Malaysian Orthopaedic Journal最新文献_第6页

Radiographical Assessment of Injectable Calcium Phosphate Bone Cement (Osteopaste) in Critical Size Bone Defects of Rabbit's Tibia Model. 可注射磷酸钙骨水泥（骨糊）治疗兔胫骨模型临界骨缺损的影像学评价。

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Malaysian Orthopaedic Journal Pub Date : 2025-07-01 DOI: 10.5704/MOJ.2507.005

Cnz Che-Seman, Z Zakaria, Z Buyong, A R Md-Ralib, M A Sharifudin, N H Mohd-Jan

{"title":"Radiographical Assessment of Injectable Calcium Phosphate Bone Cement (Osteopaste) in Critical Size Bone Defects of Rabbit's Tibia Model.","authors":"Cnz Che-Seman, Z Zakaria, Z Buyong, A R Md-Ralib, M A Sharifudin, N H Mohd-Jan","doi":"10.5704/MOJ.2507.005","DOIUrl":"10.5704/MOJ.2507.005","url":null,"abstract":"Introduction: Recent advances in orthopaedic research focus on improving bone healing and grafting. Osteopaste, a synthetic bone cement made from tetra-calcium phosphate (TTCP) and tri-calcium phosphate (TCP) has been developed to overcome limitations of traditional bone grafts. This study evaluates the radiographic density and new bone formation to bridge the critical size defect of Osteopaste compared to two other synthetic grafts, JectOS (calcium phosphate) and MIIG-X3 (calcium sulfate) at 6, 12, and 24 weeks.Materials and methods: A critical size defect measuring approximately 4.5mm (width) x 9.0mm (length) was surgically created at the proximal tibial metaphysis and implanted with Osteopaste, JectOS, or MIIG-X3. Following cement implantation, surrounding soft tissues were repositioned and sutured with bioabsorbable surgical suture. Bone defect healing and cement density were qualitatively and quantitatively evaluated using plain radiographs and computed tomography (CT) scans at 6, 12, and 24 weeks.Results: The Osteopaste group showed radiographic density levels between those of JectOS and MIIG-X3. JectOS had the highest density, while Osteopaste was higher than MIIG-X3. In the Osteopaste group, new bone formation bridged the critical size defect by 12 weeks, but no bridging occurred in the other two groups at any time point. Statistical analysis showed significant differences in mean density among the groups at 6, 12, and 24 weeks (P<0.0001).Conclusion: Osteopaste effectively promotes new bone formation. Its performance falls between that of JectOS, which has the highest density, and MIIG-X3. These results suggest that Osteopaste could be a useful alternative for bone grafting.","PeriodicalId":45241,"journal":{"name":"Malaysian Orthopaedic Journal","volume":"19 2","pages":"31-39"},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12368458/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972938","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

Hamartoma of the Finger: A Case Report. 手指错构瘤1例报告。

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Malaysian Orthopaedic Journal Pub Date : 2025-07-01 DOI: 10.5704/MOJ.2507.019

Snt Alsagoff, C H Lim, Ezf Soh, S Abdullah, J Sapuan

引用次数: 0

Does the Reliability and Accuracy of the Judet and Letournel Classification System for Acetabular Fractures Increase using a Novel Algorithm? 一种新的算法是否提高了Judet和Letournel分类系统对髋臼骨折的可靠性和准确性？

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Malaysian Orthopaedic Journal Pub Date : 2025-07-01 DOI: 10.5704/MOJ.2507.008

