Outcomes of acute versus delayed total hip arthroplasty following acetabular fracture View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2021-10-29

AUTHORS

G. Gracia, P. Laumonerie, M. E. Tibbo, E. Cavaignac, P. Chiron, N. Reina

ABSTRACT

PurposePost-traumatic arthritis is known complication following acetabular fracture. The aim was to compare mid- to long-term outcomes of acute THA (aTHA) for acetabular fracture and delayed THA (dTHA) following failure of ORIF or conservative management.MethodsWe retrospectively analysed 60 THA (21 aTHA; 39 dTHA) performed for acetabular fracture between 2004 and 2014 in 60 patients with a mean age of 59 years (20–94). Functional and Radiographic outcomes were assessed at a mean follow-up of 5 years (2–13) utilizing Oxford, Harris Hip (HHS), and Postel Merle d’Aubigné (PMA) scores and Brooker classification.ResultsThe mean HHS (73), Oxford (32) and PMA (12) scores were significantly lower in the aTHA group. Acute THA was significantly associated with lower postoperative Oxford (β = −4.2), HHS (β = −7.8), and PMA (β = −2.2) scores at mean 5 years (2–13). Eleven patients returned to the operating room. There were no significant differences between THA performed in acute or delayed fashion. The two primary reasons for revision were periprosthetic joint infection (n = 5) and aseptic loosening (n = 4). Survivorship free from reoperation at 10 years was 91% and 82% for aTHA and dTHA, respectively (p = 0.24). Increased PMA scores were associated with decreased overall survival of the THA free from reoperation (HR = 0.60). The degree of heterotopic ossification was significantly higher in the aTHA group (p < 0.001).ConclusionAcute THA in the setting of acetabular fracture is a technically challenging procedure. However, in the present series, aTHA provided satisfactory immediate stability and good survivorship at 10 years in a medically vulnerable patient population.Level of EvidenceLevel 3; Therapeutic study. More... »

PAGES

1-10

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00590-021-03157-z

DOI

http://dx.doi.org/10.1007/s00590-021-03157-z

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1142247805

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/34714391


Indexing Status Check whether this publication has been indexed by Scopus and Web Of Science using the SN Indexing Status Tool
Incoming Citations Browse incoming citations for this publication using opencitations.net

JSON-LD is the canonical representation for SciGraph data.

TIP: You can open this SciGraph record using an external JSON-LD service: JSON-LD Playground Google SDTT

