Revista Espanola de Cirugia Ortopedica y Traumatologia最新文献_第2页

[Artículo traducido] Artroplastia semiconstreñida en gonartrosis con insuficiencia de ligamentos colaterales: resultados clínicos y funcionales 半约束型全膝关节置换术治疗伴副韧带功能不全的膝关节病：临床和功能结果。

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2025-03-01 DOI: 10.1016/j.recot.2024.12.007

A. Garrido-Hidalgo , R. García Crespo , B. Rizo de Álvaro , B. Alcobía-Díaz , G. Aparicio , F. Marco

{"title":"[Artículo traducido] Artroplastia semiconstreñida en gonartrosis con insuficiencia de ligamentos colaterales: resultados clínicos y funcionales","authors":"A. Garrido-Hidalgo , R. García Crespo , B. Rizo de Álvaro , B. Alcobía-Díaz , G. Aparicio , F. Marco","doi":"10.1016/j.recot.2024.12.007","DOIUrl":"10.1016/j.recot.2024.12.007","url":null,"abstract":"<div><h3>Introduction</h3><div>Achieving stability in total knee arthroplasty (TKA) is crucial for long-term implant survival. In cases of severe deformity or ligament laxity, constrained implants may be required. Traditionally, increasing constraint involved intramedullary stems. However, there are intermediary alternatives, including employing a constrained polyethylene insert without stems, thereby avoiding complications related to them. The study aims to evaluate our experience with a non-modular constrained (NMC) implant in primary TKA.</div></div><div><h3>Material and methods</h3><div>We conducted a retrospective review of the clinical and radiographic outcomes of 108 non-stemmed primary TKAs performed at our institution between 2013 and 2021 in patients with at least 10° deformity or 10mm ligament laxity. Data included demographics, preoperative and postoperative deformities, clinical outcomes and revision rates.</div></div><div><h3>Results</h3><div>A total of 103 patients (108 knees) with a mean age of 74 were followed up for a minimum of 2years. The mean postoperative range of motion was 105°/0°. The median Oxford Knee Score, Knee Society Score and Knee Society Function Score were 43.5, 92 and 90, respectively. 17 knees had varus deformity (mean tibiofemoral angle of 2.7°), and 87 knees had excessive valgus deformity (mean tibiofemoral angle of 15.1°). The remaining 4 knees had a neutral alignment. The mean postoperative tibiofemoral angle was 6.8°. The overall revision rate was 6.5% (7 patients): 3 deep periprosthetic infections, 2 patellar dislocations, 1 stiffness and 1 aseptic loosening.</div></div><div><h3>Conclusion</h3><div>Our experience demonstrates favorable mid-term outcomes with the NMC implant, providing a safe alternative to stemmed implants in primary TKA, particularly in cases of severe deformity or ligament laxity.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 2","pages":"Pages T135-T141"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802664","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}

引用次数: 0

Técnica quirúrgica del manejo de las fracturas de calcáneo a través de un abordaje del seno del tarso "采用跗骨窦入路治疗关节内移位钙骨骨折。手术技术"。

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2025-03-01 DOI: 10.1016/j.recot.2024.02.003

J. Mingo-Robinet, L. González-García, C. González-Alonso

{"title":"Técnica quirúrgica del manejo de las fracturas de calcáneo a través de un abordaje del seno del tarso","authors":"J. Mingo-Robinet, L. González-García, C. González-Alonso","doi":"10.1016/j.recot.2024.02.003","DOIUrl":"10.1016/j.recot.2024.02.003","url":null,"abstract":"<div><div>Calcaneal articular fractures are fractures classically associated with a high rate of complications and poor outcomes. Osteosynthesis of the calcaneus through a sinus tarsi approach has shown results equal to or superior to those of the extended approach, having become the new gold standard.</div><div>The objective of this article is to detail step by step the surgical technique of osteosynthesis of intra-articular fractures of the calcaneus through a sinus tarsi approach, from the selection of the fracture, positioning of the patient, layout of the operating room and the fluoroscope, the entire surgical process until postoperative treatment.</div><div>The surgical technique described below is described in 6 steps.<ul><li><span>1.</span><span><div>Layout of the operating room. Patient and Fluoroscope Positioning</div></span></li><li><span>2.</span><span><div>Reduction of the posterior tuberosity (correct height and varus)</div></span></li><li><span>3.</span><span><div>Sinus tarsi approach.</div></span></li><li><span>4.</span><span><div>Reduction of the articular surface and correct visualization. Arthroscopy</div></span></li><li><span>5.</span><span><div>Fixation of the articular surface</div></span></li><li><span>6.</span><span><div>Fixation of the posterior tuberosity</div></span></li></ul></div><div>Anatomical reduction of complex calcaneal fractures through an Sinus Tarsi Approach requires an understanding of the fracture and its associated deformities. Following the described sequence step by step will help to achieve a better reduction in order to achieve better functional results.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 2","pages":"Pages 110-123"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139973937","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}

