604 results match your criteria arm mobilization


Navigated Transsacral Screw Fixation for the Treatment of Bilateral Sacral Insufficiency Fractures.

Authors:
Horst Balling

Clin Spine Surg 2021 Jul 1. Epub 2021 Jul 1.

Center for Spine Surgery, Neckar-Odenwald-Kliniken gGmbH Buchen, Buchen, Germany.

Nondisplaced and minimally displaced sacral insufficiency fractures are increasingly being recognized as a cause of immobilizing low back pain in the elderly. These insufficiency fractures are most accurately diagnosed by visualizing sacral bone marrow edema on magnetic resonance imaging, which is the radiologic imaging modality with the highest sensitivity for identifying these fractures. Successful treatment options range from nonsurgical (eg, bed rest, pain medication, mobilization, antiosteoporotic medication, low-intensity-pulsed ultrasound, etc. Read More

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Fractionated Infusion of Hematopoietic Progenitor Cells Does Not Improve Neutrophil Recovery or Survival in Allograft Recipients.

Transplant Cell Ther 2021 Jun 30. Epub 2021 Jun 30.

Adult Blood and Marrow Transplant Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York; Department of Medicine, Weill Cornell Medical College, New York, New York. Electronic address:

Allogeneic hematopoietic cell transplantation (HCT) offers a potentially curative therapy in patients with hematologic malignancies; however, nonrelapse mortality (NRM) remains a concern. Strategies to improve neutrophil recovery and immune reconstitution are needed to decrease NRM. Murine models of allogeneic HCT suggest that fractionated hematopoietic progenitor cell (HPC) infusion may improve engraftment through improved access of HPCs to a viable hematopoietic niche. Read More

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Is Immobilization Necessary for Early Return to Work Following Distal Biceps Repair Using a Cortical Button Technique?: A Randomized Controlled Trial.

J Bone Joint Surg Am 2021 Jun 24. Epub 2021 Jun 24.

Department of Surgery, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.

Background: Improvements in surgical fixation to repair distal biceps tendon ruptures have not fully translated to earlier postoperative mobilization; it is unknown whether earlier mobilization affords earlier functional return to work. This parallel-arm randomized controlled trial compared the impact of early mobilization versus 6 weeks of postoperative immobilization following distal biceps tendon repair.

Methods: One hundred and one male participants with a distal biceps tendon rupture that was amenable to a primary repair with use of a cortical button were randomized to early mobilization (self-weaning from sling and performance of active range of motion as tolerated during first 6 weeks) (n = 49) or 6 weeks of immobilization (splinting for 6 weeks with no active range of motion) (n = 52). Read More

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Low mental health scores are associated with worse patient-reported outcomes and difficulty with return to work and sport after distal biceps repair.

JSES Int 2021 May 2;5(3):597-600. Epub 2021 Mar 2.

Department of Orthopaedic Surgery and Rehabilitation, The University of Texas Medical Branch, Galveston, TX, USA.

Background: Most patients have successful outcomes with minimal limitations after distal biceps repair, but a minority continues experiencing functional constraints. We hypothesize that low scores on a validated mental health measure correlate with worse patient-reported outcomes and increased difficulty with return to work and sport.

Methods: We conducted a retrospective review of a consecutive series of patients who underwent distal biceps repair with a single-incision cortical button technique and immediate mobilization. Read More

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The Lesser Tuberosity Osteotomy Exposure for Total Shoulder Arthroplasty.

JBJS Essent Surg Tech 2021 Jan-Mar;11(1). Epub 2021 Feb 11.

Department of Orthopedic Surgery, Columbia University Irving Medical Center, New York, NY.

Background: The lesser tuberosity osteotomy (LTO) is a commonly employed technique for mobilizing the subscapularis tendon during anatomic total shoulder arthroplasty that is performed through a deltopectoral approach. During this procedure, the lesser tuberosity is osteotomized from the proximal aspect of the humerus while maintaining the strong tendon-to-bone attachment of the subscapularis tendon insertion. After the shoulder arthroplasty is performed, the lesser tuberosity osseous fragment is then resecured to the proximal aspect of the humerus with heavy nonabsorbable suture, which allows for direct bone-to-bone compression and healing of the fragment to the proximal aspect of the humerus. Read More

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February 2021

Ultrasound-Guided Intercostal Nerve Block and Subcostal Transversus Abdominis Plane Block for Postoperative Analgesia in Patients Posted for Open Cholecystectomy: A Randomized Controlled Trial.

Anesth Essays Res 2020 Jul-Sep;14(3):376-383. Epub 2021 Mar 22.

