Journal of the American Podiatric Medical Association最新文献_第6页

Novel Bone and Marrow Harvesting Approach Through Posterior Subtalar Screw Tunnel for Revision Talonavicular Joint Arthrodesis. 新型距下后螺钉隧道取骨髓入路用于距舟关节置换术翻修。

IF 0.5 4区医学

Journal of the American Podiatric Medical Association Pub Date : 2025-01-01 DOI: 10.7547/22-175

Andrew S Au, Peter A Blume

引用次数: 0

Static and Dynamic Foot Pressure Analysis in Asymptomatic Adults: A Cross-Sectional Analysis. 无症状成人的静态和动态足压力分析：横断面分析。

IF 0.5 4区医学

Journal of the American Podiatric Medical Association Pub Date : 2025-01-01 DOI: 10.7547/23-024

Osama Neyaz, Binayak Patra, Raj Kumar Yadav, Shabeeba Sherin

{"title":"Static and Dynamic Foot Pressure Analysis in Asymptomatic Adults: A Cross-Sectional Analysis.","authors":"Osama Neyaz, Binayak Patra, Raj Kumar Yadav, Shabeeba Sherin","doi":"10.7547/23-024","DOIUrl":"10.7547/23-024","url":null,"abstract":"Background: Normative data on plantar pressure distribution are essential for comparing the plantar pressures of healthy people with those of symptomatic individuals. The present study analyzed the foot pressure distribution variations among healthy males and females in static and dynamic conditions.Methods: A prospective cross-sectional study was conducted in the Department of Physical Medicine and Rehabilitation on individuals aged 18 to 65 years with no known foot pathologies or deformities. Both static and dynamic pedobarographic variables were measured using the BTS P-WALK system.Results: Among 160 participants, the static analysis showed that average hindfoot pressure (right, 59.8 ± 21.4; left, 72.1 ± 55.4) was significantly higher than average forefoot pressure (right, 29.2 ± 13.9; left, 23.4 ± 12.7) (P < .001). The average forefoot pressure was significantly higher in males (right, 30.1 ± 23.8; left, 23.8 ± 21.7) than in females (right, 21.8 ± 20.6; left, 16.6 ± 15.3) (P = .043 and .016, respectively), whereas the average hindfoot pressure was higher in females (right, 63.5 ± 25.9; left, 75.3 ± 23.9) than in males (right, 56.1 ± 19.6; left, 68.8 ± 24.2) (P = .043 and .089, respectively).Conclusions: The hindfoot bore more load than the forefoot when standing. Males carried a greater proportion of load over the forefoot than females. When walking, overall, the weightbearing pattern over the hindfoot and forefoot was similar.","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"115 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparison of Lipid and Glucose Levels in Individuals with and Without Plantar Fasciitis: A Cross-Sectional Observational Study. 有和没有足底筋膜炎个体的脂质和葡萄糖水平的比较：一项横断面观察研究。

IF 0.5 4区医学

Journal of the American Podiatric Medical Association Pub Date : 2025-01-01 DOI: 10.7547/22-084

Sayyed-Hadi Sayyed-Hosseinian, Farshid Bagheri, Fatemeh Sistanian, Alireza Mousavian, Mohammad Hosein Ebrahimzadeh, Amir Reza Kachooei, Mahla Daliri

{"title":"Comparison of Lipid and Glucose Levels in Individuals with and Without Plantar Fasciitis: A Cross-Sectional Observational Study.","authors":"Sayyed-Hadi Sayyed-Hosseinian, Farshid Bagheri, Fatemeh Sistanian, Alireza Mousavian, Mohammad Hosein Ebrahimzadeh, Amir Reza Kachooei, Mahla Daliri","doi":"10.7547/22-084","DOIUrl":"10.7547/22-084","url":null,"abstract":"Background: Tendon problems and biomechanical alterations are linked to hyperlipidemia. We sought to determine the relationship of plantar fasciitis (PF) with lipid profile parameters and fasting blood sugar (FBS) levels.Methods: In a case-control study, we enrolled 68 patients with a clinical diagnosis of PF in the case group and 136 individuals without PF in the control group. Patients' height, weight, body mass index (BMI), FBS level, and lipid profile, including low-density lipoprotein (LDL-C), high-density lipoprotein, and total cholesterol levels and triglyceride levels, were compared between the groups. The mean difference of each variable between the patient and control groups was tested using an independent t test. We calculated the odds ratio to quantify the strength of association between PF and elevated lipid profile. Correlation coefficient analyses were used to calculate the correlation of patients' BMI with lipid profile and FBS levels to evaluate the BMI variable as a confounder.Results: Patients with PF had higher levels of total cholesterol (P = .001), LDL-C (P = .004), and triglycerides (P = .02). Odds ratio calculation showed that patients with serum LDL-C levels greater than 130 mg/dL were 3.3 times more likely to develop PF. We found no association between lipid profile parameters and BMI (as a confounder) in either group.Conclusions: These findings show higher serum LDL-C parameters in patients with PF and may be sufficient to support a further clinical trial using statin treatment for persistent PF with increased LDL-C levels.","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"115 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Early Staged Surgical Reconstruction for Active Midfoot and Ankle Charcot's Neuroarthropathy. 活动中足及踝关节Charcot神经关节病的早期手术重建。

