Archives of Bone and Joint Surgery-ABJS最新文献

{"title":"The Use of a Novel Antiseptic Irrigant Solution in Combination with Vancomycin Powder Significantly Reduces the Risk of Surgical Site Infections in Orthopedic Trauma Patients.","authors":"Robert S Wood, Elizabeth Herrera, Meghan E Wood, Greta Brown, Madeleine Vergun, Jacqueline Krumrey","doi":"10.22038/ABJS.2024.81134.3701","DOIUrl":"https://doi.org/10.22038/ABJS.2024.81134.3701","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to evaluate whether using a novel antiseptic irrigant solution combined with vancomycin powder can effectively reduce the incidence of surgical site infections (SSIs) in orthopedic trauma patients. Specifically, we seek to determine if this combined approach significantly decreases SSI rates compared to using vancomycin powder alone. The study also aims to assess the safety and efficacy of the phosphate buffer solution, particularly its ability to reduce biofilm formation on surgical implants without causing cytotoxic effects. Ultimately, our goal is to provide insights into potential clinical practice changes that can enhance infection prevention strategies in orthopedic trauma surgeries.</p><p><strong>Methods: </strong>This retrospective study analyzed 450 orthopedic trauma surgeries for lower extremity fractures at a Level Two hospital in Oregon, USA, between January 2021 and October 2023. Patients were stratified based on intraoperative irrigation with either vancomycin alone or vancomycin combined with a phosphate buffer irrigation solution. Data analysis included demographic characteristics, operative details, and occurrences of SSIs within 90 days postoperatively.</p><p><strong>Results: </strong>Among the 450 surgeries analyzed, 18 (8.1%) SSIs occurred in the vancomycin cohort compared to 3 (1.3%) in the vancomycin and Phosphate buffer cohort. Adjusted logistic regression revealed an 89% reduction in the odds of SSIs in the vancomycin and Phosphate buffer cohort (OR: 0.11, 95% CI 0.02-0.35, P=0.001), adjusting for age, tobacco use, operative time, and procedure type.</p><p><strong>Conclusion: </strong>This study underscores the promising role of combined vancomycin and Phosphate buffer irrigation in reducing SSI rates in orthopedic trauma surgeries. Further prospective studies are warranted to validate these findings and explore optimal infection prevention strategies in diverse surgical settings.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 4","pages":"222-228"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12050084/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054141","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":"Can Artificial Intelligence Reliably and Accurately Measure Lower Limb Alignment: A Systematic Review and Meta-Analysis.","authors":"Yashar Khani, Amir Bisadi, Ali Salmani, Negarsadat Namazi, Iman Elahi Vahed, Joben Kianparsa, Mohammad Nouroozi, Fateme Mansouri Rad, Mohammad Poursalehian","doi":"10.22038/ABJS.2025.84846.3864","DOIUrl":"10.22038/ABJS.2025.84846.3864","url":null,"abstract":"<p><strong>Objectives: </strong>Lower limb alignment (LLA) measurements are vital for pre-operative assessments and surgical planning in orthopedics. Artificial intelligence (AI) can enhance the precision and consistency of these measurements. This systematic review and meta-analysis evaluates the accuracy and reliability of AI-based approaches in detecting anatomical landmarks and measuring LLA angles, highlighting both their strengths and limitations.</p><p><strong>Methods: </strong>Adhering to PRISMA guidelines, we searched PubMed, Scopus, Embase, and Web of Science on July 2024 and included observational studies validating AI-driven LLA measurements. Pooled intraclass correlation coefficients (ICCs) were computed to assess inter-rater reliability between AI and manual measurements. The Quality Assessment of Diagnostic Accuracy Studies (QUADAS-2) tool was used to assess study quality.</p><p><strong>Results: </strong>We reviewed 28 studies with 47,200 patients and 61,253 images; AI demonstrated high reliability in measuring 15 lower limb angles, with pooled ICCs ranging from 0.9811 to 1.0597. Angles like the hip-knee-ankle (HKA; ICC = 0.9987, 95% CI: 0.9975-0.9998) and the mechanical tibiofemoral angle (mTFA; ICC = 1.0001, 95% CI: 1.0001-1.0001) showed near-perfect agreement. In contrast, the joint line convergence angle (JLCA) and femoral anatomical-mechanical angle (FAMA) exhibited lower reliability and significant publication bias. Heterogeneity was substantial across most angles (I² = 63%-100%). These findings highlight the potential of AI for clinical applications while also identifying areas that require refinement and standardization.</p><p><strong>Conclusion: </strong>AI exhibits high reliability and accuracy in measuring key LLA angles, often outperforming manual techniques in both speed and consistency. It holds significant promise as a clinical tool, though challenges with less reliable angles warrant further refinement. Future studies should focus on standardizing landmark definitions and addressing implementation barriers to maximize AI's potential in orthopedic practice.