Department of Anesthesiology, UPUMS Saifai, Etawah, Uttar Pradesh, India.

Background: Effective postoperative analgesia leads to early mobilization, fewer pulmonary complications, and shorter hospital stay.

Aims: We compared the analgesic effects of ultrasound-guided intercostal nerve (ICN) blocks, subcostal transversus abdominis plane (SCTAP) block, and a control group in open cholecystectomy.

Settings And Design: This was a prospective, randomized controlled, double-blind, multi-arm and parallel study. Read More

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Clinical Outcomes After Aggressive Active Early Motion and Modified Kleinert Regimens: Comparison of 2 Consecutive Cohorts.

Hand (N Y) 2021 Jun 4:15589447211017222. Epub 2021 Jun 4.

Central Finland Central Hospital, Jyväskylä, Finland.

Background: Modern multistrand repairs can withstand forces present in active flexion exercises, and this may improve the outcomes of flexor tendon repairs. We developed a simple home-based exercise regimen with free wrist and intrinsic minus splint aimed at facilitating the gliding of the flexor tendons and compared the outcomes with the modified Kleinert regimen used previously in the same institution.

Methods: We searched the hospital database to identify flexor tendon repair performed before and after the new regimen was implemented and invited all patients to participate. Read More

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Arthroscopic Knotless-Anchor Rotator Cuff Repair.

JBJS Essent Surg Tech 2020 Jul-Sep;10(3). Epub 2020 Sep 18.

Schulthess Klinik, Zurich, Switzerland.

The most common type of rotator cuff lesion is a tear of the supraspinatus tendon, with arthroscopic rotator cuff repair representing an established treatment option. Several double-row techniques have been described to achieve complete coverage of the rotator cuff footprint. Among these is the bridging, double-row, transosseous-equivalent rotator cuff repair, which has become one of the most popular techniques for its maximized contact area and initial fixation strength. Read More

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September 2020

Examining the Feasibility of Early Mobilization With Virtual Reality Gaming Using Head-Mounted Display and Adaptive Software With Adolescents in the Pediatric Intensive Care Unit: Case Report.

JMIR Rehabil Assist Technol 2021 May 27;8(2):e28210. Epub 2021 May 27.

Department of Pediatrics, School of Medicine, University of Alabama at Birmingham, Birmingham, AL, United States.

Background: Early rehabilitative mobilization for adolescents is safe and feasible. However, there is a lack of published rehabilitation strategies and treatments that can maximize engagement and outcomes among adolescents in the pediatric intensive care unit (PICU). Virtual reality (VR) gaming using a head-mounted display (HMD) and adaptive software can allow active and nonactive gameplay at the bedside for people with limited arm mobility, making it a potentially inclusive and enjoyable treatment modality for adolescents in the PICU. Read More

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Strengthening Nutrition Interventions in Antenatal Care Services Affects Dietary Intake, Micronutrient Intake, Gestational Weight Gain, and Breastfeeding in Uttar Pradesh, India: Results of a Cluster-Randomized Program Evaluation.

J Nutr 2021 May 26. Epub 2021 May 26.

International Food Policy Research Institute, Washington, DC, USA.

Background: Maternal nutrition interventions are inadequately integrated into antenatal care (ANC). Alive & Thrive aimed to strengthen delivery of micronutrient supplements and intensify interpersonal counseling and community mobilization through government ANC services.

Objectives: We compared nutrition-intensified ANC (I-ANC) with standard ANC (S-ANC) on coverage of nutrition interventions and maternal nutrition practices. Read More

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Sequence analysis of tyrosine recombinases allows annotation of mobile genetic elements in prokaryotic genomes.

Mol Syst Biol 2021 05;17(5):e9880

European Molecular Biology Laboratory (EMBL), Structural and Computational Biology Unit, Heidelberg, Germany.

Mobile genetic elements (MGEs) sequester and mobilize antibiotic resistance genes across bacterial genomes. Efficient and reliable identification of such elements is necessary to follow resistance spreading. However, automated tools for MGE identification are missing. Read More

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[Manual medicine, manual treatment : Principles, mode of action, indications and evidence].

Authors:
Hermann Locher

Unfallchirurg 2021 Jun 19;124(6):433-445. Epub 2021 May 19.

Zentrum für Orthopädie und Unfallchirurgie, Lindauerstr. 16, 88069, Tettnang, Deutschland.

