Journal of Orthopaedic Case Reports最新文献

{"title":"Triple-Segmental Shaft Femur Fracture: A Case Report.","authors":"Sankalp Lal, Amit Kumar Jha, Prabhanjan Agrawal, Ashish Kumar, Divesh Jalan, Deepak Sharma","doi":"10.13107/jocr.2025.v15.i09.6048","DOIUrl":"10.13107/jocr.2025.v15.i09.6048","url":null,"abstract":"<p><strong>Introduction: </strong>Segmental femur fractures, an uncommon injury pattern, are usually caused by high-energy trauma such as road traffic accidents. Despite their complexity, early intervention is essential for maximising recovery and reducing complications.</p><p><strong>Case report: </strong>A 34-year-old male presented with multiple fractures, including a triple-segmental shaft femur fracture, following a high-energy road traffic accident. An intramedullary nail was used for closed reduction and internal fixation of the femur fracture, which provided stable fixation while preserving the blood supply and minimising soft-tissue damage.</p><p><strong>Conclusion: </strong>When treating complicated femur fractures, intramedullary nailing should be preferred because it minimises soft-tissue damage while offering stable fixation. It promotes early mobilisation and optimal healing, even with multiple fracture segments.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 9","pages":"149-153"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422692/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040619","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":"Chronic Saphenous Nerve Entrapment Neuropathy after Closed Blunt Trauma: A Case Report.","authors":"Adam P Henderson, Mohammad S Kahrizi, Steven R Clendenen, Keith T Aziz","doi":"10.13107/jocr.2025.v15.i09.6034","DOIUrl":"10.13107/jocr.2025.v15.i09.6034","url":null,"abstract":"<p><strong>Introduction: </strong>Neuropathic pain following trauma is a relatively common occurrence; however, diagnostic workup and treatment can be difficult. We present a case of chronic neuropathic pain in which surgical exploration and neurolysis yielded complete remission of pain. Histopathology revealed an array of findings, including evidence of fat necrosis with calcification, granuloma formation, and a foreign body, representing a particularly complex etiology for the patient's symptoms that has not, to our knowledge, been previously reported in the literature.</p><p><strong>Case report: </strong>A 31-year-old female presented to our clinic with chronic neuropathic pain after sustaining a blunt injury to the medial aspect of the right leg 15 years previously while playing softball. Her pain was localized to the anteromedial lower leg and was not relieved by medical management and therapy. She temporarily had complete relief of her symptoms with ultrasound-guided hydrodissection. She was treated with surgical exploration and neurolysis, and postoperatively, the patient had no complications and complete relief of her pain.</p><p><strong>Conclusion: </strong>We present a case of a 31-year-old patient who had perineural scarring and chronic neuropathic pain necessitating surgical exploration and neurolysis. Our case highlights the importance of investigating the etiology of neuropathic pain with several modalities and demonstrates the utility of ultrasound-guided peripheral nerve hydrodissection for both therapeutic and diagnostic purposes.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 9","pages":"111-115"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422657/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040374","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":"Bilateral Tendoachilles Xanthoma in a Young Female: A Rare Case Report.","authors":"Harsh Kumar, Akshay Seth, Meghna Chaudhary, Neharika Saini","doi":"10.13107/jocr.2025.v15.i09.6032","DOIUrl":"10.13107/jocr.2025.v15.i09.6032","url":null,"abstract":"<p><strong>Introduction: </strong>Tendoachilles xanthoma is a very rare soft-tissue swelling encountered in orthopedic outpatient departments. An early diagnosis and intervention are crucial to prevent tendon dysfunction and systemic complications. Tendoachilles xanthoma, though uncommon, should be considered in patients with bilateral Achilles tendon thickening.</p><p><strong>Case report: </strong>We hereby present a rare case of a 33-year-old female with bilateral tendoachilles xanthoma who presented with complaints of swelling and pain in the bilateral lower leg region treated with surgical debulking. Monthly follow-up suggested fair healing, pain reduction, and maintained Achilles tendon function.</p><p><strong>Conclusion: </strong>Bilateral tendoachilles xanthoma is a rare but important condition usually linked to lipid metabolism disorders, but can also occur in a normolipidemic state too. This case highlights the need for early diagnosis, multimodal treatment, and a personalized surgical approach to preserve tendon function. Long-term lipid control in disorders associated with deranged lipid profiles is useful in preventing recurrence and systemic complications.