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 7","pages":"383-394"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12335197/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144817879","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":"Teriparatide-induced Sever Persistent Hypercalcemia in an Osteoporotic Patient: A Case Report and Literature Review.","authors":"Sedigheh Reisian, Shokoufeh Bonakdaran, Ali Moradi, Mohammad Ali Yaghoubi","doi":"10.22038/ABJS.2024.80907.3690","DOIUrl":"10.22038/ABJS.2024.80907.3690","url":null,"abstract":"<p><p>A rare case of severe prolonged persistent Teriparatide-induced hypercalcemia (14.3mg/dL on admission) in an osteoporotic patient after ceasing the Teriparatide is reported. This 67-year-old female was admitted with polyuria, xerostomia, constipation, progressive weakness, and a history of Triparatide use due to a previous osteoporotic fracture. Her serum calcium, PTH, and vitamin D levels had been normal before starting Teriparatide. Ninety six hours after ceasing the Teriparatide along with rehydration and Calcitonin treatment, the patient's serum calcium levels returned to normal. Severe Teriparatide-induced hypercalcemia does not follow any defined pattern and may persist for days and can usually be controlled through ceasing the Teriparatide, rehydration, and close monitoring of the serum calcium level and symptoms.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 3","pages":"170-175"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11938360/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732365","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":"Shoulder Arthroplasty in Hemophilia.","authors":"E Carlos Rodriguez-Merchan, Hortensia De la Corte-Rodriguez, Samuel Antuña, Primitivo Gomez-Cardero, M Teresa Alvarez-Roman, Victor Jimenez-Yuste","doi":"10.22038/ABJS.2024.80320.3667","DOIUrl":"10.22038/ABJS.2024.80320.3667","url":null,"abstract":"<p><p>The aim of this article is to perform a review of the literature on the current status of shoulder arthroplasty in people with hemophilia (PWH). A search was conducted in PubMed on December 8, 2024, using the keywords \"hemophilia\" and \"shoulder arthroplasty.\" To date only 4 articles (84 shoulder arthroplasties) in PWH have been published. A recent study with level 3 of evidence has found that five-year implant survival was similar in PWH (97.3%) than in matched controls (95.2%) suggesting that total shoulder arthroplasty (TSA) survivorship endures lasting and might be proposed to PWH. However, the high risks of both 90-day bleeding complication and venous thromboembolism (VTE) in PWH stressed the special dares of scrupulously weighing factor replacement and VTE prophylaxis pre-, intra-, and postoperatively on an individual patient basis with cautious hematologist coordination.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 3","pages":"164-169"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11938361/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732360","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 Periarticular Injections for Postoperative Pain after Total Knee Arthroplasty.","authors":"E Carlos Rodriguez-Merchan","doi":"10.22038/ABJS.2024.82135.3736","DOIUrl":"https://doi.org/10.22038/ABJS.2024.82135.3736","url":null,"abstract":"<p><p>Periarticular multimodal drug injection (PMDI) is better than FNB (femoral nerve block) in pain relief after total knee arthroplasty (TKA). PMDI of bupivacaine [20 mL 0.5% bupivacaine hydrochloride - HCl (100 mg) following implantation plus incisional injection of 10 mL 0.5% bupivacaine HCl (50 mg) before wound closure] is more efficacious than PMDI after implantation. PMDI leads to less postoperative pain than IAI (intraarticular injection) and IAI + PMDI. PMDI of magnesium sulfate and sodium bicarbonate added to a conventional PMDI (ropivacaine, epinephrine, and dexamethasone) prolongs analgesia. No differences exist between gonyautoxin (GTX)2/3 (40 µg GTX 2/3 diluted in 30 mL of sodium chloride 0.9%) and a combination of 300 mg of levobupivacaine, 1 mg of epinephrine, and 60 mg ketorolac diluted in 150 mL of sodium chloride 0.9%.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 4","pages":"229-232"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12050083/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040929","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":"Practice Trends in Primary Total Knee Arthroplasty among Members of the Iranian Society of Knee Surgery, Arthroscopy, and Sports Traumatology.","authors":"Arash Sherafatvaziri, Omid Salkhori, Mohammad Razi, Mohammad Mahdi Sarzaeem, Keyvan Ahadi, Mohammad H Ebrahimzadeh, Mahmoud Jabalameli, Mohammad Ayati Firoozabadi, Sm Javad Mortazavi","doi":"10.22038/ABJS.2025.85348.3889","DOIUrl":"10.22038/ABJS.2025.85348.3889","url":null,"abstract":"<p><strong>Objectives: </strong>The survey conducted at the 2024 biennial meeting of the Iranian Society of Knee Surgery, Arthroscopy, and Sports Traumatology (ISKAST) aimed to assess practice trends among ISKAST members in primary total knee arthroplasty (TKA), thereby providing a benchmark for future studies.