Manual medicine is the medical discipline that comprehensively deals with the diagnosis, treatment and prevention of reversible functional disorders of the musculoskeletal system and other related organ systems. The article illustrates the neuroanatomical and neurophysiological basic elements and mechanisms of manual medical diagnostics and treatment. Based on the most recent literature and in consideration of various scientific guidelines, the evidence-based effectiveness of manual medical procedures is presented. Read More

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A comparative study of variable angle volar plate and bridging external fixator with K-wire augmentation in comminuted distal radius fractures.

Chin J Traumatol 2021 Apr 20. Epub 2021 Apr 20.

Central Institute of Orthopaedics, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi 110029, India.

Purpose: Comminuted intraarticular distal radial fractures are difficult to treat conservatively and require operative treatment. This study compared the functional outcomes between variable angle volar plating and external fixator with K-wire augmentation in open reduction and internal fixation.

Methods: A total of 62 adult patients with comminuted intraarticular distal radius fracture were randomized into 2 groups: volar plate group and external fixator group. Read More

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Cervical traction combined with neural mobilization for patients with cervical radiculopathy: A randomized controlled trial.

J Bodyw Mov Ther 2021 Apr 2;26:279-289. Epub 2020 Sep 2.

Department of Health Science, European University, Diogenous 6, Engomi, Nicosia, Cyprus.

Background: Although both neural mobilization (NM) and cervical traction (CT) are widely used interventions in cervical radiculopathy (CR), there is limited clinical data to support their use.

Objective: To evaluate the effects of CT, with or without the addition of NM, on pain, function, and disability in patients with CR.

Design: A randomized, double-blinded, placebo-controlled clinical trial. Read More

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Noninvasive management of soft tissue disorders of the shoulder: A clinical practice guideline from the Ontario Protocol for Traffic Injury Management (OPTIMa) collaboration.

Eur J Pain 2021 May 4. Epub 2021 May 4.

Université de Montréal, Montreal, Quebec, Canada.

Objectives: Objective of this study is to develop an evidence-based guideline for the noninvasive management of soft tissue disorders of the shoulder (shoulder pain), excluding major pathology.

Methods: This guideline is based on high-quality evidence from seven systematic reviews. Multidisciplinary experts considered the evidence of effectiveness, safety, cost-effectiveness, societal and ethical values, and patient experiences when formulating recommendations. Read More

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Scapholunate ligament 360° procedure.

Bone Joint J 2021 May;103-B(5):939-945

University of Pittsburgh, Pittsburgh, Pennsylvania, USA.

Aims: The purpose was to evaluate early clinical, patient-reported, and radiological outcomes of the scapholunate ligament 360° tenodesis (SL 360) technique for treatment of scapholunate (SL) instability.

Methods: We studied the results of nine patients (eight males and one female with a mean age of 44.7 years (26 to 55)) who underwent the SL 360 procedure for reducible SL instability between January 2016 and June 2019, and who were identified from retrospective review of electronic medical records. Read More

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How to Train Your Dragon: Harnessing Gamma Delta T Cells Antiviral Functions and Trained Immunity in a Pandemic Era.

Front Immunol 2021;12:666983. Epub 2021 Mar 29.

Infection and Immunity Research Institute, St. George's University of London, London, United Kingdom.

The emergence of viruses with pandemic potential such as the SARS-CoV-2 coronavirus causing COVID-19 poses a global health challenge. There is remarkable progress in vaccine technology in response to this threat, but their design often overlooks the innate arm of immunity. Gamma Delta (γδ) T cells are a subset of T cells with unique features that gives them a key role in the innate immune response to a variety of homeostatic alterations, from cancer to microbial infections. Read More

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The Effects of Instrument-Assisted Soft Tissue Mobilization, Tissue Flossing, and Kinesiology Taping on Shoulder Functional Capacities in Amateur Athletes.

J Sport Rehabil 2021 Apr 9:1-10. Epub 2021 Apr 9.

Context: Instrument-assisted soft tissue mobilization (IASTM), tissue flossing, and kinesiology taping are increasingly popular treatments among athletes for improving functional performance, despite limited evidence for their efficacy.

Objective: Previous research regarding the efficacy of soft tissues and neuromuscular techniques on improving functional capacity of shoulder joints in athletes has yielded conflicting results. We examined the immediate and short-term effects of IASTM, flossing, and kinesiology taping on the functional capacities of amateur athletes' shoulders. Read More

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Objective Quantification of In-Hospital Patient Mobilization after Cardiac Surgery Using Accelerometers: Selection, Use, and Analysis.

Sensors (Basel) 2021 Mar 11;21(6). Epub 2021 Mar 11.