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 9","pages":"106-110"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422652/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040417","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":"Suprapectineal Plate for Fixation of Both Columns of Complex Acetabular Fractures in a Single Sitting through Anterior Approach- Pushing the Boundaries with the New \"Gold Standard\".","authors":"Jujhar Singh, Vedant Bajaj, Karun Jain, Sharandeep Singh Saluja","doi":"10.13107/jocr.2025.v15.i09.6124","DOIUrl":"10.13107/jocr.2025.v15.i09.6124","url":null,"abstract":"<p><strong>Introduction: </strong>Acetabular fractures have increasingly become a prevalent occurrence in the field of orthopedic trauma, and their surgical management continues to present significant challenges for surgeons. The complexity and variability of these fractures often require careful consideration and expertise, making effective treatment a demanding task. Various Complex Fracture patterns, such as anterior column and posterior hemitransverse affect both the anterior and posterior columns of the acetabulum and have been traditionally treated with a combined approach of column plates and lag screw fixation techniques. The aim of this study is to assess the outcomes following fixation of both columns of complex acetabular fractures with predominant anterior displacement, using a suprapectineal plate through Anterior approach (anterior intrapelvic ± Modified Iliofemoral) in a single sitting.</p><p><strong>Materials and methods: </strong>A hospital-based prospective study was done on 31 patients of acetabular fracture with associated quadrilateral plate component were included in our tertiary care center during 1-year period. Patients were followed up clinically and radiologically at 4 weeks, 3 months, 6 months, and 1 year. Functional assessment was done using the Visual Analog Scale score, Harris Hip Score modified, and Merle d'Aubigné score.</p><p><strong>Results: </strong>31 patients were included in the study with a mean age of 41.96 ± 13.14. Average follow-up was 39.09 ± 8.11 months. Excellent reduction with a congruent hip was achieved in all of our cases. The average intra-operative blood loss and transfusion were 705.48 ± 85.78 mL and 651.61 ± 171.01 mL, respectively. At 1-year follow-up, all fractures showed a satisfactory union with maintained reduction. Clinical outcomes at 1-year follow-up using Merle D'Aubigne and Postel grading were excellent in 61.3% cases, good in 25.8% cases, and fair in 12.9% cases. Radiologically, 2 patients had loosening of the plate from the anterior side; however, fracture had united and the patients could perform all the activities of daily living satisfactorily.</p><p><strong>Conclusion: </strong>Complex acetabular fractures requiring both column fixations with this revolutionary anatomical plate can further push the boundaries of anterior approaches and might be a new \"gold standard\" for managing complex acetabular fractures in the future with further long-term results.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 9","pages":"353-360"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422632/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040451","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 Price of Poor Cementing: A Case Report on Chronic Hip Dislocation and Revision.","authors":"Vasavi Pushadapu, Srikanth Sriramozu, V Sahetya Mohan Rao, Sreekalyani Kothapally","doi":"10.13107/jocr.2025.v15.i09.6092","DOIUrl":"10.13107/jocr.2025.v15.i09.6092","url":null,"abstract":"<p><strong>Introduction: </strong>Hemiarthroplasty is commonly performed for displaced femoral neck fractures in elderly patients. While generally effective, poor cementing techniques can lead to serious complications, including implant migration and chronic dislocation. Cement interposition in the acetabulum is a rare but preventable cause of persistent instability. This case emphasizes the importance of meticulous cement handling and intraoperative vigilance to avoid avoidable revision surgeries.</p><p><strong>Case report: </strong>A 76-year-old woman presented 8 months after left hemiarthroplasty with persistent hip pain and immobility. She had become bedridden 1-month post-surgery following a sensation of hip slippage. Examination revealed limb shortening, adduction deformity, and restricted mobility. Radiographs showed a dislocated hip and multiple dense opacities in the acetabulum, suggesting cement interposition. A posterior approach revision was planned. Pre-operative skin traction and adductor tenotomy were performed to address soft tissue contractures. Intraoperatively, well-formed cement mass conforming to the acetabulum was removed. The cement was removed en bloc, and a bipolar prosthesis was implanted. Post-operatively, the patient achieved satisfactory recovery with improved hip stability and function.</p><p><strong>Discussion: </strong>This case illustrates the potential for cement to migrate into the acetabulum during stem insertion if introduced pre-maturely or in excess. Such interposition disrupts joint articulation and can lead to chronic dislocation. Preventive steps - such as waiting for appropriate cement consistency, using a gauze barrier in the acetabulum, and careful intraoperative assessment - are critical to avoid such outcomes. Chronic dislocations further complicate surgical revisions due to soft tissue contractures and biomechanical imbalance. Comprehensive pre-operative planning and soft tissue management, combined with appropriate implant selection, contributed to successful revision in this case.