Total knee arthroplasty of the stiff knee: three hundred and four cases
Identifieur interne : 001825 ( Pmc/Checkpoint ); précédent : 001824; suivant : 001826Total knee arthroplasty of the stiff knee: three hundred and four cases
Auteurs : Caroline Debette [France] ; Sébastien Lustig [France] ; Elvire Servien [France] ; Timothy Lording ; Vincent Villa [France] ; Guillaume Demey [France] ; Philippe Neyret [France]Source :
- International Orthopaedics [ 0341-2695 ] ; 2013.
Abstract
The purpose of this study was to analyse the results of total knee arthroplasty (TKA) in stiff knees (flexion ≤90° and/or flexion contracture ≥20°). Our hypothesis was that despite having poorer results than those obtained in a “standard” population and a high rate of complications, TKA was a satisfactory treatment in patients with osteoarthritis of the knee associated with significant stiffness.
Three hundred and four consecutive primary HLS TKAs (Tornier), whose data were prospectively collected between October 1987 and October 2012, were retrospectively analysed at a mean of 60 months (range, 12–239) postoperatively. Two groups, those with a “flexion contracture” and those with a “flexion deficit”, were assessed for postoperative range of motion (as integrated to the Knee Society score [KSS]), physical activity level and patient satisfaction.
At the latest follow-up, range of motion was significantly improved, as was the KSS. Ninety-four percent of patients were satisfied or very satisfied, and activity levels were increased after surgery. The complication rate, however, was high in patients with a preoperative flexion deficit (17 %). Pain and residual stiffness were the most common complications.
TKA provides satisfactory results in patients with knee osteoarthritis associated with significant pre-operative stiffness. The surgical plan should be adapted to anticipate complications, which are particularly frequent in the presence of a flexion deficit.
Url:
DOI: 10.1007/s00264-013-2252-3
PubMed: 24363046
PubMed Central: 3923940
Affiliations:
Links toward previous steps (curation, corpus...)
Links to Exploration step
PMC:3923940Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Total knee arthroplasty of the stiff knee: three hundred and four cases</title>
<author><name sortKey="Debette, Caroline" sort="Debette, Caroline" uniqKey="Debette C" first="Caroline" last="Debette">Caroline Debette</name>
<affiliation wicri:level="3"><nlm:aff id="Aff1">Department of Orthopaedic Surgery, Hôpital de la Croix-Rousse, Centre Albert Trillat, 103 Grande Rue de La Croix Rousse, 69004 Lyon, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Orthopaedic Surgery, Hôpital de la Croix-Rousse, Centre Albert Trillat, 103 Grande Rue de La Croix Rousse, 69004 Lyon</wicri:regionArea>
<placeName><region type="region" nuts="2">Auvergne-Rhône-Alpes</region>
<region type="old region" nuts="2">Rhône-Alpes</region>
<settlement type="city">Lyon</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Lustig, Sebastien" sort="Lustig, Sebastien" uniqKey="Lustig S" first="Sébastien" last="Lustig">Sébastien Lustig</name>
<affiliation wicri:level="3"><nlm:aff id="Aff1">Department of Orthopaedic Surgery, Hôpital de la Croix-Rousse, Centre Albert Trillat, 103 Grande Rue de La Croix Rousse, 69004 Lyon, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Orthopaedic Surgery, Hôpital de la Croix-Rousse, Centre Albert Trillat, 103 Grande Rue de La Croix Rousse, 69004 Lyon</wicri:regionArea>
<placeName><region type="region" nuts="2">Auvergne-Rhône-Alpes</region>
<region type="old region" nuts="2">Rhône-Alpes</region>
<settlement type="city">Lyon</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Servien, Elvire" sort="Servien, Elvire" uniqKey="Servien E" first="Elvire" last="Servien">Elvire Servien</name>
<affiliation wicri:level="3"><nlm:aff id="Aff1">Department of Orthopaedic Surgery, Hôpital de la Croix-Rousse, Centre Albert Trillat, 103 Grande Rue de La Croix Rousse, 69004 Lyon, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Orthopaedic Surgery, Hôpital de la Croix-Rousse, Centre Albert Trillat, 103 Grande Rue de La Croix Rousse, 69004 Lyon</wicri:regionArea>