引用次数: 0

Use of semi-constrained total knee arthroplasty in gonarthrosis with collateral ligament insufficiency: Clinical and functional outcomes 半约束全膝关节置换术在伴有副韧带功能不全的膝关节病中的应用：临床和功能效果

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2025-03-01 DOI: 10.1016/j.recot.2024.04.003

A. Garrido-Hidalgo , R. García Crespo , B. Rizo de Álvaro , B. Alcobía-Díaz , G. Aparicio , F. Marco

{"title":"Use of semi-constrained total knee arthroplasty in gonarthrosis with collateral ligament insufficiency: Clinical and functional outcomes","authors":"A. Garrido-Hidalgo , R. García Crespo , B. Rizo de Álvaro , B. Alcobía-Díaz , G. Aparicio , F. Marco","doi":"10.1016/j.recot.2024.04.003","DOIUrl":"10.1016/j.recot.2024.04.003","url":null,"abstract":"<div><h3>Introduction</h3><div>Achieving stability in total knee arthroplasty (TKA) is crucial for long-term implant survival. In cases of severe deformity or ligament laxity, constrained implants may be required. Traditionally, increasing constraint involved intramedullary stems. However, there are intermediary alternatives, including employing a constrained polyethylene insert without stems, thereby avoiding complications related to them. The study aims to evaluate our experience with a non-modular constrained (NMC) implant in primary TKA.</div></div><div><h3>Material and methods</h3><div>We conducted a retrospective review of the clinical and radiographic outcomes of 108 non-stemmed primary TKAs performed at our institution between 2013 and 2021 in patients with at least 10° deformity or 10mm ligament laxity. Data included demographics, preoperative and postoperative deformities, clinical outcomes and revision rates.</div></div><div><h3>Results</h3><div>A total of 103 patients (108 knees) with a mean age of 74 were followed up for a minimum of 2 years. The mean postoperative range of motion was 105°/0°. The median Oxford Knee Score, Knee Society Score and Knee Society Function Score were 43.5, 92 and 90, respectively. 17 knees had varus deformity (mean tibiofemoral angle of 2.7°), and 87 knees had excessive valgus deformity (mean tibiofemoral angle of 15.1°). The remaining 4 knees had a neutral alignment. The mean postoperative tibiofemoral angle was 6.8°. The overall revision rate was 6.5% (7 patients): 3 deep periprosthetic infections, 2 patellar dislocations, 1 stiffness and 1 aseptic loosening.</div></div><div><h3>Conclusion</h3><div>Our experience demonstrates favorable mid-term outcomes with the NMC implant, providing a safe alternative to stemmed implants in primary TKA, particularly in cases of severe deformity or ligament laxity.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 2","pages":"Pages 135-141"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140761322","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}

引用次数: 0

[Translated article] AVIP project (Prosthetic Virtual Friend): Study of clinical–functional outcomes and satisfaction with a mobile application in the perioperative management and follow-up of hip arthroplasty AVIP项目（朋友虚拟假体）：研究髋关节假体术后管理和随访的移动应用的临床功能结果和满意度。

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2025-03-01 DOI: 10.1016/j.recot.2024.12.006

J. Diranzo-García, V. Estrems-Díaz, J.F. Garrido-Ferrer, L. Castillo-Ruipérez, V.M. Zarzuela-Sánchez, L. Hernández-Ferrando

{"title":"[Translated article] AVIP project (Prosthetic Virtual Friend): Study of clinical–functional outcomes and satisfaction with a mobile application in the perioperative management and follow-up of hip arthroplasty","authors":"J. Diranzo-García, V. Estrems-Díaz, J.F. Garrido-Ferrer, L. Castillo-Ruipérez, V.M. Zarzuela-Sánchez, L. Hernández-Ferrando","doi":"10.1016/j.recot.2024.12.006","DOIUrl":"10.1016/j.recot.2024.12.006","url":null,"abstract":"<div><h3>Objective</h3><div>To analyse the clinical, quality of life, and healthcare quality outcomes obtained in a series of patients undergoing total hip arthroplasty (THA), who were empowered and monitored using the AVIP application. These results will be compared with a control group followed through a standard protocol.</div></div><div><h3>Material and method</h3><div>Randomised clinical trial with parallel groups involving patients with an indication for THA. Clinical variables were measured and compared using the WOMAC and mHHS, pain assessed by the VAS, quality of life with the SF-12 test. Walking capabilities were analysed using the Functional Gait Assessment Scale, along with satisfaction levels assessed through the SUCE questionnaire, and perceived anxiety levels related to the process.</div></div><div><h3>Results</h3><div>A total of 68 patients were evaluated, with 31 patients in the AVIP group and 33 in the Control group completing the follow-up. Both groups demonstrated improvement in clinical outcomes based on the WOMAC and mHHS hip tests, a reduction in perceived pain, and an enhancement in quality of life according to the SF-12 test. Patients in the AVIP study group exhibited non-inferiority in clinical outcomes and satisfaction compared to the control group, as well as lower anxiety levels and improved walking capabilities after the first month of follow-up. Notably, 82.25% of the follow-up visits for this group were conducted remotely.</div></div><div><h3>Conclusion</h3><div>The implementation of a mHealth application like AVIP can be safely offered to selected patients undergoing hip arthroplasty, enabling effective monitoring and providing continuous information and training.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 2","pages":"Pages T124-T134"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802661","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}