G Jain, R Datt, S Lenka, G Vadivelu, A Krishna, A Mahmood

{"title":"Does the Reliability and Accuracy of the Judet and Letournel Classification System for Acetabular Fractures Increase using a Novel Algorithm?","authors":"G Jain, R Datt, S Lenka, G Vadivelu, A Krishna, A Mahmood","doi":"10.5704/MOJ.2507.008","DOIUrl":"10.5704/MOJ.2507.008","url":null,"abstract":"Introduction: We have devised an algorithm to assist classifying acetabulum fractures using plain radiographs. This study aimed to test if the accuracy and reliability of fracture classification increases using our algorithm in resident doctors.Materials and methods: Seventy-two residents of eight tertiary care institutes took part in our survey. These residents were divided into three groups, Groups A, B, and C, with 31, 20, and 21 residents, respectively. Two different Collections (1 and 2) containing radiographs of twenty patients each, with known classification from CT and intra-operative findings, were prepared. Collection 1 radiographs were given to Group A and B, and Collection 2 radiographs were given to Group C. Group A residents were asked to classify the fractures using our algorithm, and Group B and C residents were asked to classify the fractures according to their understanding. Intra-observer and interobserver reliability were estimated.Results: A total of 1411 unique responses were made. The accuracy of group A, B, and C residents was 53.8%, 34.9% and 28.3%, respectively (p-value 0.001). The interobserver reliability for fracture classification was fair with an algorithm (κ = 0.32) and slight without an algorithm. The intra-observer reliability among five observers was moderate (κ = 0.43).Conclusion: Our algorithm improves the accuracy and reliability for classifying acetabular fractures according to the Judet-Letournel classification for resident doctors with two to four years of experience.","PeriodicalId":45241,"journal":{"name":"Malaysian Orthopaedic Journal","volume":"19 2","pages":"57-65"},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12368443/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973369","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

Impact of Graft Tunnel Placement on Short-Term Clinical Outcome Following Anterior Cruciate Ligament Reconstruction. 前交叉韧带重建术后移植物隧道置入对近期临床结果的影响。

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Malaysian Orthopaedic Journal Pub Date : 2025-07-01 DOI: 10.5704/MOJ.2507.006

M Rogger, O Al-Dadah

{"title":"Impact of Graft Tunnel Placement on Short-Term Clinical Outcome Following Anterior Cruciate Ligament Reconstruction.","authors":"M Rogger, O Al-Dadah","doi":"10.5704/MOJ.2507.006","DOIUrl":"10.5704/MOJ.2507.006","url":null,"abstract":"Introduction: Anterior cruciate ligament (ACL) tears are a common musculoskeletal injury often requiring anterior cruciate ligament reconstruction (ACLR). Many factors are thought to influence patient outcome and determining the extent can allow for optimisation of patient care. One of these factors is graft tunnel placement, both femoral and tibial. The aim of this study was to investigate whether graft tunnel placement influences clinical outcome following ACLR.Materials and methods: The patient responses from six patient-reported outcome measures (PROM) at initial presentation and one year following ACLR, as well as demographic data at presentation, were collected. Graft tunnel placement was evaluated using 10 validated radiological measurements on antero-posterior and lateral radiographs following surgery.Results: A total of 45 patients were included in the study. There was a significant longitudinal improvement (p<0.001) for almost all PROM scores when comparing pre-operative to post-operative results. Overall, no significant correlation was demonstrated between graft tunnel placement and PROM scores, except for a weak association between femoral tunnel positioning on lateral view radiographs and the overall Knee injury and Osteoarthritis Outcome Score (rho=0.37, p=0.038) and the Lysholm score (rho=0.36, p=0.034) and also tibial tunnel placement on lateral view radiographs and the EQ-5D VAS score (rho=0.37, p=0.037).Conclusion: ACLR is a clinically successful treatment strategy for patients with symptomatic ACL tears. Graft tunnel positioning does not generally affect clinical outcomes, although there may be a weak association with femoral tunnel positioning on lateral radiographs.","PeriodicalId":45241,"journal":{"name":"Malaysian Orthopaedic Journal","volume":"19 2","pages":"40-49"},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12368448/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973396","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

Biomechanical Evaluation of Flexor Tendon Repair: Double Loop Technique with Epitendinous Suture. 屈肌腱修复的生物力学评价：双环技术与外延缝合。

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Malaysian Orthopaedic Journal Pub Date : 2025-07-01 DOI: 10.5704/MOJ.2507.001