<placeName><region type="region" nuts="2">Auvergne-Rhône-Alpes</region>
<region type="old region" nuts="2">Rhône-Alpes</region>
<settlement type="city">Lyon</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Lording, Timothy" sort="Lording, Timothy" uniqKey="Lording T" first="Timothy" last="Lording">Timothy Lording</name>
<affiliation><nlm:aff id="Aff2">Frankston Hospital, Hastings Rd, Frankston, VIC 3199 Australia</nlm:aff>
<wicri:noCountry code="subfield">VIC 3199 Australia</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Villa, Vincent" sort="Villa, Vincent" uniqKey="Villa V" first="Vincent" last="Villa">Vincent Villa</name>
<affiliation wicri:level="3"><nlm:aff id="Aff1">Department of Orthopaedic Surgery, Hôpital de la Croix-Rousse, Centre Albert Trillat, 103 Grande Rue de La Croix Rousse, 69004 Lyon, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Orthopaedic Surgery, Hôpital de la Croix-Rousse, Centre Albert Trillat, 103 Grande Rue de La Croix Rousse, 69004 Lyon</wicri:regionArea>
<placeName><region type="region" nuts="2">Auvergne-Rhône-Alpes</region>
<region type="old region" nuts="2">Rhône-Alpes</region>
<settlement type="city">Lyon</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Demey, Guillaume" sort="Demey, Guillaume" uniqKey="Demey G" first="Guillaume" last="Demey">Guillaume Demey</name>
<affiliation wicri:level="3"><nlm:aff id="Aff3">Lyon Ortho Clinic, Clinique de la Sauvegarde, 29B avenue des sources, 69009 Lyon, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Lyon Ortho Clinic, Clinique de la Sauvegarde, 29B avenue des sources, 69009 Lyon</wicri:regionArea>
<placeName><region type="region" nuts="2">Auvergne-Rhône-Alpes</region>
<region type="old region" nuts="2">Rhône-Alpes</region>
<settlement type="city">Lyon</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Neyret, Philippe" sort="Neyret, Philippe" uniqKey="Neyret P" first="Philippe" last="Neyret">Philippe Neyret</name>
<affiliation wicri:level="3"><nlm:aff id="Aff1">Department of Orthopaedic Surgery, Hôpital de la Croix-Rousse, Centre Albert Trillat, 103 Grande Rue de La Croix Rousse, 69004 Lyon, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Orthopaedic Surgery, Hôpital de la Croix-Rousse, Centre Albert Trillat, 103 Grande Rue de La Croix Rousse, 69004 Lyon</wicri:regionArea>
<placeName><region type="region" nuts="2">Auvergne-Rhône-Alpes</region>
<region type="old region" nuts="2">Rhône-Alpes</region>
<settlement type="city">Lyon</settlement>
</placeName>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">24363046</idno>
<idno type="pmc">3923940</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3923940</idno>
<idno type="RBID">PMC:3923940</idno>
<idno type="doi">10.1007/s00264-013-2252-3</idno>
<date when="2013">2013</date>
<idno type="wicri:Area/Pmc/Corpus">000999</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000999</idno>
<idno type="wicri:Area/Pmc/Curation">000976</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000976</idno>
<idno type="wicri:Area/Pmc/Checkpoint">001825</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001825</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Total knee arthroplasty of the stiff knee: three hundred and four cases</title>
<author><name sortKey="Debette, Caroline" sort="Debette, Caroline" uniqKey="Debette C" first="Caroline" last="Debette">Caroline Debette</name>
<affiliation wicri:level="3"><nlm:aff id="Aff1">Department of Orthopaedic Surgery, Hôpital de la Croix-Rousse, Centre Albert Trillat, 103 Grande Rue de La Croix Rousse, 69004 Lyon, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Orthopaedic Surgery, Hôpital de la Croix-Rousse, Centre Albert Trillat, 103 Grande Rue de La Croix Rousse, 69004 Lyon</wicri:regionArea>
<placeName><region type="region" nuts="2">Auvergne-Rhône-Alpes</region>
<region type="old region" nuts="2">Rhône-Alpes</region>
<settlement type="city">Lyon</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Lustig, Sebastien" sort="Lustig, Sebastien" uniqKey="Lustig S" first="Sébastien" last="Lustig">Sébastien Lustig</name>