Thoraxcentrum Twente, Medisch Spectrum Twente, P.O. Box 50 000, 7500 KA Enschede, The Netherlands.

Cardiac surgery patients infrequently mobilize during their hospital stay. It is unclear for patients why mobilization is important, and exact progress of mobilization activities is not available. The aim of this study was to select and evaluate accelerometers for objective qualification of in-hospital mobilization after cardiac surgery. Read More

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Intra-articular Injection of PDGF-BB Explored in a Novel in Vitro Model Mobilizes Mesenchymal Stem Cells From the Synovium Into Synovial Fluid in Rats.

Stem Cell Rev Rep 2021 Mar 26. Epub 2021 Mar 26.

Center for Stem Cell and Regenerative Medicine, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, 113-8510, Tokyo, Japan.

Background: Drugs that can induce mesenchymal stem cell (MSC) mobilization from synovium into synovial fluid will enable regenerative medicine in joints without use of exogenous MSCs. An in vitro synovial MSC migration model had previously been developed for screening but had problems in practical application. We herein developed a novel in vitro model, explored cytokines for synovial MSC mobilization with this model, and verified whether MSCs in synovial fluid increase following intra-articular injection of the cytokine. Read More

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Partial trapeziectomy for Eaton stage III thumb carpometacarpal arthritis: ligament reconstruction with tendon interposition using the entire flexor carpi radialis and interference screw fixation.

Eur J Orthop Surg Traumatol 2021 Mar 25. Epub 2021 Mar 25.

Department of Orthopedic Surgery, Yamaguchi University School of Medicine, 1-1-1 Minami-Kogushi, Ube, Yamaguchi, 755-8505, Japan.

Background: Trapeziectomy with ligament reconstruction and tendon interposition (LRTI) is currently the most popular technique for treating primary osteoarthritis of the thumb carpometacarpal joint. However, reduced trapezial height has sometimes been reported after LRTI. Longer immobilization and delayed rehabilitation times are also problematic. Read More

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Influence of Tensioner's Mobilization on the Centralization of Symptoms in Cervicobrachial Pain Syndrome: A Randomized Controlled Trial.

Asian Spine J 2021 Mar 11. Epub 2021 Mar 11.

Department of Physiotherapy, Indian Spinal Injuries Centre-Institute of Rehabilitation Sciences, New Delhi, India.

Study Design: This study was designed as a randomized controlled trial.

Purpose: The present study aimed to determine the impact of neural mobilization by tensioner's technique (NMTT) on the centralization of symptoms and pain in patients with cervicobrachial pain syndrome (CBPS).

Overview Of Literature: CBPS is a disabling condition of the neck that is characterized by pain and paresthesia in the upper quarter. Read More

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In Site Placement vs. Anterior Transposition of the Ulnar Nerve for Distal Humerus Fractures Treated with Plate Fixation: A Multi Centre Randomized Controlled Trial.

J Orthop Trauma 2021 06 8. Epub 2021 Jun 8.

Division of Orthopaedics, Department of Surgery, University of Western Ontario, London, Canada

Objectives: To compare clinical scores and electrodiagnostic evidence of ulnar neuropathy, between ulnar nerve mobilization and placement back in the cubital tunnel versus anterior transposition, during plate and screw fixation of a bicolumnar fracture of the distal humerus.

Design: Multi-centre randomized controlled trial.

Setting: Eight tertiary care centres in Canada. Read More

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Stabilization for acute distal radioulnar instability: A novel surgical technique.

Injury 2021 Feb 19. Epub 2021 Feb 19.

Department of Radiology, Hospital Universitario Fundación Jiménez Diáz, Universidad Autónoma, Avda. Reyes Católicos, 2, 28040 Madrid, Spain.

Introduction: Instability of the distal radioulnar joint (DRUJ) commonly results from traumatic disruption of the distal radioulnar ligaments of the triangular fibrocartilage complex (TFCC). Treatment of this rupture typically requires immobilization of the wrist and elbow for a period of 6 to 8 weeks. This study evaluated the hypothesis that treatment of DRUJ instability with dynamic stabilization would allow early mobilization of both the radiocarpal and distal radioulnar joints by the first postoperative week without compromising restoration of TFCC integrity. Read More

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February 2021

The effects of manual therapy and exercises on pain, muscle strength, joint health, functionality and quality of life in haemophilic arthropathy of the elbow joint: A randomized controlled pilot study.

Haemophilia 2021 May 24;27(3):e376-e384. Epub 2021 Feb 24.