A N Sadagatullah, S Raghu, M Paiman, S Ismail, M H Jusoh

{"title":"Biomechanical Evaluation of Flexor Tendon Repair: Double Loop Technique with Epitendinous Suture.","authors":"A N Sadagatullah, S Raghu, M Paiman, S Ismail, M H Jusoh","doi":"10.5704/MOJ.2507.001","DOIUrl":"10.5704/MOJ.2507.001","url":null,"abstract":"Introduction: There are various methods used to repair lacerated tendons. The minimum requirement for the best results and lowest rupture rate is the four-strand repair technique. The cruciate type of repair is among the most popular methods available but is very technical and requires expertise. An easier two-double-loop method for tendon healing is suggested in this study. This study assessed the biomechanical properties of two well-known tendon repair techniques-the modified Kessler and cruciate approaches-and two lesser-known double-loop techniques for tensile strength, stiffness, and failure mode.Materials and methods: Twenty-four adult chickens' Achilles tendons were randomly divided into three groups and sutured with a four-strand core suture using the four-strand modified Kessler technique, the four-strand cruciate technique, and the two-double-loop approach. Twenty-four more adult chicken Achilles tendons were acquired, and they were randomly assigned to the same three groups along with an extra running epitendinous repair. A synthetic, non-absorbable monofilament polypropylene suture was used for all repairs.Results: The four-strand modified Kessler, and the four-strand cruciate procedures had the lowest mean ultimate tensile strength, whereas the two double-loop techniques had the strongest. The results were dramatically impacted by using an epitendinous suture during test analysis.Conclusion: The strongest and comparatively less technically complex technique used in this investigation was the two-double-loop, four-strand core suture method. The significance of the extra strength that the epitendinous suture gave was clear. Using this in a clinical setting is recommended for hand flexor tendon injuries.","PeriodicalId":45241,"journal":{"name":"Malaysian Orthopaedic Journal","volume":"19 2","pages":"1-8"},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12368454/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973398","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

Experience in Managing a Complex Case of Infected Achilles Tendon Rupture with Segmental Loss: A Case Report. 处理感染性跟腱断裂伴节段性丧失的复杂病例的经验：1例报告。

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Malaysian Orthopaedic Journal Pub Date : 2025-07-01 DOI: 10.5704/MOJ.2507.017

M S Ahmad-Ismani, J S Chong, M A Hj-Salleh, Mas Ayeop, A Che-Ahmad

引用次数: 0

Clinical and Functional Outcomes of Ilizarov Bone Transport in Traumatic Tibial Bone Loss. Ilizarov骨转运治疗外伤性胫骨骨丢失的临床和功能结果。

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Malaysian Orthopaedic Journal Pub Date : 2025-07-01 DOI: 10.5704/MOJ.2507.012

N Mohd-Yusof, R Y Kow, A F Sulong, R M Nallayan, M A Zainal-Abidin

{"title":"Clinical and Functional Outcomes of Ilizarov Bone Transport in Traumatic Tibial Bone Loss.","authors":"N Mohd-Yusof, R Y Kow, A F Sulong, R M Nallayan, M A Zainal-Abidin","doi":"10.5704/MOJ.2507.012","DOIUrl":"10.5704/MOJ.2507.012","url":null,"abstract":"Introduction: Bone loss is a serious complication following an open fracture or fracture-related infection in the tibia. Treatment with Ilizarov bone transport in this condition is preferred because it minimises additional soft tissue injury and is able to close the bone and soft tissue defects through distraction osteogenesis. The objective of this study is to evaluate the relationship between functional outcomes of patients with tibial bone loss treated with Ilizarov bone transport and return to work.Materials and methods: A cross-sectional study among 40 patients was carried out in 2 public hospitals. Patient records and radiographs were reviewed for information on the initial injuries, treatment, union of bone, and complications while on treatment. The clinical outcomes were evaluated with ASAMI Bone grading system while the functional outcome of the affected limb was assessed using Lower Extremity Score (LEFS) and ASAMI Functional grading system at least 10 months after the removal of the Ilizarov external fixator.Results: Thirty-eight (95%) achieved union. Thirty-six (90.0%) patients had excellent and good scores for clinical and functional results, respectively using the ASAMI grading system. The mean LEFS is 80.1% (range 58 to 91%). Thirty-three (82.5%) patients were able to return to work. The clinical outcome has a strong and positive correlation with functional outcome both on ASAMI functional score and LEFS (p<0.001). Patients with good and excellent ASAMI functional scores significantly correlate with higher odds to return to work (p<0.001). Return to work was also associated with a higher LEFS score (p=0.006).Conclusion: Most patients with tibial non-union treated with Ilizarov bone transport have good and excellent clinical and functional outcomes and are able to return to work. Return to work significantly correlates with good functional outcomes.","PeriodicalId":45241,"journal":{"name":"Malaysian Orthopaedic Journal","volume":"19 2","pages":"91-98"},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12368440/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973432","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

