Archives of Bone and Joint Surgery-ABJS最新文献

{"title":"Repeat Revision Anterior Cruciate Ligament Reconstruction Remains a Challenge for Orthopedic Surgeons.","authors":"E Carlos Rodriguez-Merchan","doi":"10.22038/ABJS.2024.76809.3549","DOIUrl":"10.22038/ABJS.2024.76809.3549","url":null,"abstract":"<p><p>The re-revision of anterior cruciate ligament reconstruction (ACLR) can be contemplated a secure and efficacious surgical technique with good results, whether it is performed in one-stage or two-stages or is performed with autograft or allograft. With regard to the surgical technique, there is no evidence that performing ACLR in one stage is superior to performing it in two stages. With respect to graft choice, allograft is the most chosen, and the allograft most frequently utilized is the Achilles tendon. However, the best graft to use for re-revision is not yet known. For revision ACLR orthopedic surgeons have to contemplate the amendment of an outrageous posterior tibial slope, especially after having failed two or more consecutive interventions. The potential benefit of combining ACLR with an anterolateral ligament reconstruction is to achieve greater rotational stability. It will diminish both the elevated failure percentages observed specifically in young individuals and increasing osteoarthritic changes encountered following sole ACLR.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 2","pages":"114-118"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11836797/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469558","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 Persian Version of Constant-murley Score in Patients with Rotator Cuff Tears: Reliability and Validity.","authors":"Arash Farbood, Sanaz Jowkar, Mehrdad Askarian, Omidreza Momenzadeh, Zahra Shayan, Afshin Zare","doi":"10.22038/ABJS.2024.73893.3453","DOIUrl":"10.22038/ABJS.2024.73893.3453","url":null,"abstract":"<p><strong>Objectives: </strong>Shoulder pain is a prevalent reason in orthopedic clinic patients, with rotator cuff disorders being the most common cause. The Constant-murley Score (CMS) questionnaire is a practical and reliable tool for the assessment of shoulder joint function.</p><p><strong>Methods: </strong>The CMS questionnaire was translated into Persian and completed by 57 patients with persistent shoulder pain due to rotator cuff tears (case group) and 50 healthy controls. The case group refilled the questionnaire after 7-10 days without receiving any special treatment. The reliability and validity of the questionnaire were measured via the test-retest method and known-groups validity with the t-test, respectively. The intraclass correlation coefficient (ICC) was calculated to estimate the agreement as a measure of test-retest reliability.</p><p><strong>Results: </strong>The mean ages of the case (51.8±14.2) and control groups (52.0±10.0) were similar (P=0.94). No significant difference was found between the groups regarding co-existing clinical conditions (P=0.74). The mean CMS values of the case and control groups were 46.2 (±22.3) and 87.4 (±5.7), respectively, showing a statistically significant difference (P<0.001). Moreover, the ICC was 0.95.</p><p><strong>Conclusion: </strong>The findings indicated that the Persian version of the CMS questionnaire was reliable (ICC=0.95) and valid (P<0.001) for the assessment of shoulder pain and functional status in the Southern Iranian population with rotator cuff tear disorders.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 2","pages":"75-81"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11836801/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469559","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":"A Novel Mini External Fixation Technique versus Percutaneous Pinning in the Treatment of Phalanx Fracture in Hand.","authors":"Parviz Ahangar, Mostafa Shahrezaee, Reza Shahryar Kamrani, Shamim Fattah Hesari, Seyed Shahabeddin Banihashemian, Soosan Alimohammadzadeh Taher","doi":"10.22038/ABJS.2024.74859.3484","DOIUrl":"10.22038/ABJS.2024.74859.3484","url":null,"abstract":"<p><strong>Objectives: </strong>Hand fracture is one of the most common fractures in the skeletal system. The present study aimed to introduce a newly designed external fixator and assess the results of treatment of patients with unstable and complex fractures of the proximal and middle phalanges of the fingers with two treatment methods: \"fixation with percutaneous pins (PCP) + splint\" and \"fixation with mini external fixator.</p><p><strong>Methods: </strong>In this prospective cohort study, patients with acute unstable and complex fractures of the proximal and middle phalanges of the second to fifth fingers were treated with two treatment methods, including \"fixation with PCP + splint\" and \"the use of mini external fixator.\" At the final follow-up visit, union, pain, function, finger range of motion (ROM), and possible complications were considered.