引用次数: 0

[Translated article] Total hip arthroplasty in patients under 50 years old: Does cementless fixation have better results? 50岁以下患者的全髋关节置换术：非水泥固位术效果更好吗？

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2025-03-01 DOI: 10.1016/j.recot.2024.12.008

L. Perez Alamino, G. Garabano, J. Rodriguez, F. Lopreite, C. Pesciallo

{"title":"[Translated article] Total hip arthroplasty in patients under 50 years old: Does cementless fixation have better results?","authors":"L. Perez Alamino, G. Garabano, J. Rodriguez, F. Lopreite, C. Pesciallo","doi":"10.1016/j.recot.2024.12.008","DOIUrl":"10.1016/j.recot.2024.12.008","url":null,"abstract":"<div><h3>Background</h3><div>Cementless fixation for hip arthroplasties has increased in the last decades, particularly in younger patients. The purpose of this study was to compare the long-term results three different types of fixations in patients under 50years old.</div></div><div><h3>Methods</h3><div>Cemented, hybrid and cementless fixations were assessed in patients under 50years old with a minimum follow-up of 8years. Loosening, demarcation, complications, and prosthesis survival were assessed. Functional analysis was performed with the modified Harris Hip Score and Visual analogue scale was collected.</div></div><div><h3>Results</h3><div>Final series consisted in 222 patients. Significant improvement was observed regarding mHHS and VAS score in each group. We observed statistically significant difference regarding demarcation between the groups (<em>p</em>  <.001).</div></div><div><h3>Conclusion</h3><div>Total hip replacement has good long-term clinical and functional outcomes. The lowest rate of prosthesis survival was observed in hybrid group with 84.2% after 16years.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 2","pages":"Pages T142-T149"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802662","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}

引用次数: 0

Cirugía ortopédica digital: beneficios y desafíos de la realidad extendida y la computación espacial 数字整形外科：扩展现实和空间计算的好处和挑战。

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2025-03-01 DOI: 10.1016/j.recot.2024.11.018

R. Pérez-Mañanes , J.A. Calvo-Haro

引用次数: 0

[Translated article] Randomized clinical trial on the usefulness of 3D printing in intra-articular fractures of the distal radius 3D打印在远端骨内骨折中的效用随机临床试验。

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2025-03-01 DOI: 10.1016/j.recot.2024.12.002

P.Á. Sebastián Giraldo , M. Elvira Soler , A. Fernández Kang , F. Martínez Martínez , A. García López

{"title":"[Translated article] Randomized clinical trial on the usefulness of 3D printing in intra-articular fractures of the distal radius","authors":"P.Á. Sebastián Giraldo , M. Elvira Soler , A. Fernández Kang , F. Martínez Martínez , A. García López","doi":"10.1016/j.recot.2024.12.002","DOIUrl":"10.1016/j.recot.2024.12.002","url":null,"abstract":"<div><h3>Objectives</h3><div>We evaluated the utility of 3D printing technology for preoperative planning in the treatment of intra-articular fractures of the distal radius in relation to the improvement of surgical technique, radiological and clinical results.</div></div><div><h3>Material and methods</h3><div>A total of 30 patients with 2B and C fractures of the AO classification were operated on by a single surgeon with a volar plate, randomly divided into two groups, 15 of them with conventional planning (Rx and CT) and 15 adding a 3D model of the fracture and the previous simulation of the intervention. Simulation time, surgical time in minutes, radioscopy time in minutes, loss of material expressed in lost screws were recorded. Clinical evaluation based PRWE questionnaire and full radiographic analysis was done for all patients with a mean follow-up of 6 months by an independent, blinded observed.</div></div><div><h3>Results</h3><div>No statistically significant differences were observed in the PRWE questionnaire (<em>p</em>  =0.028), which represents statistical significance, but in both groups the median was of 0.0 (0.0–0.0). We also did not see statistically significant differences in surgical times (<em>p</em>  =0.819) or in the loss of synthesis material (<em>p</em>  <!-->0.779).</div></div><div><h3>Conclusions</h3><div>3D printing has not improved the parameters studied in relation to routinely operated patients.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 2","pages":"Pages T199-T205"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802659","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}

