Journal of Orthopaedic Reports最新文献

{"title":"Tertiary cancer center results of sterilized auto-graft prosthetic osteo-articular complex reconstruction following bone tumor resection","authors":"Himanshu Rohela ,&nbsp;Anupam Lahiri ,&nbsp;Irfan Ahmed ,&nbsp;Kundan Singh Chufal ,&nbsp;Kripa Mishra ,&nbsp;Rajan Arora","doi":"10.1016/j.jorep.2024.100499","DOIUrl":"10.1016/j.jorep.2024.100499","url":null,"abstract":"<div><h3>Background</h3><div>Bone tumor resections necessitate complex reconstruction methods to maintain limb function and structural integrity. Various approaches, including tumor prostheses and biological reconstructions, offer distinct advantages and disadvantages. The sterilized autograft-prosthetic complex emerges as a promising alternative, combining the benefits of both biological and prosthetic methods.</div></div><div><h3>Objective</h3><div>This study aimed to evaluate the oncological, radiological, and functional outcomes of sterilized autograft-prosthetic complex reconstructions following bone tumor resections in a tertiary cancer center.</div></div><div><h3>Methods</h3><div>A retrospective analysis was conducted on 50 patients who underwent osteoarticular reconstruction using liquid nitrogen or ECRT sterilized autograft-prosthetic complexes between 2017 and 2022. Data on patient demographics, sterilization methods, implant specifications, surgical and oncological outcomes, and follow-up were collected and analyzed.</div></div><div><h3>Results</h3><div>The study cohort comprised 20 pelvic resection patients (Group A) and 30 extremity resection patients (Group B). Mean follow-up was 3 years for Group A and 4 years for Group B. The 5-year graft survival rates were 80 % and 86 % for Groups A and B, respectively. 5 yr OS were 80 % and 83 % for Groups A and B respectively. Complication rates, including infection and implant failure, were higher in Group A compared to Group B, but comparable to published literature. Functional outcomes, assessed using the MSTS system and ISOLS grading satisfactory were in both groups.</div></div><div><h3>Conclusion</h3><div>Sterilized autograft-prosthetic complex reconstructions demonstrate favorable oncological and functional outcomes in bone tumor resections. While complications such as infection and implant failure remain concerns, this method offers a viable alternative for patients where traditional reconstructions pose challenges.</div></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"4 4","pages":"Article 100499"},"PeriodicalIF":0.0,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142722196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical audit of necrotising fasciitis under orthopaedic services in the Bay of Plenty region of New Zealand","authors":"Reuben He ,&nbsp;Aaron Cook","doi":"10.1016/j.jorep.2024.100504","DOIUrl":"10.1016/j.jorep.2024.100504","url":null,"abstract":"<div><h3>Background</h3><div>Necrotising fasciitis is a severe bacterial infection of the soft tissue and fascial layers beneath the skin, with potentially life-threatening consequences. Anecdotal cases of necrotising fasciitis in Tauranga Hospital prompted this study. This study aimed to audit presentations of necrotising fasciitis under orthopaedic services in the Bay of Plenty region over a two-year period.</div></div><div><h3>Methods</h3><div>All cases of necrotising fasciitis diagnosed in Tauranga and Whakatāne hospitals from April 1, 2021 to March 31, 2023 were identified and obtained using ICD-10 coding data. Descriptive analysis was used to report incidence rates of necrotising fasciitis. The literature was searched to identify global trends in necrotising fasciitis, and explanations for trends were explored.</div></div><div><h3>Results</h3><div>Five cases of necrotising fasciitis were identified over the study period. All cases were diagnosed during the final five months of the study period, suggesting a sharp increase in incidence. Many body sites were implicated, with some instances of multifocal infection. Implicated sites included the ankle and foot (n = 3), upper arm (n = 2), lower leg (n = 2), pelvis and thigh (n = l), and forearm (n = 1). There was no clear association between age, gender, ethnicity, and location of inhabitancy with rates of necrotising fasciitis.