</p><p><strong>Results: </strong>Among 52 patients included in the study, 33 cases were treated with a mini external fixator, and 19 patients underwent fixation with PCP and splint. All patients in both groups had a union, and none of them complained of pain during the final visit. Functional outcomes were good, and there was no statistically significant difference between the two groups. The mini external fixator group had a significantly greater finger ROM (P=0.012), with a lower number of physiotherapy sessions (P=0.018). Moreover, patients returned to work more promptly (P=0.012).</p><p><strong>Conclusion: </strong>The treatment of unstable finger fractures with a mini external fixator had three advantages: the possibility of early initiation of finger movement and improvement of finger ROM, the need for fewer physical therapy sessions, and early return to work. It can be an effective treatment option for unstable and complex finger fractures.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 7","pages":"414-419"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12335198/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144817875","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":"3D Printed Models of Periarticular Fractures of the Shoulder and Elbow Improve Surgical Decision Making in Orthopedic Trainees.","authors":"Pedro Beredjiklian, Brianna Fram, Jason Core, Joshua I Ng, Robert Pugliese, Stephanie A Kwan, Michael Rivlin","doi":"10.22038/ABJS.2024.81232.3707","DOIUrl":"10.22038/ABJS.2024.81232.3707","url":null,"abstract":"<p><strong>Objectives: </strong>Periarticular fractures of the shoulder and elbow are spatially complex injuries that may be challenging to interpret on radiographs and advanced imaging. As three-dimensional (3D) printing technology has become less expensive and more available, 3D printed fracture models have gained attention for use in surgical preparation. In this study, we evaluated the effects of 3D printed fracture models on orthopedic trainee surgical planning and injury understanding for injuries of the shoulder and elbow.</p><p><strong>Methods: </strong>Models of periarticular fractures of the shoulder and elbow were manufactured by 3D printing at the medical school design lab. Eleven Orthopedic trainees viewed X-rays and computed tomography (CT) scans for each injury, and completed a preoperative questionnaires. They were then given access to the 3D model of each injury, in addition to the previously viewed imaging. They again completed a preoperative plan and questionnaire. Preoperative plans were graded for feasibility by a preestablished template. Results were compared for each participant with and without the 3D models.</p><p><strong>Results: </strong>Within all trainees and fractures, trainees were more likely to have feasible preoperative plans when given a 3D model, compared to access to x-rays and CT scans alone (74% vs. 62%). In all cases where preoperative plans were changed after handling the 3D models (46/77 changed, 60%), they stayed static or improved in feasibility. Participants reported significantly improved understanding of injury anatomy (P<0.0001), increased confidence in choosing operative positioning and surgical approaches (P<0.0001), desired implants (P=0.011), and better conceptualization of how to perform fracture reduction (P=0.0038).</p><p><strong>Conclusion: </strong>Orthopedic trainees benefit from 3D printed fracture models when performing preoperative planning of complex periarticular shoulder and elbow injuries. Given the rarity and difficulty of these injuries, use of this technology could allow for shortened learning curves and improved surgical results in the field of orthopedic fracture care.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 6","pages":"337-344"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12238857/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609923","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":"Helical, Spring and Curled Nano/Micro Fibrous Structures for Tissue Engineering Application.","authors":"Mohammad H Ebrahimzadeh, Afsaneh Jahani, Ali Moradi, Davod Mohebbi-Kalhori","doi":"10.22038/ABJS.2025.80254.3663","DOIUrl":"10.22038/ABJS.2025.80254.3663","url":null,"abstract":"<p><p>Over the past few decades, the engineering of helical, spring, curled, and hierarchically structured nano/microfibers has attracted considerable attention due to their unique characteristics and potential applications in tissue engineering and various industrial fields. Understanding the parameters and processes involved in the fabrication of these fibers is essential. This comprehensive review outlines recent advancements in research on helical nano/microfibers, focusing on processing techniques, fiber structure, and property characterization, and their applications in fields such as tissue engineering and regenerative medicine. The study also investigates the mechanical and hydrodynamic parameters that influence the fabrication of helical fibers using contemporary techniques. It highlights that helical structures form when electric and elastic forces are balanced due to non-uniform electric fields. The coaxial electrospinning technique, along with the use of polymers with varying elastic and conductive properties, plays a crucial role in producing these structures. The distinctive properties of helical nanofibers, such as their mechanical strength, high porosity, biocompatibility, and ability to promote cellular activities, make them promising candidates for developing scaffolds in bone tissue engineering.