IF 0.5 4区医学

Journal of the American Podiatric Medical Association Pub Date : 2025-01-01 DOI: 10.7547/22-036

Michael J Hurst, Hannah J Hughes, Patrick R Burns

{"title":"Early Staged Surgical Reconstruction for Active Midfoot and Ankle Charcot's Neuroarthropathy.","authors":"Michael J Hurst, Hannah J Hughes, Patrick R Burns","doi":"10.7547/22-036","DOIUrl":"10.7547/22-036","url":null,"abstract":"Background: Charcot's neuroarthropathy (CN) is a destructive inflammatory process that affects patients with peripheral neuropathy, most commonly those with uncontrolled diabetes mellitus. The disease progresses through an active hyperemic phase that eventually becomes inactive, and the affected bone consolidates. The period in which the disease progresses from active to inactive is when instability, deformity, dislocation, and ulceration may occur depending on what deforming forces are stressing the affected pathologic area. There is a paucity of literature to support early primary surgical intervention, either single or staged, for active CN.Methods: The purpose of this case series was to retrospectively review 30 reconstructions in 30 patients who underwent primary surgical intervention for active midfoot and ankle CN. All of the 30 patients underwent staged deformity correction with temporary circular ring external fixation followed by definitive internal fixation.Results: Twenty-seven of the staged reconstructions (90%) at final follow-up resulted in limb salvage with no minor amputations after reconstruction. Mean final follow-up was 24.4 months. Nine of the 30 patients (30%) did not remain ulcer-free; however, 50% of the patients had a preexiting ulceration before surgical intervention, and the cohort exhibited a 40% healing rate of ulcers.Conclusions: We achieved a 90% limb salvage rate in patients with active midfoot and ankle CN with a staged surgical intervention protocol. Surgical intervention in the active stage of CN may be beneficial for patients who have gross instability with ulceration, significant midfoot collapse, and frank dislocation.","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"115 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Biomechanical Comparison of Single- and Double-Twist Tension Band, Cancellous Screw, and Single-Screw Tension Band Models in Medial Malleolus Fractures. 内踝骨折单、双扭张力带、松质螺钉和单螺钉张力带模型的生物力学比较。

IF 0.5 4区医学

Journal of the American Podiatric Medical Association Pub Date : 2025-01-01 DOI: 10.7547/22-172

Gurdal Nusran, Onur Yılmaz, İbrahim Mutlu, Tolgahan Kuru, H Yener Erken

{"title":"Biomechanical Comparison of Single- and Double-Twist Tension Band, Cancellous Screw, and Single-Screw Tension Band Models in Medial Malleolus Fractures.","authors":"Gurdal Nusran, Onur Yılmaz, İbrahim Mutlu, Tolgahan Kuru, H Yener Erken","doi":"10.7547/22-172","DOIUrl":"https://doi.org/10.7547/22-172","url":null,"abstract":"Background: Models using a double-twist tension band, two partially threaded cancellous screws, a single-twist tension band, and a single-screw tension band were biomechanically compared for fixation of medial malleolus fractures.Methods: All 72 composite cortical tibial bones used in the study were osteotomy suitable for medial malleolus fracture. They were divided into four groups: double-twist tension band (group 1), two partially threaded cancellous screws (group 2), single-twist tension band (group 3), and single-screw tension band (group 4), with 18 composite tibial bones in each group. Bones in each group were divided into three subgroups and subjected to biomechanical tests by applying force as tension, transverse, and axial loading.Results: In the tension and transverse loading tests, the highest mean stiffness was in groups 1 and 4. Group 4 had statistically significantly higher stiffness values than groups 2 and 3. All of the other groups had statistically significantly higher stiffness values than group 2. A statistically significant difference was found comparing group 4 (with the highest value in the axial loading test) with the other groups. No significant difference was found between groups 1 and 3 in any of the biomechanical tests.Conclusions: Tension band method did not make a difference biomechanically when applied as a double or single twist. Single-screw tension band was found to be the most stable fixation method in tension, transverse, and axial loading tests. We think that the single-screw tension band method is a stable and suitable fixation method and should find more place in current surgical practices.","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"115 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Rare Case of Osteomyelitis Caused by Achromobacter xylosoxidans. 木糖氧化无色杆菌引起骨髓炎的罕见病例。