Proximal Femoral Morphology in Development Dysplasia of the Hip Based on Three-Dimensional (3D) Analysis. 基于三维（3D）分析的髋关节发育不良的股骨近端形态。

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Malaysian Orthopaedic Journal Pub Date : 2025-07-01 DOI: 10.5704/MOJ.2507.014

T Tachibana, H Katagiri, T Ogawa, K Miyatake, R Takada, T Jinno

{"title":"Proximal Femoral Morphology in Development Dysplasia of the Hip Based on Three-Dimensional (3D) Analysis.","authors":"T Tachibana, H Katagiri, T Ogawa, K Miyatake, R Takada, T Jinno","doi":"10.5704/MOJ.2507.014","DOIUrl":"10.5704/MOJ.2507.014","url":null,"abstract":"Introduction: Surgeons performing periacetabular osteotomy (PAO) should account for proximal femoral morphology to prevent secondary femoroacetabular impingement. Herein, we aimed to clarify proximal femoral morphology in patients with developmental dysplasia of the hip (DDH).Materials and methods: This retrospective study included 57 patients with DDH (77 hips) who underwent PAO (DDH group). The control group comprised 30 patients (30 hips) with unilateral femoral head necrosis and contralateral unaffected hips (healthy hips). Coronal planes were created parallel to the femoral neck axis based on three-dimensional image analysis of hip computed tomography images. Coronal slices were obtained using clockwise rotation around the femoral neck axis in 15° increments, creating seven positions for measuring alpha (α)-angles. The superior and anterior directions were defined as 12 o'clock and 3 o'clock, respectively. Cam deformity was defined as an α-angle ≥60°. Outcome measurements were the α-angles of seven slices, cam deformity, and correlations between the maximum value of the α-angles and related factors.Results: α-Angles were greater in the superior direction in the control than in the DDH group; conversely, they were greater in the anterior direction in the DDH than in the control group. The DDH group had more cam deformities than the control group. Cam deformities were more superior (12:30 to 1:00) in the control group, and more anterior (2:00 to 3:00) in the DDH group. Maximum α-angles in the DDH group correlated with superior acetabular coverage.Conclusion: Surgeons should carefully consider acetabular version during PAO and avoid acetabular retroversion in cases with cam deformities.","PeriodicalId":45241,"journal":{"name":"Malaysian Orthopaedic Journal","volume":"19 2","pages":"108-116"},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12368459/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972923","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

Arthroscopic Osteochondral Autograft Transplantation (OAT) in Patients with Focal Osteochondral/Chondral Lesions of the Knee Mid-Term Clinical Outcome. 关节镜下自体骨软骨移植（OAT）治疗膝关节局灶性骨软骨/软骨病变中期临床结果

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Malaysian Orthopaedic Journal Pub Date : 2025-07-01 DOI: 10.5704/MOJ.2507.004