</div></div><div><h3>Conclusion</h3><div>Necrotising fasciitis is an orthopaedic emergency. Our results demonstrated a sharp increase in its incidence under orthopaedic services in the Bay of Plenty region, which is consistent with broader literature and a cause for concern. Further research is warranted to identify causes and prevention strategies for necrotising fasciitis.</div></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"4 4","pages":"Article 100504"},"PeriodicalIF":0.0,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142561114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychological readiness to return-to-sport after anterior cruciate ligament reconstruction can be influenced by sex difference and functional assessment","authors":"Takeshi Oshima ,&nbsp;Yoong Ping Lim ,&nbsp;Brett Fritsch ,&nbsp;David Parker","doi":"10.1016/j.jorep.2024.100506","DOIUrl":"10.1016/j.jorep.2024.100506","url":null,"abstract":"<div><h3>Background</h3><div>The primary aim was to evaluate the Anterior Cruciate Ligament–Return to Sport after Injury (ACL-RSI) scores before- and after-functional assessment in male and female Anterior Cruciate Ligament (ACL) reconstructed patients at a 9-month follow-up. (1st and 2nd ACL-RSI score, respectively).</div></div><div><h3>Methods</h3><div>This study included 201 patients (Sex, 119 males and 82 females; Age, 27.0 ± 9.1 yrs.) who underwent primary isolated ACL reconstruction and performed a functional assessment at a 9-month follow-up appointment. Clinical measurements include: anthropometric measurement, patient-reported outcome measures, knee laxity assessment, knee muscle strength, and functional tasks. The ACL-RSI questionnaire was administered before and after the functional assessment. Statistical models were used to detect statistical differences and correlations between variables.</div></div><div><h3>Results</h3><div>The 2nd ACL-RSI score was significantly higher than 1st ACL-RSI score in both the male and female groups (p &lt; 0.001). The 2nd ACL-RSI score was higher in the males than females (p = 0.035). In the female group, ACL-RSI change was significantly negatively correlated with hop for distance (r = −0.255, p = 0.021) and hop for height (r = −0.259, p = 0.019).</div></div><div><h3>Conclusion</h3><div>ACL-RSI score was significantly improved after the functional assessment in both males and females. Compared to the female group, the 2nd ACL-RSI score was significantly higher in the male group. The change in ACL-RSI scores from pre-to post-functional test was negatively correlated with functional performance in the female group but not with the male group. Clinicians should consider sex difference as well as change in psychological readiness between pre- and post-functional assessment of their patients to inform safe return of sport.</div></div><div><h3>Clinical relevance</h3><div>Sex differences and repeated assessment should be considered for postoperative evaluation of psychological readiness for return to sport because ACL-RSI was determined to be sensitive to these factors.</div></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"4 4","pages":"Article 100506"},"PeriodicalIF":0.0,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142592836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative mid-term evaluation of unilateral and bilateral total knee arthroplasty utilizing metal-backed components: An assessment of functional and clinical outcomes","authors":"Ponnanna Karineravanda Machaiah ,&nbsp;Supreet Bajwa ,&nbsp;Ravi Teja Rudraraju ,&nbsp;Kunal Aneja ,&nbsp;Haresh P. Bhalodiya ,&nbsp;Rakesh Kumar Singh ,&nbsp;Vividh Makwana ,&nbsp;Avtar Singh ,&nbsp;Vivek Logani ,&nbsp;Buddhadev Chatterjee ,&nbsp;Devendra S. Solanki ,&nbsp;Hemant Wakankar ,&nbsp;Sanjeev Mahajan ,&nbsp;Chandra-Shekhar Yadav ,&nbsp;Ashokkumar Thakkar ,&nbsp;Udita Chandra ,&nbsp;Sanaa Ansari ,&nbsp;Shivadharshni Sivakumar","doi":"10.1016/j.jorep.2024.100507","DOIUrl":"10.1016/j.jorep.2024.100507","url":null,"abstract":"<div><h3>Objective</h3><div>This prospective, post-marketing surveillance (PMS) study (Freedom 400) aimed to evaluate the clinical and functional outcomes of both unilateral and bilateral total knee arthroplasty (TKA) utilizing cruciate retaining/posterior stabilized (CR/PS) implants with metal-backed components (MBC).