Journal of Orthopaedic Case Reports最新文献

{"title":"Comparative Outcomes of Arthroscopic versus Open Surgical Approaches in the Management of Septic Arthritis of the Knee: A Retrospective Study.","authors":"Tribhuwan Narayan Singh Gaur, Maneesh Verma, Mayank Pratap Singh, Deepak S Maravi, Dhruvkumar Rakeshkumar Agrawal, Ajay Dhanopeya","doi":"10.13107/jocr.2025.v15.i05.5638","DOIUrl":"https://doi.org/10.13107/jocr.2025.v15.i05.5638","url":null,"abstract":"<p><strong>Introduction: </strong>Septic arthritis (SA) of the knee is a serious condition requiring prompt intervention. The choice between arthroscopic and open surgical approaches remains debated. This study compares the clinical outcomes of these two surgical techniques in the treatment of knee SA. The primary objective was to compare the need for additional surgical interventions between the arthroscopic and open surgery groups. Secondary outcomes included a range of motion (ROM), pain reduction, functional improvement, and infection control as measured by total leukocyte count (TLC).</p><p><strong>Materials and methods: </strong>This retrospective study included 32 adult patients diagnosed with acute native knee SA who underwent either arthroscopic or open surgical irrigation between January 2022 and November 2024 at an Indian Government Medical College. Data on demographics, clinical presentation, laboratory results, and surgical details were collected. Postoperatively, patients were assessed for ROM, pain reduction (Visual Analog Scale), functional improvement (WOMAC), and TLC. Statistical analysis was performed using Jamovi v2.3.28.</p><p><strong>Result: </strong>The arthroscopic group (n = 20) had a significantly younger mean age (35.4 ± 11.0 years) compared to the open surgery group (n = 12, 48.9 ± 10.6 years). Both groups showed significant improvement in joint function, ROM, pain reduction, and disability scores, with no significant difference between groups. The relapse rate was slightly higher in the open surgery group (33.3%) compared to the arthroscopic group (25%), but the difference was not statistically significant.</p><p><strong>Conclusion: </strong>The clinical outcomes of both arthroscopic and open surgical approaches were equivocal, with both techniques leading to significant improvements in knee function, ROM, pain reduction, and overall disability. Arthroscopy is recommended as a first-line option for younger or less severely affected patients, whereas open surgery remains necessary for complex cases. Further studies are needed to refine treatment strategies.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 5","pages":"300-304"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12064255/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144014964","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":"Bony Hydatidosis of Femur Head - A Rare Case Report.","authors":"Abhishek Dwivedi, Kapil Gangwal, Ipra Singh, Gaurav Kumar Upadhyaya","doi":"10.13107/jocr.2025.v15.i05.5570","DOIUrl":"https://doi.org/10.13107/jocr.2025.v15.i05.5570","url":null,"abstract":"<p><strong>Introduction: </strong>Hydatid disease occurs due to Echinococcus in humans as they are intermediate host for tapeworm. The bone involvement is rare. Insidious nature and nonspecific nature of complaints make delay in diagnosis. Surgery is the mainstay of treatment with role of chemotherapy is as an adjunct treatment modality.</p><p><strong>Case report: </strong>An 18-year-old male patient presented with the left groin pain and terminal restriction of hip movement for 1 year duration. The patient underwent open biopsy and histopathological examination of tissue specimen revealed hydatid cyst. The patient was started on albendazole and after 3 months, surgical curettage and removal of cysts were performed with application of bone cement. At 8 years follow-up, the patient is asymptomatic and doing well.</p><p><strong>Conclusion: </strong>The treatment of osseous hydatid disease is challenging. High index of suspicion in endemic areas is required along with radiological and laboratory investigation to confirm the diagnosis. Timely and proper management can completely cure the patient without any residual pathology with full functional recovery.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 5","pages":"97-102"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12064242/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144026324","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":"Cross-finger Flap on Electrical Ring Burn Injury: A Case Report.","authors":"Gueye Alioune Badara, Lubenga Athos, Niane Mouhamadou Moustapha, Faye Khalifa Ababacar, Sock Yacine, Kinkpe Charles Valerie Alain","doi":"10.13107/jocr.2025.v15.i05.5602","DOIUrl":"https://doi.org/10.13107/jocr.2025.v15.i05.5602","url":null,"abstract":"<p><strong>Introduction: </strong>The wearing of finger rings is cultural and widespread in Senegal, which explains why injuries caused by them can affect any finger. Although burn injuries are less common, they can still cause finger disability. Their management is challenging for any surgeon as the functional prognosis is at stake.