</p><p><strong>Methods: </strong>The session moderator presented multiple-choice questions via an audience response system to 94 registered ISKAST members. Responses were collected centrally and subsequently displayed to the audience after a brief interval.</p><p><strong>Results: </strong>The survey revealed that most ISKAST surgeons, reflecting their high level of expertise, work in diverse settings, with more than half performing over 100 TKAs annually. Regarding perioperative management, the majority of respondents utilize spinal anesthesia and tranexamic acid, with a significant number applying tourniquets during surgery. The median parapatellar approach and posterior cruciate-substituting designs are commonly preferred for routine TKA procedures. Additionally, pain management is primarily achieved through patient-controlled analgesia, while low-molecular-weight heparin, combined with mechanical measures, is the most common method for venous thromboembolism prophylaxis. Although follow-up practices vary, the majority of surgeons schedule annual postoperative visits.</p><p><strong>Conclusion: </strong>The survey results provide valuable insights into the approaches of knee surgeons in Iran toward TKA, highlighting both common practices and variations in treatment methods. While these findings reflect current practices, they may not represent the most optimal techniques. This underscores the need for further research to validate these results and explore their applicability to a broader patient population.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 6","pages":"359-366"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12238860/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609930","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 Transosseous Suture Repair Technique for Inferior Pole Patella Fractures Using a Suture Anchor: A Case Series and Technical Note.","authors":"Duy Nguyen Anh Tran, Yen-Wei Huang, Yi-Jie Kuo, Tan Thanh Nguyen, Shun-Jen Cheng, Yu-Pin Chen","doi":"10.22038/ABJS.2025.82192.3741","DOIUrl":"10.22038/ABJS.2025.82192.3741","url":null,"abstract":"<p><strong>Objectives: </strong>Fractures located at the inferior pole of the patella pose challenges in terms of fracture fixation, primarily due to inadequate bone quality at the lower pole and typically limited options for secure fixation. This study introduces a novel approach that involves employing the Krackow suture technique on the patellar tendon, followed by a longitudinal transosseous and upside-down fixation at the superior aspect of the patella using a suture anchor to address this challenge.</p><p><strong>Methods: </strong>A retrospective cohort case series was conducted at a single center, involving ten patients with fractures at the lower pole of the patella. Follow-up assessments were performed for a minimum of six months to observe postoperative gap formation and evaluate bony union. Knee motion, pain, function, and any intra- and postoperative complications were documented throughout the follow-up periods.</p><p><strong>Results: </strong>All patients exhibited complete bone union without gap formation six months postoperatively, accompanied by a regained full range of motion without any functional limitations. No instances of postoperative anterior knee pain, refracture of the inferior patellar pole, or other complications were reported during the follow-up period.</p><p><strong>Conclusion: </strong>The innovative technique involving longitudinal transosseous and upside-down suture anchor repair for the management of inferior patellar pole fractures is a straightforward and easily executable surgical procedure. This method offers stable fixation and yields favorable functional outcomes.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 7","pages":"435-441"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12335194/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144817876","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":"Differences in Clinical Outcomes and Rotational Stability Between Anterolateral Ligament Reconstruction and Lemaire Lateral Tenodesis Following Primary Anterior Cruciate Ligament Reconstruction.","authors":"Hamidreza Yazdi, Ali Torkaman, Amir Mohsen Khorrami, Moein Ghaeini, Arman Fakhrian, Seyed Arman Moein, Seyyed Hamidreza Ayatizadeh, Nariman Latifi","doi":"10.22038/ABJS.2025.84170.3826","DOIUrl":"10.22038/ABJS.2025.84170.3826","url":null,"abstract":"<p><strong>Objectives: </strong>Residual instability following anterior cruciate ligament reconstruction (ACLR) is a common concern among young, active patients. Currently, two primary methods are used to address this matter: anterolateral ligament reconstruction (ALLR) using a graft and lateral extra-articular tenodesis (LET). This study aims to compare the Lemaire method for LET with ALLR in minimizing rotational instability after ACLR.