<affiliation wicri:level="3"><nlm:aff id="Aff1">Department of Orthopaedic Surgery, Hôpital de la Croix-Rousse, Centre Albert Trillat, 103 Grande Rue de La Croix Rousse, 69004 Lyon, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Orthopaedic Surgery, Hôpital de la Croix-Rousse, Centre Albert Trillat, 103 Grande Rue de La Croix Rousse, 69004 Lyon</wicri:regionArea>
<placeName><region type="region" nuts="2">Auvergne-Rhône-Alpes</region>
<region type="old region" nuts="2">Rhône-Alpes</region>
<settlement type="city">Lyon</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Servien, Elvire" sort="Servien, Elvire" uniqKey="Servien E" first="Elvire" last="Servien">Elvire Servien</name>
<affiliation wicri:level="3"><nlm:aff id="Aff1">Department of Orthopaedic Surgery, Hôpital de la Croix-Rousse, Centre Albert Trillat, 103 Grande Rue de La Croix Rousse, 69004 Lyon, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Orthopaedic Surgery, Hôpital de la Croix-Rousse, Centre Albert Trillat, 103 Grande Rue de La Croix Rousse, 69004 Lyon</wicri:regionArea>
<placeName><region type="region" nuts="2">Auvergne-Rhône-Alpes</region>
<region type="old region" nuts="2">Rhône-Alpes</region>
<settlement type="city">Lyon</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Lording, Timothy" sort="Lording, Timothy" uniqKey="Lording T" first="Timothy" last="Lording">Timothy Lording</name>
<affiliation><nlm:aff id="Aff2">Frankston Hospital, Hastings Rd, Frankston, VIC 3199 Australia</nlm:aff>
<wicri:noCountry code="subfield">VIC 3199 Australia</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Villa, Vincent" sort="Villa, Vincent" uniqKey="Villa V" first="Vincent" last="Villa">Vincent Villa</name>
<affiliation wicri:level="3"><nlm:aff id="Aff1">Department of Orthopaedic Surgery, Hôpital de la Croix-Rousse, Centre Albert Trillat, 103 Grande Rue de La Croix Rousse, 69004 Lyon, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Orthopaedic Surgery, Hôpital de la Croix-Rousse, Centre Albert Trillat, 103 Grande Rue de La Croix Rousse, 69004 Lyon</wicri:regionArea>
<placeName><region type="region" nuts="2">Auvergne-Rhône-Alpes</region>
<region type="old region" nuts="2">Rhône-Alpes</region>
<settlement type="city">Lyon</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Demey, Guillaume" sort="Demey, Guillaume" uniqKey="Demey G" first="Guillaume" last="Demey">Guillaume Demey</name>
<affiliation wicri:level="3"><nlm:aff id="Aff3">Lyon Ortho Clinic, Clinique de la Sauvegarde, 29B avenue des sources, 69009 Lyon, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Lyon Ortho Clinic, Clinique de la Sauvegarde, 29B avenue des sources, 69009 Lyon</wicri:regionArea>
<placeName><region type="region" nuts="2">Auvergne-Rhône-Alpes</region>
<region type="old region" nuts="2">Rhône-Alpes</region>
<settlement type="city">Lyon</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Neyret, Philippe" sort="Neyret, Philippe" uniqKey="Neyret P" first="Philippe" last="Neyret">Philippe Neyret</name>
<affiliation wicri:level="3"><nlm:aff id="Aff1">Department of Orthopaedic Surgery, Hôpital de la Croix-Rousse, Centre Albert Trillat, 103 Grande Rue de La Croix Rousse, 69004 Lyon, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Orthopaedic Surgery, Hôpital de la Croix-Rousse, Centre Albert Trillat, 103 Grande Rue de La Croix Rousse, 69004 Lyon</wicri:regionArea>
<placeName><region type="region" nuts="2">Auvergne-Rhône-Alpes</region>
<region type="old region" nuts="2">Rhône-Alpes</region>
<settlement type="city">Lyon</settlement>
</placeName>
</affiliation>
</author>
</analytic>
<series><title level="j">International Orthopaedics</title>
<idno type="ISSN">0341-2695</idno>
<idno type="eISSN">1432-5195</idno>
<imprint><date when="2013">2013</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><sec><title>Purpose</title>
<p>The purpose of this study was to analyse the results of total knee arthroplasty (TKA) in stiff knees (flexion ≤90° and/or flexion contracture ≥20°). Our hypothesis was that despite having poorer results than those obtained in a “standard” population and a high rate of complications, TKA was a satisfactory treatment in patients with osteoarthritis of the knee associated with significant stiffness.</p>