IF 0.5 4区医学

Journal of the American Podiatric Medical Association Pub Date : 2025-01-01 DOI: 10.7547/22-213

Christopher P Girgis, Tyler L Coye, Elizabeth Ansert, Amanda L Killeen, Peter A Crisologo

{"title":"Rare Case of Osteomyelitis Caused by Achromobacter xylosoxidans.","authors":"Christopher P Girgis, Tyler L Coye, Elizabeth Ansert, Amanda L Killeen, Peter A Crisologo","doi":"10.7547/22-213","DOIUrl":"10.7547/22-213","url":null,"abstract":"Achromobacter xylosoxidans is a rare opportunistic aerobe that has rarely been documented in the literature as a causative agent for osteomyelitis. It can present with antibiotic resistance, making treatment without operative management challenging. We present the case of a 51-year-old male with a past medical history of uncontrolled type 2 diabetes. The patient presented to a clinic with a grade 2 infection to the right fifth digit, as defined by the International Working Group on the Diabetic Foot, and was subsequently admitted for intravenous antibiotics and operative management. Magnetic resonance imaging revealed abnormal signal of the phalanges of the fifth toe with sparing of the base of the proximal phalanx, consistent with osteomyelitis. An arthroplasty of the digit yielded pathology consistent with acute osteomyelitis and culture of Achromobacter xylosoxidans. Surgical debridement and culture-directed antibiotic therapy resulted in clinical cure. In chronic diabetic foot ulcerations, osteomyelitis should be considered, and Achromobacter xylosoxidans should be acknowledged as a potentially resistant organism. Therefore, it is paramount that a multidisciplinary approach is used when treating this condition.","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"115 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Uniquely Detailed Foot and Ankle Chart for Accurate Recording of Injuries in Dancers. 一个独特的详细的脚和脚踝图表，准确记录舞者的伤害。

IF 0.5 4区医学

Journal of the American Podiatric Medical Association Pub Date : 2025-01-01 DOI: 10.7547/23-221

Megan Maddocks, Demitri Constantinou

{"title":"A Uniquely Detailed Foot and Ankle Chart for Accurate Recording of Injuries in Dancers.","authors":"Megan Maddocks, Demitri Constantinou","doi":"10.7547/23-221","DOIUrl":"10.7547/23-221","url":null,"abstract":"Background: Foot and ankle injuries are common in dance and well documented in ballet. Commonly used injury surveillance tools do not depict the foot and ankle in much detail and are often considered as a single anatomical structure. The foot and ankle houses some of the body's most complex anatomy, and because of the incidence of injuries to these areas in dancers, and different management, a more detailed approach should be taken to reflect the complexity of the area for more accurate research and clinical application. This article proposes and demonstrates that the foot and ankle be broken down into more in detail when selected on a body chart.Methods: There is a conventional whole-body chart available in the Research Electronic Data Capture (RedCap) program that allows a selection of the foot and ankle. As part of a study of injuries in dancers, a custom chart was developed within this platform to expand on that selection by including smaller parts from the dorsal, medial, and plantar aspects.Results: All dance research needs to be more detailed regarding injuries to the foot and ankle for better clinical applications. Notable structures of clinical importance for ballroom and Latin American dancers are the first metatarsophalangeal joint, plantar fascia, and Achilles tendon. Such detail was determined using the newly developed chart and would not have been possible using conventional notations. Further, this chart provides a much clearer injury and clinical picture, which may differ in female ballet dancers who are dancing en pointe and other dance styles.Conclusions: Gathering detailed information using this chart will allow for the development of existing injury surveillance platforms and the advancement of foot and ankle injury research in dancers and may be transferable to other sports.","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"115 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Bilateral Distal Tibial Fractures with Preexisting Long-Stem Knee Prostheses Treated with Closed Retrograde Intramedullary Nails: A Case Report. 封闭逆行髓内钉治疗双侧胫骨远端骨折一例。

IF 0.5 4区医学

Journal of the American Podiatric Medical Association Pub Date : 2025-01-01 DOI: 10.7547/22-099