</div></div><div><h3>Methods</h3><div>Between November 2016 to January 2019, 408 patients underwent either unilateral or bilateral TKA at ten centers across India. Patients with primary end-stage osteoarthritis (OA) or inflammatory arthritis were included whereas, revision TKA patients were excluded from the study. Primary endpoints were 3-year implant survivorship and revision rates, with secondary endpoints including range of motion (ROM), Knee Society Score (KSS), and quality of life (QoL) assessed through WOMAC and SF-36 at 6 weeks, 6 months, 1- and 3 years.</div></div><div><h3>Results</h3><div>The study comprised 242 unilateral and 166 bilateral TKA patients, with an average age of 65.13 ± 8.35 and 64.34 ± 7.25 years, respectively. Both groups exhibited a mean body mass index of 27.13 ± 4.73 kg/m² and 27.80 ± 4.41 kg/m². Female patients dominated the groups: 78.1 % and 86.75 % respectively, and the primary diagnosis was OA: 97.11 % and 96.39 %, respectively. Significant ROM improvement was observed in both groups (p &lt; 0.001). Notable improvement was seen from baseline in mean clinical KSS (bilateral: 33.28 ± 15.84 to 91.06 ± 8.52, p &lt; 0.001; unilateral: 31.26 ± 15.7 to 92.43 ± 8.07) and functional KSS (bilateral: 30.17 ± 21.19 to 98.50 ± 4.08, p &lt; 0.001; unilateral: 26.59 ± 21.25 to 98.41 ± 4.33, p &lt; 0.001) at 3 years. Baseline WOMAC scores among both the groups showed higher pre-operative values (25.78 and 23.91) which significantly lowered for pain (scores: 1.16 and 1.46), stiffness (scores: 0.53 and 0.68) and physical function (scores: 2.89 and 3.1) at 3 years indicating improved QoL. Similar significant trend was noted for SF-36 assessment (p &lt; 0.001) in both the groups.</div></div><div><h3>Conclusion</h3><div>This PMS study concluded that unilateral and bilateral TKA using MBC yielded good outcomes and there was a significant improvement in ROM, KSS scores and QoL in patients with osteoarthritis-associated joint degeneration.</div></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"4 4","pages":"Article 100507"},"PeriodicalIF":0.0,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142552779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"En block resection of GCT at proximal fibula in skeletally immature individual presented with neuropraxia: A case report with literature review","authors":"Bhavya Raj Singh Yadav,&nbsp;R.P. Meena,&nbsp;Umesh Kumar Meena,&nbsp;Pankaj Prajapati","doi":"10.1016/j.jorep.2024.100484","DOIUrl":"10.1016/j.jorep.2024.100484","url":null,"abstract":"<div><div>Introduction: proximal fibula is a rare site for giant cell tumor and very few cases are reported in skeletally immature individual. Controversies are present for the management of tumor at this site.</div></div><div><h3>Case report</h3><div>16 year old boy presented with swelling in left proximal fibular region with foot drop. Needle biopsy revealed giant cell tumor. Type I en bloc resection was performed and followed up for 12 months. Currently he has no signs of recurrence and infection and he is back to his routine work and is in regular follow up.</div></div><div><h3>Discussion</h3><div>GCT is a tumor of skeletally mature individuals and proximal fibula is a rare site. It is rare to find in skeletally immature individual.</div><div>Controversies regarding peroneal nerve sparing and reattachment of lateral stabilizers is still present.</div></div><div><h3>Present</h3><div>There is good outcome of malawer type 1 en bloc resection in cases of benign locally aggressive tumor if done carefully and from our point of view, peroneal nerve should be preserved for better outcomes.