</p><p><strong>Case report: </strong>A 25-year-old female patient was referred from a health center for a deep electrical burn of the middle finger of the left hand 21 days after the injury. Clinically, she had a dark circumferential necrotic plaque at the base of the left middle finger with a swollen extremity. The exposure of the flexor tendon prompted the indication for a flap using the cross-finger technique. In the post-operative period, the flap had settled well after flap division 3 weeks later. Sensitivity was normal. The finger extension was complete.</p><p><strong>Conclusion: </strong>The cross-finger technique on an exposed tendon after a circumferential electrical burn injury can be a salvage solution given that these types of burns often result.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 5","pages":"177-179"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12064218/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143970435","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":"Intramuscular Myxoma in the Vastus Medialis Muscle: A Case Report and Brief Review of the Literature.","authors":"Christos Siopis, Mikail Chatzivasiliadis, Byron Chalidis, Christos Koukos, S Samundeeswari, Stylianos Kapetanakis","doi":"10.13107/jocr.2025.v15.i05.5580","DOIUrl":"https://doi.org/10.13107/jocr.2025.v15.i05.5580","url":null,"abstract":"<p><strong>Introduction: </strong>Intramuscular myxomas (IMMs) are rare benign tumors of mesenchymal origin, typically occurring in middle-aged women. These tumors are characterized by hypocellular, hypovascular lesions rich in extracellular myxoid stroma. IMMs are most commonly found in the heart but rarely may affect large muscle groups such as the thighs, shoulders, and buttocks. While they are generally isolated lesions, IMMs may be associated with syndromes such as Mazabraud syndrome or McCune-Albright syndrome. Accurate diagnosis relies on imaging and histopathological evaluation, with surgical excision being the definitive treatment.</p><p><strong>Case report: </strong>We present the case of a 25-year-old female patient who reported a noticeable dysmorphism in the inner thigh region without pain or functional impairment. Magnetic resonance imaging revealed a smooth-bordered, oval lesion in the vastus medialis muscle measuring 2.8 × 2 cm. A percutaneous biopsy confirmed the diagnosis of an IMM. Eventually, the intramuscular myxoma was surgically removed without complications.</p><p><strong>Conclusion: </strong>Accurate imaging and histopathological confirmation remain critical for diagnosis, and a case such as ours reinforces the need to consider IMMs in rare locations to optimize patient care.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 5","pages":"123-127"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12064253/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143970687","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":"Comprehensive Arthroscopic Management of Multi-ligament Knee Injury: A Case Report.","authors":"G Pugazhendhi, M Aravindan, M Navin Kumar, G B Shiva Shankaran","doi":"10.13107/jocr.2025.v15.i05.5608","DOIUrl":"https://doi.org/10.13107/jocr.2025.v15.i05.5608","url":null,"abstract":"<p><strong>Introduction: </strong>Multi-ligament knee injuries (MLKIs), involving damage to two or more major knee ligaments, present complex challenges in orthopedic surgery due to the intricacy of the injury and its significant impact on knee stability and function. These injuries often require specialized treatment strategies, with two-stage surgical reconstructions emerging as a viable option. This report examines a case of MLKI and the outcomes of a staged surgical approach to repair and reconstruct the affected knee ligaments.</p><p><strong>Case report: </strong>A 55-year-old female sustained a multi-ligament injury to her right knee after a twisting event, resulting in pain, swelling, and instability. The patient underwent a two-stage arthroscopic reconstruction, beginning with repair of the posterior cruciate ligament and posterolateral corner structures, followed by anterior cruciate ligament reconstruction. Autografts, including the bilateral peroneus longus and contralateral hamstrings, were used for the procedure. Her rehabilitation protocol emphasized early passive range of motion exercises, with delayed weight-bearing to promote effective healing.</p><p><strong>Conclusion: </strong>This case demonstrates the successful restoration of knee stability and function following a two-stage surgical approach to MLKI. The case underscores the need for individualized treatment plans and highlights the potential benefits of a phased procedure. While promising, further research is required to compare single-stage and two-stage approaches and to assess their long-term outcomes in managing complex MLKIs.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 5","pages":"190-197"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12064225/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143997354","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":"Dorsal Bridge Plating for Comminuted Distal Radius Fractures: Functional Outcomes of Distal Fixation on 2nd Metacarpal versus 3rd Metacarpal.","authors":"Riyaz Nalupurapatil Nidunganda, Askar Keethadath, Prannoy Paul, Kailas Chithra Surendran Nair, Anjali Sudha Vijay, Mohammed Rasal Thachampatta","doi":"10.13107/jocr.2025.v15.i05.5626","DOIUrl":"https://doi.org/10.13107/jocr.2025.v15.i05.5626","url":null,"abstract":"<p><strong>Purpose: </strong>To compare the functional outcome of distal fixation on the second metacarpal versus the third metacarpal in patients treated with dorsal bridge plating for comminuted intra-articular distal radius fractures.