Ryan Lerch, Jeffrey Manway

{"title":"Bilateral Distal Tibial Fractures with Preexisting Long-Stem Knee Prostheses Treated with Closed Retrograde Intramedullary Nails: A Case Report.","authors":"Ryan Lerch, Jeffrey Manway","doi":"10.7547/22-099","DOIUrl":"10.7547/22-099","url":null,"abstract":"Recently there has been expanded interest in the management of fractures of the ankle in the elderly. This case presentation demonstrates an alternative treatment choice for bilateral distal tibial fractures in a comorbid patient. This is a novel case of interest because low-energy bilateral distal tibial fracture in the elderly and comorbid population is a relatively infrequent occurrence. Several case series have demonstrated the efficacy and safety of closed retrograde nailing of distal tibial fractures. The patient was an 80-year-old woman with a medical history that included hypertension, hyperlipidemia, type 2 diabetes, rheumatoid arthritis, chronic obstructive pulmonary disease, coronary artery disease status post stenting, heart failure with preserved ejection fracture, chronic kidney disease, and a history of a transient ischemic attack. The patient's case was further complicated by the presence of preexisting long-stem bilateral knee prostheses. The patient had been living independently when she experienced a ground-level fall in which imaging showed bilateral distal tibial fractures. The decision to perform closed bilateral concomitant stabilization via retrograde intramedullary nails was based on the need for early ambulation, stability, and the presence of extensive preexisting tibial prostheses. Ultimately, the patient healed uneventfully, returning to a similar level of independence and ambulation as before her injury.","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"115 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Patient-Reported Outcomes After Congenital Toe Syndactyly Repair with a Plantar Triangular Flap. 用足底三角瓣修复先天性趾并趾后患者报告的结果。

IF 0.5 4区医学

Journal of the American Podiatric Medical Association Pub Date : 2025-01-01 DOI: 10.7547/22-043

Kaylee O'Connor, Sofia Gereta, Sarah A Frommer, Steven L Henry

{"title":"Patient-Reported Outcomes After Congenital Toe Syndactyly Repair with a Plantar Triangular Flap.","authors":"Kaylee O'Connor, Sofia Gereta, Sarah A Frommer, Steven L Henry","doi":"10.7547/22-043","DOIUrl":"10.7547/22-043","url":null,"abstract":"Background: Syndactyly of the toes is a common congenital malformation, yet there are few reports of long-term outcomes after toe syndactyly repair and its effect on well-being. In this study, we surveyed patients and parents of patients who underwent toe syndactyly repair to investigate the functional and psychological outcomes of their surgery.Methods: We reviewed the medical records of all of the patients who underwent toe syndactyly repair using a plantar flap technique between January 1, 2010, and January 1, 2021. Parents or patients completed a survey assessing their opinion regarding cosmesis, function, and overall satisfaction. Independent observers used a modified Vancouver Scar Scale to evaluate surgical scars.Results: A plantar flap technique was used for 19 syndactylous webs in nine patients. Complications included one instance of mild cellulitis and one instance of web creep requiring revision. Average follow-up time was 5.5 years. Overall, 88% of survey respondents were very or moderately satisfied with the surgical outcome. No patients had unwanted hair growth or a bothersome groin site scar. Average modified Vancouver Scar Scale score was 3.2. There was a perceived improvement in toe range of motion and hygiene after surgery. Patients who underwent first web space release could wear flip-flops. All of the respondents would recommend surgery for another child with toe syndactyly.Conclusions: Toe syndactyly repair can be performed with minimal complications and high parent/patient satisfaction. Survey results indicate that there may be functional and psychological benefits to undergoing toe syndactyly repair.","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"115 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Surgical Site Infection Rate from Office-Based Foot and Ankle Surgeries: A Retrospective Analysis. 在办公室进行足部和踝关节手术的手术部位感染率：回顾性分析。

IF 0.5 4区医学

Journal of the American Podiatric Medical Association Pub Date : 2025-01-01 DOI: 10.7547/21-238

Lucas Adams, Nevin Joseph, Clayton Cassidy, Christina Pratt, Mark Razzante

{"title":"Surgical Site Infection Rate from Office-Based Foot and Ankle Surgeries: A Retrospective Analysis.","authors":"Lucas Adams, Nevin Joseph, Clayton Cassidy, Christina Pratt, Mark Razzante","doi":"10.7547/21-238","DOIUrl":"10.7547/21-238","url":null,"abstract":"Background: This study aimed to present data about the incidence of postoperative infections after procedures performed in a podiatric medicine private practice office setting. The COVID-19 pandemic placed a burden on the health-care system. Performing procedures in a clinic or office setting played a role in providing a continued high level of patient care for foot and ankle surgeons.Methods: We conducted a retrospective review of 205 procedures in 121 patients who had undergone elective podiatric medical/orthopedic procedures performed in an office setting from February 1, 2018, through July 31, 2021. No patients were given preoperative antibiotics. The following data were extracted: patient age, sex, history of diabetes mellitus, peripheral neuropathy, development of postoperative infection, severity of infection, follow-up time in weeks, and antibiotic use prophylactically and if used postoperatively.Results: The overall infection rate for this study was 1.95%, all of which were superficial infections. The most common procedure performed was a flexor tenotomy, followed by hardware removal. Removing flexor tenotomy procedures, the incidence of postoperative infection was 3.3%.Conclusions: Performing procedures in an office clinical setting is an effective and safe means to treat patients with similar if not lower infection rates compared with a hospital or surgery center in modern literature.","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"115 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0