</p><p><strong>Methods: </strong>This retrospective cohort study included patients with ACL ruptures who underwent simultaneous arthroscopic ACLR and either Lemaire lateral tenodesis or ALL reconstruction between April 2013 and March 2021. Patients were re-examined approximately 24 months post-operatively. We evaluated rotational instability using the pivot shift test, and anterior stability with the KT-1000 test. Outcomes were measured using the Lysholm and International Knee Documentation Committee (IKDC) questionnaires.</p><p><strong>Results: </strong>This study evaluated 53 patients who underwent ACLR using either the Lemaire method for LET (n=24) or ALLR technique (n=29). No substantial differences were observed in terms of age, sex, body mass index (BMI), number of physiotherapy sessions, time from injury to surgery, or the diameter of the ACL graft. Rotational stability was significantly better in the Lemaire group (16.7% vs. 82.8%, P < 0.001). Although functional outcomes were higher in the Lemaire group, these differences were not statistically significant. Multivariate logistic regression analysis revealed that the surgical technique was the only significant predictor of rotational instability, with patients undergoing ALLR being 18.8 times more likely to experience a positive pivot shift (OR: 18.78, 95% CI: 4.34-81.18, P < 0.001).</p><p><strong>Conclusion: </strong>This retrospective cohort study suggests that Lemaire LET may be more effective than ALLR in minimizing rotational instability following arthroscopic ACLR. However, there was no superiority in functional scores between the groups.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 7","pages":"426-434"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12335192/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144817880","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":"Why I Take Pride as a Hand Surgeon?","authors":"Mahla Daliri, Ali Moradi","doi":"10.22038/ABJS.2024.81757.3784","DOIUrl":"10.22038/ABJS.2024.81757.3784","url":null,"abstract":"<p><p>From the intricate movements that allow us to create art, express emotions, and communicate with others to the tactile sensations that connect us to the world, hands play a vital role in shaping our experiences and interactions. Hand is the bridge between the man's imagination and the physical world, the conduit through which inspiration flows and ideas take shape. However, our hands' remarkable skill and precision didn't simply come into existence; it required significant changes in other body parts and biomechanics to accommodate and support them.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 8","pages":"524-525"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12432823/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145065936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Non-repairable Scaphoid Proximal Pole Nonunion Reconstruction by Hamate Arthroplasty: A Case Series Study.","authors":"Mohammad Ali Okhovatpour, Reza Zandi, Ahmadreza Ahmadi Abdashti, Meisam Jafari Kafiabadi","doi":"10.22038/ABJS.2024.79732.3644","DOIUrl":"10.22038/ABJS.2024.79732.3644","url":null,"abstract":"<p><strong>Objectives: </strong>Non-repairable scaphoid proximal pole nonunion remains a major challenge. Various reconstructive surgical approaches have been introduced, but each one has some limitations, including microvascular anastomosis, donor site morbidities, and the risk of compromising the scapholunate ligament.</p><p><strong>Methods: </strong>This prospective interventional case series was performed on five patients. The patients underwent reconstructive surgery using proximal hamate arthroplasty by a single surgeon and were followed up for at least 12 months.</p><p><strong>Results: </strong>All patients were male and the median age was 28, and the median follow-up time was 24 months. The median Mayo score was 70, and the DASH score was 0 (no disability) in 3 patients and 15 in two patients. The median of postoperative grip strength in the operated hands was 37.3 kg (Range 36.1-39) and in the opposite hands was 42.5 kg (Range 40-45.9). However, there were significant differences between grip strength between operated and opposite hands (P value= 0.008). A reduction of 11.1% and 15% was shown in postoperative flexion and extension compared with preoperative flexion and extension (P value = 0.194, P value = 0.102).</p><p><strong>Conclusion: </strong>Hamate arthroplasty for nonunion of the scaphoid proximal pole appears to be a viable surgical option with favorable outcomes in terms of union rates, functional recovery, and patient satisfaction.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 2","pages":"82-86"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11836795/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469503","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}