[
  {
    "@context": "https://springernature.github.io/scigraph/jsonld/sgcontext.json", 
    "about": [
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/11", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Medical and Health Sciences", 
        "type": "DefinedTerm"
      }, 
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/1103", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Clinical Sciences", 
        "type": "DefinedTerm"
      }
    ], 
    "author": [
      {
        "affiliation": {
          "alternateName": "Department of Orthopaedic Surgery, Polyclinique C\u00f4te Basque Sud, 7 Rue Leonce Goyetche, 64500, Saint-Jean-de-Luz, France", 
          "id": "http://www.grid.ac/institutes/None", 
          "name": [
            "Department of Orthopaedic Surgery, H\u00f4pital Pierre-Paul Riquet, Place du Docteur Baylac, 31059, Toulouse, France", 
            "Department of Orthopaedic Surgery, Polyclinique C\u00f4te Basque Sud, 7 Rue Leonce Goyetche, 64500, Saint-Jean-de-Luz, France"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Gracia", 
        "givenName": "G.", 
        "id": "sg:person.015073410673.27", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.015073410673.27"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Department of Orthopaedic Surgery, H\u00f4pital Pierre-Paul Riquet, Place du Docteur Baylac, 31059, Toulouse, France", 
          "id": "http://www.grid.ac/institutes/None", 
          "name": [
            "Department of Orthopaedic Surgery, H\u00f4pital Pierre-Paul Riquet, Place du Docteur Baylac, 31059, Toulouse, France"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Laumonerie", 
        "givenName": "P.", 
        "id": "sg:person.0736236171.12", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0736236171.12"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Department of Orthopaedic Surgery, Mayo Clinic, 55905, Rochester, MN, USA", 
          "id": "http://www.grid.ac/institutes/grid.66875.3a", 
          "name": [
            "Department of Orthopaedic Surgery, Mayo Clinic, 55905, Rochester, MN, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Tibbo", 
        "givenName": "M. E.", 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Department of Orthopaedic Surgery, H\u00f4pital Pierre-Paul Riquet, Place du Docteur Baylac, 31059, Toulouse, France", 
          "id": "http://www.grid.ac/institutes/None", 
          "name": [
            "Department of Orthopaedic Surgery, H\u00f4pital Pierre-Paul Riquet, Place du Docteur Baylac, 31059, Toulouse, France"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Cavaignac", 
        "givenName": "E.", 
        "id": "sg:person.01200702042.21", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01200702042.21"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Department of Orthopaedic Surgery, H\u00f4pital Pierre-Paul Riquet, Place du Docteur Baylac, 31059, Toulouse, France", 
          "id": "http://www.grid.ac/institutes/None", 
          "name": [
            "Department of Orthopaedic Surgery, H\u00f4pital Pierre-Paul Riquet, Place du Docteur Baylac, 31059, Toulouse, France"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Chiron", 
        "givenName": "P.", 
        "id": "sg:person.01123107151.83", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01123107151.83"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Department of Orthopaedic Surgery, H\u00f4pital Pierre-Paul Riquet, Place du Docteur Baylac, 31059, Toulouse, France", 
          "id": "http://www.grid.ac/institutes/None", 
          "name": [
            "Department of Orthopaedic Surgery, H\u00f4pital Pierre-Paul Riquet, Place du Docteur Baylac, 31059, Toulouse, France"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Reina", 
        "givenName": "N.", 
        "id": "sg:person.01341127216.53", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01341127216.53"
        ], 
        "type": "Person"
      }
    ], 
    "citation": [
      {
        "id": "sg:pub.10.1007/s11999-014-3462-8", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1050929557", 
          "https://doi.org/10.1007/s11999-014-3462-8"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00590-019-02453-z", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1115921279", 
          "https://doi.org/10.1007/s00590-019-02453-z"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s11999-013-2871-4", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1007932379", 
          "https://doi.org/10.1007/s11999-013-2871-4"
        ], 
        "type": "CreativeWork"
      }
    ], 
    "datePublished": "2021-10-29", 
    "datePublishedReg": "2021-10-29", 