</div></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"4 4","pages":"Article 100484"},"PeriodicalIF":0.0,"publicationDate":"2024-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142552684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Synovial sarcoma: A decade of insights from a tertiary referral center","authors":"Anupam Lahiri ,&nbsp;Himanshu Rohela","doi":"10.1016/j.jorep.2024.100497","DOIUrl":"10.1016/j.jorep.2024.100497","url":null,"abstract":"<div><h3>Background</h3><div>Synovial sarcoma (SS) constitutes approximately 10 % of all sarcomas, primarily affecting younger individuals but found across diverse anatomical sites with a propensity for lung metastases.</div></div><div><h3>Objective</h3><div>This retrospective study aimed to assess clinical characteristics, survival outcomes, and treatment efficacy in 39 patients with synovial sarcoma treated at an Indian tertiary referral center from 2009 to 2019.</div></div><div><h3>Methods</h3><div>Data encompassed demographics, disease features, treatments, and outcomes retrieved from institutional records. Survival analyses included Kaplan-Meier estimates for overall survival (OS), disease-free survival (DFS), local recurrence-free survival (LRFS), and distant metastasis-free survival (DMFS).</div></div><div><h3>Results</h3><div>The cohort, predominantly male (51.3 %) with a median age of 36.4 years, featured tumors mostly deep-seated (82.5 %) and located in extremities (82.1 %). Surgical excision with clear margins was achieved in 97.4 % of cases, supplemented by adjuvant radiotherapy in 74.4 %. Five-year and ten-year OS rates were 57 % and 26.3 %, respectively. Local recurrence occurred in 15.3 % of cases, with 48.7 % developing distant metastases, primarily to the lungs. Factors significantly impacting survival included tumor depth, disease stage, and subcentimeter nodules on chest imaging.</div></div><div><h3>Conclusion</h3><div>This study provides comprehensive insights into synovial sarcoma's clinical profile and treatment outcomes at an Indian tertiary center. Despite aggressive surgical and adjuvant therapies, recurrence rates remain notable, emphasizing the need for advanced therapeutic strategies and prospective studies to optimize patient management and outcomes.</div></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"4 4","pages":"Article 100497"},"PeriodicalIF":0.0,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142532142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The utility of post-operative X-rays in distal radius fracture fixation: A literature review","authors":"Lily Salehi ,&nbsp;Phong Tran ,&nbsp;Adrian J. Talia","doi":"10.1016/j.jorep.2024.100496","DOIUrl":"10.1016/j.jorep.2024.100496","url":null,"abstract":"","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"4 4","pages":"Article 100496"},"PeriodicalIF":0.0,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142532136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of vascular injury in patients with orthopaedic trauma on the knee at Chris Hani Baragwanath Academic Hospital","authors":"Nangamso Mkombe ,&nbsp;Sebastian Keith Mcdonald Magobotha ,&nbsp;Maxwell Jingo ,&nbsp;Collen Sandile Nkosi ,&nbsp;Richard Danny Kgabu","doi":"10.1016/j.jorep.2024.100491","DOIUrl":"10.1016/j.jorep.2024.100491","url":null,"abstract":"<div><h3>Background</h3><div>Vascular injuries are frequently observed in cases of musculoskeletal trauma affecting the knee. The evidenced-based protocols are underutilised. This often leads to the overuse of Computed Tomography Angiogram (CTA). The purpose of this study was to assess the prevalence of arterial damage among individuals with knee musculoskeletal injuries.</div></div><div><h3>Methods</h3><div>All individuals with distal femur fracture, knee instability, and proximal tibia fractures were obtained from the picture archiving and communication system (PACS). These individuals were either being investigated for vascular injury or done radiological investigations for orthopaedic surgical planning. The data were obtained from 01 June 2017 to 30 June 2022. The reports from the CTA were examined to identify instances of vascular damage.