw usage. However, when the age, follow-up time, operation time, complications, Haraguchi classification, van Dijk classification, and American Orthopaedic Foot and Ankle Society scores were evaluated, statistically significant differences were observed between the groups. Plantar pressure analysis data showed that group I yielded balanced pressure distribution between both feet compared to the other study groups. Conclusions: The posterior buttress plating of posterior malleolar fractures yielded better clinical and functional outcomes compared to the anterior-to-posterior screw fixation and nonfixated groups.
Mesh-Begriff(e)	Humans ; Fracture Fixation, Internal/methods ; Bone Screws ; Retrospective Studies ; Treatment Outcome ; Ankle Fractures/surgery
Sprache	Englisch
Erscheinungsdatum	2023-03-11
Erscheinungsland	United States
Dokumenttyp	Journal Article
ZDB-ID	632622-5
ISSN	1930-8264 ; 0003-0538 ; 8750-7315
ISSN (online)	1930-8264
ISSN	0003-0538 ; 8750-7315
DOI	10.7547/21-008
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Evaluation of free vascularized medial femoral condyle bone grafts in the treatment of avascular scaphoid waist nonunion.

Kilic, Enver / Unal, Kazim Onur / Ozdemir, Guzelali / Bingol, Olgun / Keskin, Omer Halit / Akinci, Metin

Joint diseases and related surgery

2023 Band 34, Heft 3, Seite(n) 661–668

Abstract: Objectives: The aim of this study was to evaluate the medial femoral condyle (MFC) bone graft procedure for scaphoid waist nonunion with avascular necrosis on magnetic resonance imaging or prior surgery failure.: Patients and methods: Between June ... ...

Abstract	Objectives: The aim of this study was to evaluate the medial femoral condyle (MFC) bone graft procedure for scaphoid waist nonunion with avascular necrosis on magnetic resonance imaging or prior surgery failure. Patients and methods: Between June 2015 and December 2018, a total of 17 patients (16 males, 1 female; mean age: 29±8.2 years; range, 16 to 40 years) with scaphoid waist nonunion who were treated with vascularized MFC bone grafting were retrospectively analyzed. Pre- and postoperative carpal indices, grip strengths for both hands, range of motion, Visual Analog Scale (VAS) pain score, Quick Disabilities of the Arm, Shoulder, and Hand (QDASH) score, and Mayo Wrist Score (MWS) were evaluated. Results: After vascularized MFC bone graft surgery, 15 patients healed and returned to work without any limitations. Ten patients of left scaphoid nonunion and seven cases of right scaphoid nonunion were treated; for eight of these patients, the operation was on the dominant side. Eight of these patients were smokers. The mean follow-up was 22.4±5.8 months. The mean hand grip strength was increased from 74.5 to 84% on the contralateral side (p<0.05). The average revised carpal height ratio improved from 1.57 to 1.59 (p<0.05) and the scapholunate angle changed from 56.9° to 51.6° (p<0.05). Conclusion: The MFC bone grafting is one of the best surgical procedures for small defects such as scaphoid waist nonunion with high union rates, good functional outcomes, and minimal donor site morbidity.
Mesh-Begriff(e)	Male ; Humans ; Female ; Young Adult ; Adult ; Retrospective Studies ; Hand Strength ; Fractures, Ununited/diagnostic imaging ; Fractures, Ununited/surgery ; Scaphoid Bone/diagnostic imaging ; Scaphoid Bone/surgery ; Femur/diagnostic imaging ; Femur/surgery
Sprache	Englisch
Erscheinungsdatum	2023-09-16
Erscheinungsland	Turkey
Dokumenttyp	Journal Article
ISSN	2687-4792
ISSN (online)	2687-4792
DOI	10.52312/jdrs.2023.1009
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: A new scoring system for predicting cut-out risk in patients with intertrochanteric femur fractures treated with proximal femoral nail anti-rotation.