    "description": "PurposePost-traumatic arthritis is known complication following acetabular fracture. The aim was to compare mid- to long-term outcomes of acute THA (aTHA) for acetabular fracture and delayed THA (dTHA) following failure of ORIF or conservative management.MethodsWe retrospectively analysed 60 THA (21 aTHA; 39 dTHA) performed for acetabular fracture between 2004 and 2014 in 60 patients with a mean age of 59\u00a0years (20\u201394). Functional and Radiographic outcomes were assessed at a mean follow-up of 5\u00a0years (2\u201313) utilizing Oxford, Harris Hip (HHS), and Postel Merle d\u2019Aubign\u00e9 (PMA) scores and Brooker classification.ResultsThe mean HHS (73), Oxford (32) and PMA (12) scores were significantly lower in the aTHA group. Acute THA was significantly associated with lower postoperative Oxford (\u03b2\u2009= \u22124.2), HHS (\u03b2\u2009= \u22127.8), and PMA (\u03b2\u2009= \u22122.2) scores at mean 5\u00a0years (2\u201313). Eleven patients returned to the operating room. There were no significant differences between THA performed in acute or delayed fashion. The two primary reasons for revision were periprosthetic joint infection (n\u2009=\u20095) and aseptic loosening (n\u2009=\u20094). Survivorship free from reoperation at 10\u00a0years was 91% and 82% for aTHA and dTHA, respectively (p\u2009=\u20090.24). Increased PMA scores were associated with decreased overall survival of the THA free from reoperation (HR\u2009=\u20090.60). The degree of heterotopic ossification was significantly higher in the aTHA group (p <\u00a00.001).ConclusionAcute THA in the setting of acetabular fracture is a technically challenging procedure. However, in the present series, aTHA provided satisfactory immediate stability and good survivorship at 10\u00a0years in a medically vulnerable patient population.Level of EvidenceLevel 3; Therapeutic study.", 
    "genre": "article", 
    "id": "sg:pub.10.1007/s00590-021-03157-z", 
    "inLanguage": "en", 
    "isAccessibleForFree": false, 
    "isPartOf": [
      {
        "id": "sg:journal.1114904", 
        "issn": [
          "1633-8065", 
          "1432-1068"
        ], 
        "name": "European Journal of Orthopaedic Surgery & Traumatology", 
        "publisher": "Springer Nature", 
        "type": "Periodical"
      }
    ], 
    "keywords": [
      "acute THA", 
      "acetabular fractures", 
      "PMA score", 
      "Postel-Merle d\u2019Aubign\u00e9 (PMA) score", 
      "Merle d\u2019Aubign\u00e9 score", 
      "long-term outcomes", 
      "periprosthetic joint infection", 
      "vulnerable patient population", 
      "total hip arthroplasty", 
      "EvidenceLevel 3", 
      "Harris hip", 
      "conservative management", 
      "radiographic outcomes", 
      "Brooker classification", 
      "overall survival", 
      "joint infection", 
      "mean age", 
      "patient population", 
      "heterotopic ossification", 
      "hip arthroplasty", 
      "therapeutic studies", 
      "aseptic loosening", 
      "immediate stability", 
      "challenging procedure", 
      "operating room", 
      "present series", 
      "mean 5", 
      "THA", 
      "reoperation", 
      "significant differences", 
      "patients", 
      "scores", 
      "outcomes", 
      "better survivorship", 
      "fractures", 
      "years", 
      "HHS", 
      "ORIF", 
      "arthritis", 
      "complications", 
      "group", 
      "arthroplasty", 
      "hip", 
      "primary reason", 
      "infection", 
      "MethodsWe", 
      "survivorship", 
      "ResultsThe", 
      "ossification", 
      "survival", 
      "age", 
      "DTHA", 
      "loosening", 
      "failure", 
      "aim", 
      "population", 
      "setting", 
      "management", 
      "levels", 
      "differences", 
      "study", 
      "revision", 
      "room", 
      "procedure", 
      "fashion", 
      "Oxford", 
      "classification", 
      "reasons", 
      "mid", 
      "degree", 
      "series", 
      "stability"
    ], 
    "name": "Outcomes of acute versus delayed total hip arthroplasty following acetabular fracture", 
    "pagination": "1-10", 
    "productId": [
      {
        "name": "dimensions_id", 
        "type": "PropertyValue", 
        "value": [
          "pub.1142247805"
        ]
      }, 
      {
        "name": "doi", 
        "type": "PropertyValue", 
        "value": [
          "10.1007/s00590-021-03157-z"
        ]
      }, 
      {
        "name": "pubmed_id", 
        "type": "PropertyValue", 
        "value": [
          "34714391"
        ]
      }
    ], 
    "sameAs": [
      "https://doi.org/10.1007/s00590-021-03157-z", 
      "https://app.dimensions.ai/details/publication/pub.1142247805"
    ], 
    "sdDataset": "articles", 
    "sdDatePublished": "2022-05-10T10:30", 
    "sdLicense": "https://scigraph.springernature.com/explorer/license/", 
    "sdPublisher": {
      "name": "Springer Nature - SN SciGraph project", 
      "type": "Organization"
    }, 
    "sdSource": "s3://com-springernature-scigraph/baseset/20220509/entities/gbq_results/article/article_909.jsonl", 
    "type": "ScholarlyArticle", 
    "url": "https://doi.org/10.1007/s00590-021-03157-z"
  }
]
 