</div></div><div><h3>Results</h3><div>Five hundred and fifteen patients were collected from PACS. The overall prevalence of vascular damage among individuals with musculoskeletal knee injuries was found to be 9.7 %. The confidence interval was 7.1‒12.3 %. There were no discernible variations in the prevalence between males and females. There was a positive correlation between the age of the patient and the prevalence of vascular injury. This suggests that younger people have a higher prevalence. Penetrating injuries and knee dislocation had higher rates of vascular injury and the rates were 17.8% and 15.4%, respectively. Patients with soft signs of vascular injury had a low rate of 10.8 %. Only one in 10 patients with soft signs vascular injury had CTA confirming vascular injury. Therefore, using soft signs of vascular injury as indication for CTA was found not to be cost effective.</div></div><div><h3>Conclusion</h3><div>The prevalence of vascular injury at our hospital, a tertiary hospital in Soweto is within the global range that is reported in the literature. Further screening patients with soft signs of vascular.</div></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"4 4","pages":"Article 100491"},"PeriodicalIF":0.0,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142552777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tailoring surgical management of recurrent anterior shoulder instability: A simplified algorithm and long-term functional outcome analysis","authors":"Vejaya Kumar ,&nbsp;Karthik Selvaraj Murugappan ,&nbsp;Pradeep Baskaran ,&nbsp;Rohith Daniel ,&nbsp;David V. Rajan","doi":"10.1016/j.jorep.2024.100494","DOIUrl":"10.1016/j.jorep.2024.100494","url":null,"abstract":"","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"4 4","pages":"Article 100494"},"PeriodicalIF":0.0,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142552778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Are patients with marfans syndrome undergoing total joint arthroplasty at increased risk for revision surgery?","authors":"Sanjay Kubsad ,&nbsp;Victoria Bergstein ,&nbsp;Philip M. Parel ,&nbsp;Arman Kishan ,&nbsp;Shyam Kurian ,&nbsp;Andrew B. Harris ,&nbsp;Gregory J. Golladay ,&nbsp;Savyasachi C. Thakkar","doi":"10.1016/j.jorep.2024.100490","DOIUrl":"10.1016/j.jorep.2024.100490","url":null,"abstract":"<div><h3>Introduction</h3><div>Marfan Syndrome (MFS) presents unique challenges for total joint arthroplasty (TJA), yet its long-term outcomes are not well-documented. This study aimed to assess whether MFS patients are more likely to require revision compared to those without MFS and to identify specific revision causes with elevated risks.</div></div><div><h3>Methods</h3><div>We performed a retrospective analysis using a national claims database to find patients who had undergone total knee arthroplasty (TKA) or total hip arthroplasty (THA). MFS patients were matched to non-MFS patients in a 1:4 ratio based on age, sex, and Charlson Comorbidity Index (CCI). We used Kaplan-Meier analyses and Cox proportional hazards models to evaluate the cumulative incidence and risks of revision for both groups.</div></div><div><h3>Results</h3><div>MFS patients who had THA were at a higher risk of needing revision due to instability (HR: 4.82; 95 % CI: 1.07–21.62; P = 0.039) compared to non-MFS patients. However, there were no significant differences in revision risk for all causes or for revisions due to periprosthetic joint infection, mechanical loosening, or periprosthetic fracture after THA between MFS and matched control patients. Similarly, no significant differences were found in revision risk after TKA.</div></div><div><h3>Discussion</h3><div>Our matched cohort study indicates that MFS patients have similar risks of all-cause revision after TJA compared to non-MFS patients. Nonetheless, MFS patients face nearly a fivefold increased risk of instability five years after THA. Further research should explore whether this risk can be mitigated through changes in surgical technique.</div></div>","PeriodicalId":100818,"journal":{"name":"Journal of Orthopaedic Reports","volume":"4 4","pages":"Article 100490"},"PeriodicalIF":0.0,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142577981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}