</p><p><strong>Conclusion: </strong>Cement interposition is a rare but preventable cause of chronic dislocation after hemiarthroplasty. This case highlights the need for precise cementing techniques, careful intraoperative assessment, and proactive management strategies. Attention to these details can reduce complications and improve outcomes in elderly patients undergoing hip arthroplasty.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 9","pages":"260-264"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422674/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040460","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":"Rare Periprosthetic Fractures Following Oxford Unicompartmental Knee Arthroplasty: A Case Series of Supracondylar Femoral and Proximal Tibial Fractures.","authors":"Amyn M Rajani, Vishal Kulkarni, Clevio Desouza","doi":"10.13107/jocr.2025.v15.i09.6054","DOIUrl":"10.13107/jocr.2025.v15.i09.6054","url":null,"abstract":"<p><strong>Introduction: </strong>Periprosthetic fractures (PPFs) are well-documented complications after total knee arthroplasty but are exceedingly rare following unicompartmental knee arthroplasty (UKA). Given UKA's design preserves native bone stock and maintains near-normal joint biomechanics, PPFs around well-fixed UKA components are infrequently encountered and poorly described in the literature. To the best of our knowledge, there are very few detailed reports of supracondylar femoral or proximal tibial PPFs following mobile-bearing UKA. This case series is important because it highlights not only the rarity of these injuries but also their successful management without compromising the integrity of the prosthetic components.</p><p><strong>Case report: </strong>We present two unique cases of PPFs following cemented mobile-bearing Oxford UKA in elderly South Asian women. The first case involves a 63-year-old woman who sustained a high-energy supracondylar femoral PPF (Unified Classification System Type C) 9 months post-UKA. Despite the severity of the injury, radiographs confirmed the femoral component remained well-fixed with no evidence of polyethylene insert dislocation. She was treated successfully with retrograde intramedullary nailing, achieving full fracture union and 130° of knee flexion by 6 months postoperatively. The second case involves a 60-year-old woman who sustained a proximal third tibial PPF (Type C) two and a half months after UKA. Again, both components remained secure without signs of loosening. She was treated with locking plate fixation, resulting in complete union and full independent ambulation by 6 months. Both patients remained clinically well at 2.5 years of follow-up, with intact UKA components and no functional limitations.</p><p><strong>Conclusion: </strong>These cases underscore that even severe, high-energy PPFs around UKA can be effectively managed with standard anatomical fixation techniques without necessitating implant revision. The report advances clinical knowledge by demonstrating the structural resilience of well-fixed mobile-bearing UKA components in the setting of traumatic fracture. It is of particular interest to orthopaedic surgeons specializing in arthroplasty and trauma, but also has broader implications for surgical planning, patient counseling, and post-operative expectations.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 9","pages":"164-169"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422644/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040361","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":"An Uncommon Case of Bilateral Ankle and Foot Injury in a Pediatric Patient Leading to Bilateral Talus Fracture.","authors":"Laxman Choudhary, Amandeep Bains, Aakarsh Aggarwal, Nitesh Gahlot, Akshant Chandel, Aryan Mechu","doi":"10.13107/jocr.2025.v15.i09.6042","DOIUrl":"10.13107/jocr.2025.v15.i09.6042","url":null,"abstract":"<p><strong>Introduction: </strong>Pediatric talus fractures are rare and often challenging to diagnose, especially in skeletally immature patients. These injuries typically result from axial loading of the talus against the anterior tibia during dorsiflexion. Due to the unique biomechanical properties of immature bone, such fractures require significant force and are frequently associated with high-energy trauma. If missed or inadequately treated, complications, such as avascular necrosis, post-traumatic arthrosis, and delayed union may ensue.</p><p><strong>Case report: </strong>We present the case of a skeletally immature girl who sustained bilateral talar neck fractures (Hawkins Type 1) following a high-energy mechanism of injury. The fractures were initially overlooked during the radiological assessment. However, persistent clinical concern prompted further evaluation, including repeat imaging, which revealed the injuries. The patient was subsequently managed with surgical fixation and close follow-up.</p><p><strong>Conclusion: </strong>This case highlights the diagnostic difficulty of pediatric talus fractures, particularly bilateral injuries, which are exceedingly rare. It underscores the importance of correlating clinical findings with imaging and maintaining a high index of suspicion in pediatric trauma cases with appropriate mechanisms of injury.