Kulakoglu, Burak / Ozdemir, Guzelali / Bingol, Olgun / Karlidag, Taner / Keskin, Omer Halit / Durgal, Atahan

Acta orthopaedica et traumatologica turcica

2023 Band 57, Heft 5, Seite(n) 258–266

Abstract: Objective: The objectives of this study were to: (1) determine all the potential risk factors defined in the literature for cut-out after proximal femoral nail anti-rotation in managing intertrochanteric fractures and (2) make a reliable prediction ... ...

Abstract	Objective: The objectives of this study were to: (1) determine all the potential risk factors defined in the literature for cut-out after proximal femoral nail anti-rotation in managing intertrochanteric fractures and (2) make a reliable prediction about the likelihood of cut-out by developing a quantitative scoring system. Methods: Four hundred eighty patients who were operated on for an intertrochanteric femur fracture were included in the study. The patients were evaluated retrospectively. Radiological parameters known to affect cut-out, including tip apex distance (TAD), calcarreferenced TAD (CalTAD), and reduction quality, were also used to evaluate the patients. Additionally, the classification of the fracture according to the cortical thickness index for osteoporosis, the Charlson comorbidity index for additional comorbidities, and the Arbeitsgemeinschaft Für Osteosynthesefragen classification were evaluated. Results: The cut-out rate among all patients was 7.2%. Cut-out risk could be predicted by gender, TAD, CalTAD, and reduction quality. Female gender, TAD > 29.45, CalTAD > 31.75, and acceptable or poor reduction quality significantly increased the cut-out risk. Based on the chi-square analysis, it was determined that there was a significant relationship between the cut-out risk and the variables of TAD, CalTAD, reduction quality, gender, and fracture type (P=.000, P=.000, P=.000, P=.008, P=.016, respectively). Logistic regression analysis showed a strong correlation between the newly developed scoring system and the risk of cut-out. The risk of cut-out increased 8.1 times in individuals with a score of more than 2 (P < .001). Conclusion: Female gender, TAD > 29.45, CalTAD > 31.75, and acceptable or poor reduction quality are the parameters found to be significant in determining the cut-out risk. With the newly developed scoring system, risks can be calculated for all situations that may occur according to the scores obtained by the patients. The cut-out risk increases significantly in patients with a score above 2 points. Level of evidence: Level III, Diagnostic Study.
Mesh-Begriff(e)	Humans ; Female ; Fracture Fixation, Intramedullary/adverse effects ; Retrospective Studies ; Bone Nails/adverse effects ; Treatment Outcome ; Femur/diagnostic imaging ; Femur/surgery ; Hip Fractures/etiology ; Hip Fractures/surgery ; Femoral Fractures/diagnostic imaging ; Femoral Fractures/etiology ; Femoral Fractures/surgery
Sprache	Englisch
Erscheinungsdatum	2023-11-01
Erscheinungsland	Turkey
Dokumenttyp	Journal Article
ISSN	2589-1294
ISSN (online)	2589-1294
DOI	10.5152/j.aott.2023.23018
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Orthopaedic Triage and Management of Earthquake Victims

Güzelali Özdemir / Olgun Bingöl / Enver Kılıç

Cam & Sakura Medical Journal, Vol 3, Iss Suppl 1, Pp 14-

2023 Band 18

Abstract: Major earthquakes can cause crush injuries. Damage to buildings is a major cause of death and injury in earthquakes, especially when solid building materials such as concrete are used. The most common injuries following earthquakes are fractures, ... ...

Abstract	Major earthquakes can cause crush injuries. Damage to buildings is a major cause of death and injury in earthquakes, especially when solid building materials such as concrete are used. The most common injuries following earthquakes are fractures, compartment syndromes, major soft tissue injuries, and crush injuries. This highlights the importance of planning at the national level before natural disasters occur. The aim of this study was to review what needs to be done in orthopedic and trauma services in the field, during transfer, and in advanced treatment centers after an earthquake disaster in our country, where high-intensity earthquakes occur. In conclusion, strategic planning in the field, during transfer, and in advanced treatment centers can reduce the pressure on the health system in similar mass disasters.
Schlagwörter	orthopaedic triage ; earthquake ; victims ; management ; Medicine ; R
Sprache	Englisch
Erscheinungsdatum	2023-12-01T00:00:00Z
Verlag	Galenos Publishing House
Dokumenttyp	Artikel ; Online
Datenquelle	BASE - Bielefeld Academic Search Engine (Lebenswissenschaftliche Auswahl)

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Artikel ; Online: Aneurysmal Bone Cyst of the Medial Cuneiform: A Case Report.

