1. The most common errors in the treatment of fractures of the distal femur by LISS method relate to inadequate reduction of the fracture. 2. Intraoperative fluoroscopy should be used at all stages of the surgical procedure. 3. The surgical technique recommended by the creators of the LISS method must be strictly followed.
1. Subjective evaluation of treatment of fractures of the distal femur using the KOOS scale per form edworse than a clinical evaluation using the KSS. 2. Post-operative management should emphasise pain relief and restoration of the performance of the treated lower limb to ensure good mobility without crutches. 3. Despite the use of modern operational methods of fracture fixation, treatment of distal femur fractures is still a challenge.
The paper discusses the results of research on the maturity of the quality management system, implemented in selected organizations operating in the construction industry in terms of the possibility of introducing the concept of lean construction. Multiple studies have indicated the potential benefits which organizations may gain by applying lean principles, e.g. decreased costs, reduced construction time, and wastefulness. The aim of this paper is to develop a proposition – main tasks, of implementing the lean construction concept based on normalized quality management systems, in organizations operating in the construction industry. The research was carried out using documentation analysis, interviews, and a self-assessment method, consistent with ISO 9004. Its results confirm earlier findings e.g. (1, 2), according to which quality management systems may serve as the foundation for implementation of lean construction. However, it is vital to take the specific nature of the construction business into account, especially the fact that the construction works are connected with particular sources of wastefulness (3).
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