</sec>
<sec><title>Methods</title>
<p>Three hundred and four consecutive primary HLS TKAs (Tornier), whose data were prospectively collected between October 1987 and October 2012, were retrospectively analysed at a mean of 60 months (range, 12–239) postoperatively. Two groups, those with a “flexion contracture” and those with a “flexion deficit”, were assessed for postoperative range of motion (as integrated to the Knee Society score [KSS]), physical activity level and patient satisfaction.</p>
</sec>
<sec><title>Results</title>
<p>At the latest follow-up, range of motion was significantly improved, as was the KSS. Ninety-four percent of patients were satisfied or very satisfied, and activity levels were increased after surgery. The complication rate, however, was high in patients with a preoperative flexion deficit (17 %). Pain and residual stiffness were the most common complications.</p>
</sec>
<sec><title>Conclusion</title>
<p>TKA provides satisfactory results in patients with knee osteoarthritis associated with significant pre-operative stiffness. The surgical plan should be adapted to anticipate complications, which are particularly frequent in the presence of a flexion deficit.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Int Orthop</journal-id>
<journal-id journal-id-type="iso-abbrev">Int Orthop</journal-id>
<journal-title-group><journal-title>International Orthopaedics</journal-title>
</journal-title-group>
<issn pub-type="ppub">0341-2695</issn>
<issn pub-type="epub">1432-5195</issn>
<publisher><publisher-name>Springer Berlin Heidelberg</publisher-name>
<publisher-loc>Berlin/Heidelberg</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">24363046</article-id>
<article-id pub-id-type="pmc">3923940</article-id>
<article-id pub-id-type="publisher-id">2252</article-id>
<article-id pub-id-type="doi">10.1007/s00264-013-2252-3</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Original Paper</subject>
</subj-group>
</article-categories>
<title-group><article-title>Total knee arthroplasty of the stiff knee: three hundred and four cases</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Debette</surname>
<given-names>Caroline</given-names>
</name>
<address><phone>+33-00664249207</phone>
<email>carodebette@yahoo.fr</email>
</address>
<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lustig</surname>
<given-names>Sébastien</given-names>
</name>
<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Servien</surname>
<given-names>Elvire</given-names>
</name>
<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lording</surname>
<given-names>Timothy</given-names>
</name>
<xref ref-type="aff" rid="Aff2"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Villa</surname>
<given-names>Vincent</given-names>
</name>
<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Demey</surname>
<given-names>Guillaume</given-names>
</name>
<xref ref-type="aff" rid="Aff3"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Neyret</surname>
<given-names>Philippe</given-names>
</name>
<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<aff id="Aff1"><label></label>
Department of Orthopaedic Surgery, Hôpital de la Croix-Rousse, Centre Albert Trillat, 103 Grande Rue de La Croix Rousse, 69004 Lyon, France</aff>
<aff id="Aff2"><label></label>
Frankston Hospital, Hastings Rd, Frankston, VIC 3199 Australia</aff>
<aff id="Aff3"><label></label>
Lyon Ortho Clinic, Clinique de la Sauvegarde, 29B avenue des sources, 69009 Lyon, France</aff>
</contrib-group>
<pub-date pub-type="epub"><day>21</day>
<month>12</month>
<year>2013</year>
</pub-date>
<pub-date pub-type="ppub"><month>2</month>
<year>2014</year>
</pub-date>
<volume>38</volume>
<issue>2</issue>
<fpage>285</fpage>
<lpage>289</lpage>
<history><date date-type="received"><day>2</day>
<month>12</month>
<year>2013</year>
</date>
<date date-type="accepted"><day>4</day>
<month>12</month>
<year>2013</year>
</date>
</history>