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 6","pages":"323-336"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12238862/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609927","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":"Secondary Ulnar Nerve Reconstruction of High Ulnar Nerve Injuries: A Comparative Study of Sural Grafting and Anterior Interosseous Nerve Transfer.","authors":"Ali Dehghan Marvast, Mohsen Aliakbari, Amir Mohammad Monzavi, Ashkan Salehi, Mohammad Shahsavan","doi":"10.22038/ABJS.2024.83645.3806","DOIUrl":"10.22038/ABJS.2024.83645.3806","url":null,"abstract":"<p><strong>Objectives: </strong>High ulnar nerve injuries often cause severe functional impairment, and the best secondary repair method remains debated. This study compared the effectiveness of sural nerve grafting and anterior interosseous nerve (AIN) transfer following failed primary ulnar nerve repairs.</p><p><strong>Methods: </strong>This retrospective cohort study included 42 patients with isolated high ulnar nerve injuries who required secondary surgical intervention. Patients were allocated to either the sural nerve grafting (n = 23) or AIN transfer (n = 19) group based on predefined clinical criteria. Motor and sensory functions were assessed using the British Medical Research Council (BMRC) grading system and a two-point discrimination (2PD) test. Grip and pinch strength were measured, and functional recovery was evaluated using the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire.</p><p><strong>Results: </strong>The AIN transfer group exhibited significantly superior motor recovery, with 68.5% of patients achieving BMRC grades M4-M5, compared to only 17.4% in the sural grafting group (P = 0.03). Sensory recovery was also markedly better in the AIN group, with a higher proportion of patients reaching BMRC sensory grades S3-S4 (P = 0.04). Additionally, the AIN transfer group demonstrated significantly greater grip strength (30.1 ± 6.1 kg vs. 24.3 ± 5.2 kg; P = 0.03) and pinch strength (7.2 ± 1.5 kg vs. 5.8 ± 1.3 kg; P = 0.04). Improvement in DASH scores was more substantial in the AIN group (-26.6 ± 5.7 vs. -14.6 ± 4.3; P = 0.02), indicating better functional recovery. Although the AIN group showed a trend toward improved 2PD, the difference was not statistically significant (P = 0.18).</p><p><strong>Conclusion: </strong>AIN transfer provides superior outcomes compared to sural nerve grafting for the secondary repair of high ulnar nerve injuries, demonstrating significantly enhanced motor and sensory recovery, grip and pinch strength, and overall functional improvement.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 6","pages":"349-358"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12238858/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609931","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":"Carpal Tunnel Syndrome in Surgically Treated Wrists with Kienböck Disease.","authors":"Ahmadreza Afshar, Farnaz Narimanian, Ali Tabrizi","doi":"10.22038/ABJS.2024.83843.3814","DOIUrl":"10.22038/ABJS.2024.83843.3814","url":null,"abstract":"<p><strong>Objectives: </strong>We hypothesized that the prevalence of carpal tunnel syndrome (CTS) in wrists with surgically treated Kienböck disease does not differ from its prevalence in the general population.</p><p><strong>Methods: </strong>This cross sectional study investigated 53 patients (25 males and 28 females) with surgically treated Kienböck disease for clinical and electrophysiological CTS. The mean age of the patients was 37±11 years (SD), and the mean interval between treatment and this study was 64±9 months (SE). Among these cases, 29 involved the right wrist and 24 involved the left wrist. Based on the Lichtman staging system, there were 17 stage II cases, 18 stage IIIA cases, 15 stage IIIB cases, and 3 stage IV cases. Surgical interventions included radial shortening osteotomy with plate and screw fixation in 38 patients, capitate shortening osteotomy in 12 patients, vascularized bone graft in 2 patients, and wrist arthrodesis in one patient.</p><p><strong>Results: </strong>Five patients (9.4 %) had clinically and electrophysiologically confirmed CTS; all of whom were housewives, aged between 24 and 60 years. Two of these patients were explicitly treated for CTS in the Kienböck disease affected wrist.</p><p><strong>Conclusion: </strong>The prevalence of CTS in the wrists Kienböck disease was higher than 3-4% prevalence reported in the general population. These findings suggest a potential relationship between the two conditions rather than a coincidental occurrence within a similar population.