引用次数: 0

Rivaroxaban frente a enoxaparina como tromboprofilaxis en cirugía ortopédica y traumatología: un metaanálisis 利伐沙班与依诺肝素在骨科手术中预防血栓形成的比较：系统综述和荟萃分析。

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2025-03-01 DOI: 10.1016/j.recot.2023.09.005

O. Abad Vélaz, I. Carbonel Bueno

{"title":"Rivaroxaban frente a enoxaparina como tromboprofilaxis en cirugía ortopédica y traumatología: un metaanálisis","authors":"O. Abad Vélaz, I. Carbonel Bueno","doi":"10.1016/j.recot.2023.09.005","DOIUrl":"10.1016/j.recot.2023.09.005","url":null,"abstract":"<div><h3>Introduction</h3><div>Venous thromboembolism is highly associated with orthopedic surgery, so thromboprophylaxis is an important consideration for orthopedic surgeons. The new oral anticoagulants have clear advantages for clinical practice.</div></div><div><h3>Objectives</h3><div>To analyze the efficacy and safety of rivaroxaban versus enoxaparin for thromboprophylaxis in different orthopedic surgeries.</div></div><div><h3>Material and Methods</h3><div>Systematic electronic search of clinical trials was carried out. Data extraction of efficacy outcomes (deep venous thrombosis, pulmonary embolism and death) and safety outcomes (major bleeding and clinical relevant bleeding) was realized.</div></div><div><h3>Results</h3><div>Six randomized and controlled clinical trials were included in this meta-analysis. Compared with enoxaparin the risk of venous thromboembolism was lower with rivaroxaban both in different orthopedic surgeries (RR: 0.51; 95% CI: 0.36-0.73; <em>P</em>=.0002). This result was even better and more homogeneous in the analysis of symptomatic deep venous thrombosis outcome (RR: 0.43; 95% CI: 0.28-0.65; <em>P</em><.0001; <em>I</em><sup>2</sup>  <!-->0%; <em>P</em>=.49). The risk of bleeding was not significantly higher with rivaroxaban (RR: 1.20; 95% CI: 0.97-1.49; <em>P</em>=.09).</div></div><div><h3>Conclusions</h3><div>Rivaroxaban should be considerate such as a more effective alternative for thromboprophylaxis in orthopedic surgery.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 2","pages":"Pages 210-220"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41169060","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}

引用次数: 0

Necrológica del profesor Antonio Herrera Rodríguez 纪念安东尼奥-埃雷拉-罗德里格斯教授。

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2025-03-01 DOI: 10.1016/j.recot.2024.02.004

J. Albareda Albareda

引用次数: 0

[Translated article] Subchondral bone damage has no influence in 12-week clinical outcome in patients with knee osteoarthritis treated with intraarticular platelet-rich plasma: A retrospective study 一项回顾性研究：接受膝关节内富血小板血浆治疗的膝关节下骨损伤不影响12周后的临床结果。

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2025-03-01 DOI: 10.1016/j.recot.2024.11.020

R. Escribano Rey

{"title":"[Translated article] Subchondral bone damage has no influence in 12-week clinical outcome in patients with knee osteoarthritis treated with intraarticular platelet-rich plasma: A retrospective study","authors":"R. Escribano Rey","doi":"10.1016/j.recot.2024.11.020","DOIUrl":"10.1016/j.recot.2024.11.020","url":null,"abstract":"<div><h3>Objective</h3><div>To determine if subchondral bone damage can influence the clinical results of intraarticular platelet-rich-plasma (PRP) treatment in knee osteoarthritic patients.</div></div><div><h3>Material and methods</h3><div>A retrospective review of patients treated with intraarticular PRP injections for knee osteoarthritis who previously underwent a magnetic resonance (MR) of the knee was performed. Visual Analogic Score (VAS) was assessed for pain, whereas WORMS MR score was adapted to assess the damage to the subchondral bone (WORMSsc score).</div></div><div><h3>Results</h3><div>Sixty-one patients were treated with 3 weekly injections of PRP. Mean VAS reduction was 27.67±13.13 points (<em>p</em>    =.43; <em>p</em>  <!-->.005).</div></div><div><h3>Conclusion</h3><div>There is no correlation between the damage to the subchondral bone assessed by MR and pain relief at 12 weeks in patients treated with intraarticular platelet-rich plasma in patients with knee osteoarthritis. A greater damage to the subchondral bone could be associated with more pain.</div></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"69 2","pages":"Pages T183-T189"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773360","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}

引用次数: 0