N Mehta, J Kumar, A Chopra, A Goyal, D Joshi

{"title":"Arthroscopic Osteochondral Autograft Transplantation (OAT) in Patients with Focal Osteochondral/Chondral Lesions of the Knee Mid-Term Clinical Outcome.","authors":"N Mehta, J Kumar, A Chopra, A Goyal, D Joshi","doi":"10.5704/MOJ.2507.004","DOIUrl":"10.5704/MOJ.2507.004","url":null,"abstract":"Introduction: Articular cartilage has limited healing potential as it is a hypocellular and avascular structure, hence it is to manage articular cartilage defects. The arthroscopic osteochondral autograft transplantation procedure is minimally invasive and cosmetically acceptable procedure to manage cartilage defects.Materials and methods: This is a prospective study extending from 2018 to 2023 done at Sports Injury Center, New Delhi involving 36 patients with focal full-thickness chondral/osteochondral defect, age <45 were included. Global Chondral change, Multi ligamentous injuries, varus or valgus malalignment, kissing lesion and defect > 20mm were excluded. The osteochondral lesion was debrided down till healthy cartilage margins, donor graft was harvested from the non-weight-bearing area of the MFC. Lysholm score was used to assess functional outcome.Results: Median age 35 years (range 20 - 44 years). A total of 51% of the patients were aged between 31 and 40 years (n=18). Male to female ratio was 3.37:1. The median defect size was 8mm (range 7-10mm). There was a gradual improvement in knee-specific symptoms with time. There was a significant increase in Lysholm score with time (p<0.0001).Conclusion: The OATS procedure is a reliable, reproducible method and its results are encouraging with early mid-term follow-up; however, a long-term follow-up study is required to ascertain the validation of OATS procedure for preventing degenerative arthritis in patients with osteochondral injuries of the knee.","PeriodicalId":45241,"journal":{"name":"Malaysian Orthopaedic Journal","volume":"19 2","pages":"25-30"},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12368451/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973418","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

A Risk Profile Calculator for Anterior Cruciate Ligament (ACL) Reconstruction Surgery using a Novel Scoring System: The Multi-factorial ACL Target Score (MATS) Score. 使用新颖评分系统的前交叉韧带（ACL）重建手术风险评估计算器：多因子ACL目标评分（MATS）评分。

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Malaysian Orthopaedic Journal Pub Date : 2025-07-01 DOI: 10.5704/MOJ.2507.009

M Arora, T Shukla

{"title":"A Risk Profile Calculator for Anterior Cruciate Ligament (ACL) Reconstruction Surgery using a Novel Scoring System: The Multi-factorial ACL Target Score (MATS) Score.","authors":"M Arora, T Shukla","doi":"10.5704/MOJ.2507.009","DOIUrl":"10.5704/MOJ.2507.009","url":null,"abstract":"Introduction: Anterior cruciate ligament (ACL) surgeries are among the most common orthopaedic surgeries performed globally. The quoted failure rates of ACL surgery are approximately 10-15%, which is unacceptably high. The likely cause of failure is multi-factorial and the ability to predict a high-risk patient pre-operatively will allow surgeons to be better decision makers. The aim of the present study was to assess risk factors for failure and develop a score to help predict failure in ACLR.Materials and methods: A retrospective case-control study (n=112 patients) was carried out over a period of two years at a tertiary referral centre. Patients with ACLR failure were grouped into Group 1 (n=56) and patients with a successful ACLR at one year follow-up with no objective or subjective instability AND return to sport were age matched to group 2 (n=56). Risk factor regression analysis was carried out to develop a scoring system (MATS score) and ROC curve analysis was used to generate a cut-off score to predict failure risk.Results: The frequency mapping data showed a high level of prevalence of risk factors in the test group versus the control group. We found an average MATS score of 4.1 in the control group versus 5.9 in the test group. ROC curve analysis showed that a cut off value of 5.5 may be taken with a good sensitivity and specificity, and good inter-observer reliability.Conclusion: Based on our assessment of risk factors in the study population we developed the MATS score to aid in clinical decision making. Patients with a score of less than or equal to 5 can be classified as low risk of failure. Patients with a score of 6 or more are considered high risk for ACLR failure.","PeriodicalId":45241,"journal":{"name":"Malaysian Orthopaedic Journal","volume":"19 2","pages":"66-72"},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12368447/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973423","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