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 5","pages":"266-270"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12232568/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592598","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 Role of Intraarticular Injections of Hyaluronic Acid and Platelet Rich Plasma for the Treatment of Articular Pain in Knee Osteoarthritis.","authors":"E Carlos Rodriguez-Merchan, Hortensia De la Corte-Rodriguez","doi":"10.22038/ABJS.2024.78852.3621","DOIUrl":"10.22038/ABJS.2024.78852.3621","url":null,"abstract":"<p><p>The purpose of this in brief article was to determine the current role of intraarticular injections of hyaluronic acid (HA) and platelet-rich plasma (PRP) for the treatment of painful KOA. It has been reported that the average duration of effectiveness (pain relief) of one injection of extended-release HA is around one year. Kellgren-Lawrence grade (I-II versus III-IV), male gender, and older age are associated with a longer duration of effectiveness. Cartilage degeneration might be improved with a higher number of injections of HA. Intraarticular injections of HA alleviate pain, function, and diminish non-steroidal anti-inflammatory drugs (NSAIDs) consumption. In addition, several studies have indicated that the combination of HA and PRP is more effective than HA alone. Finally, other studies seemed to demonstrate that PRP was more effective than HA.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 1","pages":"54-61"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11776379/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068824","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":"Bibliometric Analysis of Outpatient Hip and Knee Arthroplasty Research Evolution.","authors":"Marc Boutros, Fong H Nham, Matthew P Corsi, Maroun Aoun, Jhonny Lopez, Eliana Kassis, Mohammad Daher, Mouhanad M El-Othmani","doi":"10.22038/ABJS.2024.80590.3681","DOIUrl":"10.22038/ABJS.2024.80590.3681","url":null,"abstract":"<p><strong>Objectives: </strong>Total joint arthroplasty is an effective treatment for end stage osteoarthritis. As perioperative protocols are developed, outpatient arthroplasty has been gaining traction to facilitate earlier recovery and same day discharge. The aim of this manuscript is to analyze the trends in outpatient arthroplasty over a 17-year duration. This analysis seeks to predict emerging themes in the literature on patient optimization and outcomes in outpatient arthroplasty.</p><p><strong>Methods: </strong>This study conducted a literature review on outpatient arthroplasty with the Web of Science Core Collection over a 17-year period between 2005 and 2022. Bibliometric data was imported and analyzed with Bibliometrix and VOSviewer.</p><p><strong>Results: </strong>198 articles were identified demonstrating an annual growth of 19.61% with notable bursts in 2017 and 2021. United States was the top global contributor followed by Canada and European nations. There were significant contributions across 219 institutions and 758 authors, with the Journal of Arthroplasty being the most productive and influential journals. Key themes identified include the feasibility of outpatient surgery, pain management, and perioperative complications and costs.</p><p><strong>Conclusion: </strong>This bibliometric analysis highlights the ongoing growth and development within outpatient arthroplasty since 2005. The United States remain the global leader within outpatient related arthroplasty research. Previous, current, and ongoing trends are highlighted within this field for further development as hotspots.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 2","pages":"87-99"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11836798/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dorsal Interosseous Muscle Weakness from Mid-palm Ganglion Cyst.","authors":"Lilah Fones, Mitchell K Freedman, Pedro K Beredjiklian, Gregory G Gallant","doi":"10.22038/ABJS.2024.80728.3684","DOIUrl":"10.22038/ABJS.2024.80728.3684","url":null,"abstract":"<p><p>Ulnar nerve compression is commonly seen at the elbow at the cubital tunnel and the wrist at the Guyon canal but is rarely seen in the hand. This case report describes an 18-year-old male presenting with seven months of atraumatic hand weakness and atrophy associated with heavy weightlifting. Exam demonstrated isolated interosseous muscle atrophy mostly sparing the abductor digiti minimi with intact sensation and negative nerve compression tests including Tinel at carpal and ulnar tunnels, Froment sign, Wartenberg test, cross finger test, and Spurling test. Electromyography and nerve conduction studies demonstrated prolonged distal latency, low amplitude potential, and large amplitude fibrillations with severely reduced motor unit firing in the first dorsal interosseous muscle consistent with ulnar nerve deep motor branch compromise. Magnetic resonance imaging revealed a ganglion cyst between the third metacarpal shaft and the flexor profundus tendon. Given the progressive symptoms, ganglion cyst excision and ulnar motor nerve branch neurolysis were performed.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 2","pages":"119-124"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11836799/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469502","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}