Download the RDF metadata as:  json-ld nt turtle xml License info

HOW TO GET THIS DATA PROGRAMMATICALLY:

JSON-LD is a popular format for linked data which is fully compatible with JSON.

curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1007/s00590-021-03157-z'

N-Triples is a line-based linked data format ideal for batch operations.

curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1007/s00590-021-03157-z'

Turtle is a human-readable linked data format.

curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1007/s00590-021-03157-z'

RDF/XML is a standard XML format for linked data.

curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1007/s00590-021-03157-z'


 

This table displays all metadata directly associated to this object as RDF triples.

179 TRIPLES      22 PREDICATES      99 URIs      88 LITERALS      5 BLANK NODES

Subject Predicate Object
1 sg:pub.10.1007/s00590-021-03157-z schema:about anzsrc-for:11
2 anzsrc-for:1103
3 schema:author N60068e54b0134866a53b61eb22655bfb
4 schema:citation sg:pub.10.1007/s00590-019-02453-z
5 sg:pub.10.1007/s11999-013-2871-4
6 sg:pub.10.1007/s11999-014-3462-8
7 schema:datePublished 2021-10-29
8 schema:datePublishedReg 2021-10-29
9 schema:description PurposePost-traumatic arthritis is known complication following acetabular fracture. The aim was to compare mid- to long-term outcomes of acute THA (aTHA) for acetabular fracture and delayed THA (dTHA) following failure of ORIF or conservative management.MethodsWe retrospectively analysed 60 THA (21 aTHA; 39 dTHA) performed for acetabular fracture between 2004 and 2014 in 60 patients with a mean age of 59 years (20–94). Functional and Radiographic outcomes were assessed at a mean follow-up of 5 years (2–13) utilizing Oxford, Harris Hip (HHS), and Postel Merle d’Aubigné (PMA) scores and Brooker classification.ResultsThe mean HHS (73), Oxford (32) and PMA (12) scores were significantly lower in the aTHA group. Acute THA was significantly associated with lower postoperative Oxford (β = −4.2), HHS (β = −7.8), and PMA (β = −2.2) scores at mean 5 years (2–13). Eleven patients returned to the operating room. There were no significant differences between THA performed in acute or delayed fashion. The two primary reasons for revision were periprosthetic joint infection (n = 5) and aseptic loosening (n = 4). Survivorship free from reoperation at 10 years was 91% and 82% for aTHA and dTHA, respectively (p = 0.24). Increased PMA scores were associated with decreased overall survival of the THA free from reoperation (HR = 0.60). The degree of heterotopic ossification was significantly higher in the aTHA group (p < 0.001).ConclusionAcute THA in the setting of acetabular fracture is a technically challenging procedure. However, in the present series, aTHA provided satisfactory immediate stability and good survivorship at 10 years in a medically vulnerable patient population.Level of EvidenceLevel 3; Therapeutic study.
10 schema:genre article
11 schema:inLanguage en
12 schema:isAccessibleForFree false
13 schema:isPartOf sg:journal.1114904
14 schema:keywords Brooker classification
15 DTHA
16 EvidenceLevel 3
17 HHS
18 Harris hip
19 Merle d’Aubigné score
20 MethodsWe
21 ORIF
22 Oxford
23 PMA score
24 Postel-Merle d’Aubigné (PMA) score
25 ResultsThe
26 THA
27 acetabular fractures
28 acute THA
29 age
30 aim
31 arthritis
32 arthroplasty
33 aseptic loosening
34 better survivorship
35 challenging procedure
36 classification
37 complications
38 conservative management
39 degree
40 differences
41 failure
42 fashion
43 fractures
44 group
45 heterotopic ossification
46 hip
47 hip arthroplasty
48 immediate stability
49 infection
50 joint infection
51 levels
52 long-term outcomes
53 loosening
54 management
55 mean 5
56 mean age
57 mid
58 operating room
59 ossification
60 outcomes
61 overall survival
62 patient population
63 patients
64 periprosthetic joint infection
65 population
66 present series
67 primary reason
68 procedure
69 radiographic outcomes
70 reasons
71 reoperation
72 revision
73 room
74 scores
75 series
76 setting
77 significant differences
78 stability
79 study
80 survival
81 survivorship
82 therapeutic studies
83 total hip arthroplasty
84 vulnerable patient population
85 years
86 schema:name Outcomes of acute versus delayed total hip arthroplasty following acetabular fracture
87 schema:pagination 1-10
88 schema:productId Nc667d1439b2f46708031a4461b6928ff
89 Nd721b8944f0445088d348bff37e79453
90 Nfeb81dcc411f469eb55b4dea58253567
91 schema:sameAs https://app.dimensions.ai/details/publication/pub.1142247805
92 https://doi.org/10.1007/s00590-021-03157-z
93 schema:sdDatePublished 2022-05-10T10:30