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 9","pages":"130-137"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422699/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040326","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":"Intertrochanteric Femur Fracture in a High-Above-Knee Amputee: Technical Tips for Intraoperative Planning and Implant Selection with Literature Review.","authors":"Prabodh Kantiwal, Aakarsh Aggarwal, Sugandhi Nemani, Sandeep Kumar Yadav, Sumit Banerjee","doi":"10.13107/jocr.2025.v15.i09.6108","DOIUrl":"10.13107/jocr.2025.v15.i09.6108","url":null,"abstract":"<p><strong>Introduction: </strong>Intertrochanteric (IT) fractures are rarely reported in amputation stumps.</p><p><strong>Case report: </strong>This report presents the case of an elderly male with a right above-knee amputation who sustained an ipsilateral IT fracture. He had undergone amputation 3 years prior and was mobilizing independently with a prosthetic limb. The current injury occurred due to the rollover of a four-wheeler in which he was traveling. A proximally sized femoral nail was selected for fracture fixation, with the goal of internal splinting across the entire residual femoral length. Postoperatively, the patient resumed use of his previous prosthesis without difficulty.</p><p><strong>Conclusion: </strong>Treatment goals in such cases should include preservation of stump length, avoidance of prosthesis socket revision, prevention of peri-implant fractures and implant failure, and the use of load-sharing implants in the lower extremity stump. In addition, enabling the patient to return to their prior level of activity should be a key therapeutic objective.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 9","pages":"305-311"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422670/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040429","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":"Non-union Hoffa's Fracture in an Adult Male Managed with Total Knee Arthroplasty: A Rare Case Report.","authors":"S S Khatri, Namrata Shekhawat","doi":"10.13107/jocr.2025.v15.i09.6012","DOIUrl":"10.13107/jocr.2025.v15.i09.6012","url":null,"abstract":"<p><strong>Introduction: </strong>Coronal plane fractures of the femoral condyle, known as Hoffa's fractures, are uncommon intra-articular injuries. Non-union of such fractures is rarely reported, particularly in younger patients, and presents a complex clinical scenario.</p><p><strong>Case report: </strong>A case of a 38-year-old male who reported chronic right knee pain, swelling, and difficulty in ambulation due to a non-union Hoffa's fracture. Radiological findings indicated joint surface degeneration and instability. Given the chronicity and extent of articular damage, the patient underwent total knee arthroplasty (TKA) along with open reduction and internal fixation (ORIF) of the medial femoral condyle under spinal anesthesia. A posterior-stabilized knee system (Smith and Nephew, femur-5, tibia-5, polyethylene insert 13 mm) was implanted using Palacos bone cement. The patient recovered well and regained mobility with significant pain relief.</p><p><strong>Conclusion: </strong>In rare cases of non-union Hoffa's fractures with joint degeneration, combined TKA and ORIF can provide functional improvement and pain relief, even in younger adults, when performed with appropriate surgical planning.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 9","pages":"52-55"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422685/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040564","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":"Neglected Isolated Lunate Dislocation in a Polytrauma Patient Presenting as Acute Carpal Tunnel Syndrome - A Case Report with Review of Literature.","authors":"Warid Altaf, Amit Chaudhari, Parag Sancheti","doi":"10.13107/jocr.2025.v15.i09.6052","DOIUrl":"10.13107/jocr.2025.v15.i09.6052","url":null,"abstract":"<p><strong>Introduction: </strong>Lunate dislocations are uncommon high-energy wrist injuries often missed during initial evaluation in polytrauma settings.</p><p><strong>Case report: </strong>We present a case of a 40-year-old polytrauma patient who sustained multiple injuries following a road traffic accident. His acute injuries were predominantly treated, while a neglected isolated lunate dislocation remained undiagnosed. Three weeks later, the patient presented with acute carpal tunnel symptoms - severe wrist pain, numbness, and weakness in the distribution of the median nerve.Physical examination demonstrated tenderness over the volar wrist, reduced range of motion, and a positively elicited Phalen's and Tinel's sign. Radiographs and nerve conduction studies confirmed a neglected volar lunate dislocation causing compression of the carpal tunnel. Surgical intervention was performed through a combined dorsal and volar approach. Open reduction and internal fixation were followed by decompressive carpal tunnel release.Postoperatively, the patient recovered well, with resolution of symptoms and return of nearly normal wrist motion and grip strength at 1-year follow-up.</p><p><strong>Conclusion: </strong>This case underscores the importance of evaluating peripheral joints in polytrauma and shows that even delayed lunate dislocations presenting with carpal tunnel syndrome can be successfully treated using a dual approach without any salvage procedure up to 3 months.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 9","pages":"159-163"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422677/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040513","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}