<permissions><copyright-statement>© Springer-Verlag Berlin Heidelberg 2013</copyright-statement>
</permissions>
<abstract id="Abs1"><sec><title>Purpose</title>
<p>The purpose of this study was to analyse the results of total knee arthroplasty (TKA) in stiff knees (flexion ≤90° and/or flexion contracture ≥20°). Our hypothesis was that despite having poorer results than those obtained in a “standard” population and a high rate of complications, TKA was a satisfactory treatment in patients with osteoarthritis of the knee associated with significant stiffness.</p>
</sec>
<sec><title>Methods</title>
<p>Three hundred and four consecutive primary HLS TKAs (Tornier), whose data were prospectively collected between October 1987 and October 2012, were retrospectively analysed at a mean of 60 months (range, 12–239) postoperatively. Two groups, those with a “flexion contracture” and those with a “flexion deficit”, were assessed for postoperative range of motion (as integrated to the Knee Society score [KSS]), physical activity level and patient satisfaction.</p>
</sec>
<sec><title>Results</title>
<p>At the latest follow-up, range of motion was significantly improved, as was the KSS. Ninety-four percent of patients were satisfied or very satisfied, and activity levels were increased after surgery. The complication rate, however, was high in patients with a preoperative flexion deficit (17 %). Pain and residual stiffness were the most common complications.</p>
</sec>
<sec><title>Conclusion</title>
<p>TKA provides satisfactory results in patients with knee osteoarthritis associated with significant pre-operative stiffness. The surgical plan should be adapted to anticipate complications, which are particularly frequent in the presence of a flexion deficit.</p>
</sec>
</abstract>
<kwd-group xml:lang="en"><title>Keywords</title>
<kwd>Total knee arthroplasty</kwd>
<kwd>Stiffness</kwd>
<kwd>KSS</kwd>
<kwd>Surgical strategy</kwd>
</kwd-group>
<custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name>
<meta-value>© Springer-Verlag Berlin Heidelberg 2014</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
</pmc>
<affiliations><list><country><li>France</li>
</country>
<region><li>Auvergne-Rhône-Alpes</li>
<li>Rhône-Alpes</li>
</region>
<settlement><li>Lyon</li>
</settlement>
</list>
<tree><noCountry><name sortKey="Lording, Timothy" sort="Lording, Timothy" uniqKey="Lording T" first="Timothy" last="Lording">Timothy Lording</name>
</noCountry>
<country name="France"><region name="Auvergne-Rhône-Alpes"><name sortKey="Debette, Caroline" sort="Debette, Caroline" uniqKey="Debette C" first="Caroline" last="Debette">Caroline Debette</name>
</region>
<name sortKey="Demey, Guillaume" sort="Demey, Guillaume" uniqKey="Demey G" first="Guillaume" last="Demey">Guillaume Demey</name>
<name sortKey="Lustig, Sebastien" sort="Lustig, Sebastien" uniqKey="Lustig S" first="Sébastien" last="Lustig">Sébastien Lustig</name>
<name sortKey="Neyret, Philippe" sort="Neyret, Philippe" uniqKey="Neyret P" first="Philippe" last="Neyret">Philippe Neyret</name>
<name sortKey="Servien, Elvire" sort="Servien, Elvire" uniqKey="Servien E" first="Elvire" last="Servien">Elvire Servien</name>
<name sortKey="Villa, Vincent" sort="Villa, Vincent" uniqKey="Villa V" first="Vincent" last="Villa">Vincent Villa</name>
</country>
</tree>
</affiliations>
</record>
Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Asie/explor/AustralieFrV1/Data/Pmc/Checkpoint
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 001825 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Pmc/Checkpoint/biblio.hfd -nk 001825 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien |wiki= Wicri/Asie |area= AustralieFrV1 |flux= Pmc |étape= Checkpoint |type= RBID |clé= PMC:3923940 |texte= Total knee arthroplasty of the stiff knee: three hundred and four cases }}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Pmc/Checkpoint/RBID.i -Sk "pubmed:24363046" \ | HfdSelect -Kh $EXPLOR_AREA/Data/Pmc/Checkpoint/biblio.hfd \ | NlmPubMed2Wicri -a AustralieFrV1
![]() | This area was generated with Dilib version V0.6.33. | ![]() |