94 schema:sdLicense https://scigraph.springernature.com/explorer/license/
95 schema:sdPublisher Nf7bf808d4b41450aaa20b4a8857a2139
96 schema:url https://doi.org/10.1007/s00590-021-03157-z
97 sgo:license sg:explorer/license/
98 sgo:sdDataset articles
99 rdf:type schema:ScholarlyArticle
100 N5561a70eb63c4ea3b5be12226e000eb0 rdf:first sg:person.01341127216.53
101 rdf:rest rdf:nil
102 N60068e54b0134866a53b61eb22655bfb rdf:first sg:person.015073410673.27
103 rdf:rest N62352c58d3e14ca0bb96b87363ebd836
104 N62352c58d3e14ca0bb96b87363ebd836 rdf:first sg:person.0736236171.12
105 rdf:rest N91b7b4fc71204f689e946e9821232db0
106 N6cbbf2295510433f8147fd794c96ec4b schema:affiliation grid-institutes:grid.66875.3a
107 schema:familyName Tibbo
108 schema:givenName M. E.
109 rdf:type schema:Person
110 N91b7b4fc71204f689e946e9821232db0 rdf:first N6cbbf2295510433f8147fd794c96ec4b
111 rdf:rest Ne01e807924774b489b7c949c5b3c94fe
112 Nc667d1439b2f46708031a4461b6928ff schema:name pubmed_id
113 schema:value 34714391
114 rdf:type schema:PropertyValue
115 Nd721b8944f0445088d348bff37e79453 schema:name doi
116 schema:value 10.1007/s00590-021-03157-z
117 rdf:type schema:PropertyValue
118 Ne01e807924774b489b7c949c5b3c94fe rdf:first sg:person.01200702042.21
119 rdf:rest Ne32b37a28b8a4bd18c361f4fa5479f18
120 Ne32b37a28b8a4bd18c361f4fa5479f18 rdf:first sg:person.01123107151.83
121 rdf:rest N5561a70eb63c4ea3b5be12226e000eb0
122 Nf7bf808d4b41450aaa20b4a8857a2139 schema:name Springer Nature - SN SciGraph project
123 rdf:type schema:Organization
124 Nfeb81dcc411f469eb55b4dea58253567 schema:name dimensions_id
125 schema:value pub.1142247805
126 rdf:type schema:PropertyValue
127 anzsrc-for:11 schema:inDefinedTermSet anzsrc-for:
128 schema:name Medical and Health Sciences
129 rdf:type schema:DefinedTerm
130 anzsrc-for:1103 schema:inDefinedTermSet anzsrc-for:
131 schema:name Clinical Sciences
132 rdf:type schema:DefinedTerm
133 sg:journal.1114904 schema:issn 1432-1068
134 1633-8065
135 schema:name European Journal of Orthopaedic Surgery & Traumatology
136 schema:publisher Springer Nature
137 rdf:type schema:Periodical
138 sg:person.01123107151.83 schema:affiliation grid-institutes:None
139 schema:familyName Chiron
140 schema:givenName P.
141 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01123107151.83
142 rdf:type schema:Person
143 sg:person.01200702042.21 schema:affiliation grid-institutes:None
144 schema:familyName Cavaignac
145 schema:givenName E.
146 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01200702042.21
147 rdf:type schema:Person
148 sg:person.01341127216.53 schema:affiliation grid-institutes:None
149 schema:familyName Reina
150 schema:givenName N.
151 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01341127216.53
152 rdf:type schema:Person
153 sg:person.015073410673.27 schema:affiliation grid-institutes:None
154 schema:familyName Gracia
155 schema:givenName G.
156 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.015073410673.27
157 rdf:type schema:Person
158 sg:person.0736236171.12 schema:affiliation grid-institutes:None
159 schema:familyName Laumonerie
160 schema:givenName P.
161 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0736236171.12
162 rdf:type schema:Person
163 sg:pub.10.1007/s00590-019-02453-z schema:sameAs https://app.dimensions.ai/details/publication/pub.1115921279
164 https://doi.org/10.1007/s00590-019-02453-z
165 rdf:type schema:CreativeWork
166 sg:pub.10.1007/s11999-013-2871-4 schema:sameAs https://app.dimensions.ai/details/publication/pub.1007932379
167 https://doi.org/10.1007/s11999-013-2871-4
168 rdf:type schema:CreativeWork
169 sg:pub.10.1007/s11999-014-3462-8 schema:sameAs https://app.dimensions.ai/details/publication/pub.1050929557
170 https://doi.org/10.1007/s11999-014-3462-8
171 rdf:type schema:CreativeWork
172 grid-institutes:None schema:alternateName Department of Orthopaedic Surgery, Hôpital Pierre-Paul Riquet, Place du Docteur Baylac, 31059, Toulouse, France
173 Department of Orthopaedic Surgery, Polyclinique Côte Basque Sud, 7 Rue Leonce Goyetche, 64500, Saint-Jean-de-Luz, France
174 schema:name Department of Orthopaedic Surgery, Hôpital Pierre-Paul Riquet, Place du Docteur Baylac, 31059, Toulouse, France
175 Department of Orthopaedic Surgery, Polyclinique Côte Basque Sud, 7 Rue Leonce Goyetche, 64500, Saint-Jean-de-Luz, France
176 rdf:type schema:Organization
177 grid-institutes:grid.66875.3a schema:alternateName Department of Orthopaedic Surgery, Mayo Clinic, 55905, Rochester, MN, USA
178 schema:name Department of Orthopaedic Surgery, Mayo Clinic, 55905, Rochester, MN, USA
179 rdf:type schema:Organization
 




Preview window. Press ESC to close (or click here)


...