</p><p><strong>Materials and methods: </strong>The functional outcome of 60 patients treated with dorsal bridge plating was assessed 6 months postoperatively comparing distal fixation on the second metacarpal versus the third metacarpal. Pain, ability to work post-fixation, range of movements, stiffness, and grip strength were the parameters assessed.</p><p><strong>Results: </strong>Distal fixation on the third metacarpal resulted in more stiffness and risk of tendon entrapment of the first and third extensor compartments when compared to distal fixation on the second metacarpal.</p><p><strong>Conclusion: </strong>Dorsal bridge plating with a distal fixation on the second metacarpal shower better functional outcome compared to the third metacarpal with a better range of movements, less risk of tendon entrapment, and better fracture stabilization.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 5","pages":"256-260"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12064241/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143997377","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 Study of Functional and Radiological Outcome of Humerus Shaft Fracture Treated with Retrograde Halder Nail versus Plate Fixation.","authors":"T Sathish Kumar, A Guruprasath, U Venkatesh, T Tholgapiyan, S Naveen","doi":"10.13107/jocr.2025.v15.i05.5620","DOIUrl":"https://doi.org/10.13107/jocr.2025.v15.i05.5620","url":null,"abstract":"<p><strong>Introduction: </strong>This study compares and analyses the functional and radiological outcome of Halder nailing with plate fixation for humeral shaft fracture. To study, the time taken for union status in humeral shaft fractures treated with Halder intramedullary nail and plate fixation through radiological assessment and to study the functional assessment by shoulder joint range of movements after surgery.</p><p><strong>Materials and methods: </strong>One hundred and two cases of humeral shaft fracture received in an emergency or in outpatient Department of Orthopaedics at Government Stanley Medical College and Hospital during 3-year study period of July 2021-June 2024 were included in the study.</p><p><strong>Results: </strong>Out of 102 cases, 54 cases were selected for plate fixation, and 48 cases were selected for Halder nailing. Out of 54 plate fixation cases, 38 were male (70.37%) and 16 were female (29.62%). Radiological union status is seen at about 12-16 weeks for 35 cases (64.81%) and 16-20 weeks for 19 cases (35.18%). In some cases, complications were noted like delayed union (4 cases), wrist drop (5 cases), and non-union with implant failure in (1 case). Out of these 48 Halder nailing cases 33 were male (66.66%) and 15 were female (33.33%), 15 were right-sided (33.33%) and 33 were left-sided (66.66%). Moreover, radiological union is seen at about 12-16 weeks for 35 cases (72.91%), and 16-20 weeks for 13 cases (27.00%). In some cases, complications were observed like delayed union (2 cases), tri-wire pullout (1 case), and iatrogenic fracture (1 case).</p><p><strong>Conclusion: </strong>Considering the excellent results and number of cases with surgical treatment of diaphyseal humeral fractures with the retrograde HALDER nailing. We conclude that HALDER nail is safe and reliable method in treating diaphyseal fractures of the humerus particularly in elderly patient with osteoporosis, polytrauma where reduction in operating time and early rehabilitation is primary objective. It is also well acceptable cosmetically as the scars are smaller when compared to the conventional plating. It lessens morbidity and complications such as post-operative wrist drop and wound infection. The shoulder impingement and supraspinatus bursitis can be reduced due to retrograde entry site and early rehabilitation program which promotes good functional outcome. The problem of non-union can be avoided by selecting appropriate nail size, avoiding distraction at the fracture site, if possible, reverse banging the nail to avoid distraction.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 5","pages":"233-239"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12064270/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143997475","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":"Functional Outcome of De Quervain's Tenosynovitis by Population Characteristics in South Indian Population - A Prospective Study.","authors":"K S Anandha Geethan, A K Arumugam, S H Syam Nath, Venkatesh Kumar, Rohini Venkatesh","doi":"10.13107/jocr.2025.v15.i05.5634","DOIUrl":"https://doi.org/10.13107/jocr.2025.v15.i05.5634","url":null,"abstract":"<p><strong>Introduction: </strong>The purpose of this study was to evaluate the functional outcome of population characteristics in South Indian patients with chronic De Quervain's Tenosynovitis.