Department of Pediatric Hematology and Oncology, Acıbadem Hospital, Adana, Turkey.

Introduction: Effective physiotherapy interventions are required for haemophilic arthropathy (HA) of the elbow due to its biomechanical differences and contribution to upper limb functionality.

Aim: To investigate the effects of manual therapy & exercises on bleeding frequency, pain, range of motion (ROM), strength, joint health, functionality and quality of life (QoL) in HA of the elbow.

Methods: Seventeen participants with HA of the elbow were randomized as Manual Therapy & Exercises Group (MTEG = 9) and Home Exercises Group (HEG = 8). Read More

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Early mobilization vs delayed mobilisation following the use of a volar locking plate with non-vascularized bone graft in scaphoid non-union. A multicentred randomised controlled-trial.

J Orthop 2021 Jan-Feb;23:203-207. Epub 2021 Jan 22.

Orthopaedic Department, Western Health, 160 Gordon St, Footscray, VIC, 3011, Australia.

Purpose: This randomized clinical trial investigated the potential for early mobilization of the wrist following open reduction and internal fixation (ORIF) with a scaphoid specific volar locking plate and non-vascularized bone graft for scaphoid non-union.

Methods: 16 patients with scaphoid non-union underwent internal fixation with a scaphoid-specific volar locking plate and iliac crest bone graft and were randomized to one of two treatment arms (A) The control were immobilized in a below elbow cast for 6 weeks (n = 9) and (B) The experimental arm were mobilized early with a removable wrist splint (n = 7). Outcomes were measured preoperatively, and at 3 months post operatively. Read More

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January 2021

Effects of SNAG mobilization combined with a self-SNAG home-exercise for the treatment of cervicogenic headache: a pilot study.

J Man Manip Ther 2021 Feb 5:1-11. Epub 2021 Feb 5.

School of Rehabilitation, Faculty of Medicine and Health Sciences, Université De Sherbrooke, Sherbrooke, QC, Canada.

: Cervicogenic headache (CGH) may originate from the C1-C2 zygapophyseal joints. CGH is often associated with loss of range of motion (ROM), specific to this segment, and measurable by the cervical flexion-rotation test (CFRT). The main purposes of the study were: 1) to investigate the immediate effect of C1-C2 rotation SNAG mobilizations plus C1-C2 self-SNAG rotation exercise for patients with CGH and 2) to explore the link between the CFRT results and treatment response. Read More

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February 2021

Time Window for Ischemic Stroke First Mobilization Effectiveness: Protocol for an Investigator-Initiated Prospective Multicenter Randomized 3-Arm Clinical Trial.

Phys Ther 2021 May;101(5)

Institute for Disaster Management and Reconstruction of Sichuan University, Chengdu, China.

Objective: The purpose of this study is to investigate the optimal time window for initiating mobilizing after acute ischemic stroke.

Methods: The TIME Trial is a pragmatic, investigator-initiated, multi-center, randomized, 3-arm parallel group, clinical trial. This trial will be conducted in 57 general hospitals in mainland China affiliated with the China Stroke Databank Center and will enroll 6033 eligible patients with acute ischemic stroke. Read More

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Flexible intramedullary nailing for radial neck fractures in children.

Acta Orthop Traumatol Turc 2020 Nov;54(6):618-622

Department of Pediatric Surgery, University Hospital of Split, Split, Croatia.

Objective: The aim of this study was to analyze the outcomes of treatment and the rate of complications in children treated with flexible intramedullary nailing (FIN) for radial neck fractures.

Methods: The study included 26 children (11 males and 15 females) with a median age of 9.5 years, treated with FIN for the radial neck fractures between May 2011 and May 2018. Read More

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November 2020

Analysis of forces during robot-assisted and manual manipulations of mobile and fixed footplate in temporal bone specimens.

Eur Arch Otorhinolaryngol 2021 Jan 3. Epub 2021 Jan 3.

Service ORL, Unité Fonctionnelle Implants Auditifs, Sorbonne Université/AP-HP, GHU Pitié-Salpêtrière, Bâtiment Babinski, 52, Boulevard Vincent Auriol, 75013, Paris, France.

Purpose: To evaluate the forces involved in different manipulations, manual or robot-assisted, applied to the ossicular chain, on normal temporal bones and on an anatomical model of otosclerosis.

Methods: Thirteen cadaveric temporal bones, with mobile footplates or with footplates that were fixed using hydroxyapatite cement, were manipulated, manually or using a robotic arm (RobOtol®). "Short contact" of a mobile footplate was the weakest interaction on the incus. Read More

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January 2021