Bingol, Olgun / Ozdemir, Guzelali / Yasar, Niyazi Erdem / Deveci, Alper

Journal of the American Podiatric Medical Association

2021 Band 111, Heft 1

Abstract: The aneurysmal bone cysts, usually found in the tibia, femur, pelvis, or humerus, are expansile pseudotumor lesions of unknown etiology. An aneurysmal bone cyst is rarely seen in the medial cuneiform. In this case report, a 43-year-old man with an ... ...

Abstract	The aneurysmal bone cysts, usually found in the tibia, femur, pelvis, or humerus, are expansile pseudotumor lesions of unknown etiology. An aneurysmal bone cyst is rarely seen in the medial cuneiform. In this case report, a 43-year-old man with an aneurysmal bone cyst in the left medial cuneiform is presented. The cyst was curetted, and the defect was filled with an en bloc iliac crest graft. A screw was placed to fix the graft in the proper position. In the 2-year follow-up of the patient, recurrence was not detected radiologically.
Sprache	Englisch
Erscheinungsdatum	2021-03-09
Erscheinungsland	United States
Dokumenttyp	Journal Article
ZDB-ID	632622-5
ISSN	1930-8264 ; 0003-0538 ; 8750-7315
ISSN (online)	1930-8264
ISSN	0003-0538 ; 8750-7315
DOI	10.7547/20-011
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel: Do Different Approaches Make a Difference in Isokinetic Performance in Elderly Patients With Femoral Neck Fracture Who Underwent Bipolar Endoprosthesis?

Korkmaz, İzzet / Korkmaz, Nurdan / Koç, Saadet S / Bingöl, Olgun / Kılıç, Enver / Ozdemir, Guzelali / Toğral, Güray

Cureus

2023 Band 15, Heft 1, Seite(n) e33362

Abstract: Background There are ongoing doubts about the effects of the commonly used anterolateral approach (ALA) and posterolateral approach (PLA) for bipolar hemiarthroplasty (BHA) on hip muscle strength after surgery. In this study, it was aimed to evaluate the ...

Abstract	Background There are ongoing doubts about the effects of the commonly used anterolateral approach (ALA) and posterolateral approach (PLA) for bipolar hemiarthroplasty (BHA) on hip muscle strength after surgery. In this study, it was aimed to evaluate the isokinetic performance of the operated and non-operated hips in patients with femoral neck fractures who underwent BHA with PLA or ALA and to compare the isokinetic performance of the hips and functional results between the two approaches. Materials and methods Forty-one patients who underwent unilateral BHA with PLA or ALA for femoral neck fracture between February 2019 and December 2020 were enrolled. The isokinetic performance of the flexor, extensor, and abductor muscles of the operated and non-operated hips were evaluated by measuring peak torque, total work, and average power. Functional status was assessed using Harris Hip Score and Short Form 36. Results The patients were divided into two groups; those operated with PLA (n=22) and with ALA (n=19). The groups had similar demographic and clinical characteristics. All isokinetic parameters of the operated hips did not differ between the groups (all p>0.05). In both groups, all isokinetic parameters were significantly lower in the operated hips than in the non-operated hips. Conclusion Although there are debates about potential extensor muscle injury with PLA and potential abductor muscle injury with ALA, this study showed that functional results and the isokinetic performance of both approaches were not different.
Sprache	Englisch
Erscheinungsdatum	2023-01-04
Erscheinungsland	United States
Dokumenttyp	Journal Article
ZDB-ID	2747273-5
ISSN	2168-8184
ISSN	2168-8184
DOI	10.7759/cureus.33362
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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