</p><p><strong>Materials and methods: </strong>This prospective study was conducted in a tertiary care hospital in South India. A total of fifty chronic dequervain's tenosynovitis patients were included in the study after getting clearance from the ethical committee. The main outcome measures data were VAS and DASH scores among the variables such as age, size, gender and occupation in all our patients.</p><p><strong>Results: </strong>By considering VAS score and DASH scores postsurgery, patients aged < 45 years of age, patients with nondominant hand involvement complaints, and homemakers had greater reductions in pain scores yet statistically insignificant. The female patients had a good reduction in DASH score postsurgery, which was statistically insignificant. However, males had a greater reduction in pain scores postsurgery females, and the difference was statistically significant.By considering VAS score and DASH scores poststeroid instillation, patients aged more than or equal to 45 years of age, males, patients with dominant hand complaints, and patients who were employed had a greater reduction in pain score following steroid therapy. However, the difference is not statistically significant.</p><p><strong>Conclusion: </strong>Male patients, nondominant side involvement, and younger patients (age < 45 years) appear to fare well in both the surgical and steroid instillation groups. However, the employed patients do well after receiving a steroid injection, and the homemakers appear to do well in the postsurgery group.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 5","pages":"279-284"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12064232/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143997949","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":"Isolated Distal Radioulnar Joint Dislocation in an Adolescent: A Case Report and Systematic Review.","authors":"Stephen Murphy, Eoin Fahey, Pat Fleming","doi":"10.13107/jocr.2025.v15.i05.5540","DOIUrl":"https://doi.org/10.13107/jocr.2025.v15.i05.5540","url":null,"abstract":"<p><strong>Introduction: </strong>Isolated distal radioulnar joint (DRUJ) dislocation is a rare injury, often presenting following direct trauma with difficulty in active and passive pronation/supination. Accurate and prompt diagnosis is to essential to correctly treat and avoid long-term complications such as pain, stiffness, and loss of function.</p><p><strong>Case report: </strong>We present the case of a 16-year-old male with an acute isolated DRUJ dislocation following a sporting injury. The patient was referred to our major trauma center from a tertiary orthopaedic unit following failed closed reduction (CR). Successful CR was performed in our department. Temporary casting and early rehab with physiotherapy gave the patient good functional results with full recovery at 3 months.</p><p><strong>Conclusion: </strong>Careful history and examination, as well as appropriate imaging, including true anterioposterior and lateral radiographs +/- computed tomography or magnetic resonance imaging, is need to accurately diagnosis this injury. Consider this injury in a patient with difficulty in supination/pronation with reported wrist pain following trauma.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 5","pages":"20-24"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12064266/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144024235","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":"Surgical Decision-Making in Thoracolumbar Fractures: A Systematic Review of Anterior and Posterior Approach.","authors":"Shekhar Mishra, Pankaj Kumar Mishra, Virendra Kumar Verma, Mohit Issrani, Swasti Sundar Prasad, Vishwakarma C Hodigere","doi":"10.13107/jocr.2025.v15.i05.5612","DOIUrl":"https://doi.org/10.13107/jocr.2025.v15.i05.5612","url":null,"abstract":"<p><strong>Introduction: </strong>Fractures in the thoracolumbar region of the vertebral column are very common and often require surgical intervention. Surgery is typically aimed at restoring or maintaining neurological function and correction of the vertebral column.</p><p><strong>Systematic review: </strong>There are two commonly used approaches for surgery, the anterior and the posterior approach. Uncertainties remain regarding the best surgical approach for the treatment of traumatic thoracolumbar fractures. The results of studies comparing the anterior and posterior surgical approaches for treating thoraco-lumbar fractures have been compiled in this review. Numerous metrics, including neurological results, Cobb angle recovery, and post-operative complications, have been used. It was observed that both approaches yielded a similar result when considering the improvement in Frankel grades and recovery of the Cobb angle.</p><p><strong>Conclusion: </strong>We further report that patients undergoing decompression using the anterior approach incurred higher blood loss, longer hospital stays, and higher operating costs; these findings support the posterior approach as being safer and more practical.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 5","pages":"204-211"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12064250/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143970437","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}