Journal of Hip Preservation Surgery最新文献

{"title":"What the papers say.","authors":"Ali Bajwa","doi":"10.1093/jhps/hnaf034","DOIUrl":"10.1093/jhps/hnaf034","url":null,"abstract":"<p><p>The <i>Journal of Hip Preservation Surgery</i> (<i>JHPS</i>) is not the only place where work in the field of hip preservation can be published. Although our aim is to offer the best of the best, we are continually fascinated by work, which finds its way into journals other than our own. There is much to learn from it, and so <i>JHPS</i> has selected six recent and topical subjects for those who seek a summary of what is taking place in our ever-fascinating world of hip preservation. What you see here are the mildly edited abstracts of the original articles, to give them what <i>JHPS</i> hopes is a more readable feel. If you are pushed for time, what follows should take you no more than 10 min to read. So here goes ….</p>","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"12 2","pages":"151-153"},"PeriodicalIF":1.1,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12317315/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cellular responses in acetabular labral reconstruction: effects of strain level on labral, tibialis tendon, and meniscal cells <i>in vitro</i>.","authors":"Jarod A Richards, Muhammad-Amin H Munshi, Aaron M Stoker, James L Cook, Brett D Crist, Steven F DeFroda","doi":"10.1093/jhps/hnaf032","DOIUrl":"10.1093/jhps/hnaf032","url":null,"abstract":"<p><p>While the clinical outcomes of acetabular labral repair and reconstruction have been reported, comparative cellular responses between common allografts to clinically relevant load are less clear. This study aims to compare acetabular labrum (LAB), anterior tibialis tendon (TEN), and knee meniscus (MEN) cellular responses to biaxial tensile strain during <i>in vitro</i> culture. LAB, TEN, and MEN tissues were recovered from skeletally mature research hounds (<i>n</i> = 5). Primary LAB, TEN, and MEN fibroblast cell cultures were established. Using a bioreactor, cells were loaded at 0%, 4%, or 10% biaxial tensile strain for 5 days. RNA was extracted and reverse transcription-polymerase chain reaction (RT-PCR) was used to determine relative gene expression levels. Cells were then tested for various stress-induced biomarkers. Statistical analysis determined significance between groups for relative gene expression levels and biomarker concentrations. LAB in the 0% strain group had more viable cells compared to the 4% and 10% strain groups, and MEN fibroblasts in the 4% strain group had more viable cells compared to the 10% strain group. LAB and MEN were associated with higher concentrations of MMP-3 in the 10% strain compared to the 0% strain group. The characterization of acetabular labrum cellular responses to clinically relevant loads of force more closely matches those of meniscal allograft tissue than tibialis anterior allograft tissue. This has potential implications for labral reconstruction, as meniscal allograft tissues may be more suited than tibialis anterior tissues to withstand compressive forces necessary for stabilization and chondroprotection within the hip.</p>","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"13 1","pages":"9-18"},"PeriodicalIF":1.1,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12892000/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146183080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Outcomes following arthroscopic treatment for femoroacetabular impingement syndrome in patients with ossified labrum.","authors":"Sarantos Nikou, Arvin Nabi, Ida Lindman, Louise Karlsson, Axel Öhlin, Eric Hamrin Senorski, Mikael Sansone","doi":"10.1093/jhps/hnaf033","DOIUrl":"10.1093/jhps/hnaf033","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the results of arthroscopic treatment for femoroacetabular impingement syndrome (FAIS) with concomitant labrum ossification (LO) using patient-reported outcome measures (PROMs). The hypothesis was that at 2-year follow-up, an improvement in PROMs would be observed.</p><p><strong>Methods: </strong>A group of 24 patients (28 hips) with FAIS and LO findings were eligible for inclusion. In total 14 patients (18 hips) were included in the final PROMs analysis. The International Hip Outcome Tool short version (iHOT-12) was the primary outcome. The Copenhagen Hip and Groin Outcome Score (HAGOS), the European Quality of Life-5 Dimensions Questionnaire (EQ-5D), the EQ-visual analogue scale (EQ VAS), the Hip Sports Activity Scale for physical activity level, the VAS for overall hip function and a single question regarding overall satisfaction with the surgery were the secondary outcomes.</p><p><strong>Results: </strong>At 2-year follow-up 6 out of 24 (25%) patients had undergone total hip arthroplasty (THA). Comparing PROMs preoperatively with 2-years follow-up for the group of patients that did not undergo THA (<i>n</i> = 14) showed statistically significant improvements (<i>P</i> < .05) for: iHOT-12 (39.3 versus 69.1), HAGOS subscales (symptoms 49.0 versus 70.9, pain 53.6 versus 80.0, sport 42.0 versus 68.5, daily activity 53.6 versus 73.2, physical activity 31.7 versus 61.5, quality of life 34.2 versus 65.0), EQ-5D (0.7 versus 0.8) and VAS for overall hip function (44.3 versus 66.5).</p><p><strong>Conclusion: </strong>Patients with FAIS and LO who had not undergone THA at 2-year follow-up following arthroscopic treatment showed improved outcomes regarding patient-reported outcomes. Level of evidence: Case series, level IV.</p>","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"13 1","pages":"19-25"},"PeriodicalIF":1.1,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12891999/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146182773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Only 5% of hips analysed in published hip arthroscopy literature were reported to have an accurate osseous impingement correction on adequate postoperative radiographs: a systematic review of nearly 30 000 hips.","authors":"Krishna K Anand, Miriam Hinojosa, Amanda Duong, Lindsay Barter, Haley Goble, Robert W Westermann, Joshua D Harris","doi":"10.1093/jhps/hnaf029","DOIUrl":"10.1093/jhps/hnaf029","url":null,"abstract":"<p><p>To perform a systematic review that identifies the percentage of arthroscopic hip surgery publications that obtain postoperative plain radiographs (and type, and when) and the accuracy of the osseous corrections performed. A systematic review was conducted utilizing PRISMA guidelines. Arthroscopic hip preservation surgery publications were included over a 20-year publication eligibility period. Synthetic reviews were excluded. Studies reporting accuracy of correction based on intra-operative fluoroscopic and/or dynamic arthroscopic examination alone, but without postoperative plain radiographs, were excluded. Publications were screened for the presence, type, and timing of postoperative radiographs and measurements performed quantifying femoral head-neck junction sphericity. Descriptive statistics and logistic and multivariate regression analyses were performed. Two-hundred fifty-six publications (29 381 hips; 14 692 female; mean age range 14.8-65.8 years). The most common surgical indication was labral tear (13 112 hips [44.7% of hips]). There was an inverse correlation between publication year and obtaining postoperative radiographs (<i>r</i> = -0.128, <i>P</i> < .05). Only 69 publications (27%) reported obtaining postoperative radiographs. Among those, 40 publications (16%) specified the type of radiographs. Only 22 publications (9%; 1538 hips [5% of hips]) reported that patients had an accurate osseous correction. This systematic review has shown that only 9% of arthroscopic hip preservation surgery publications (5% of hips) reported an accurate osseous correction on postoperative radiographs. Given this finding, writers, reviewers, editors, and publishers of hip preservation surgery literature should necessitate the transparent reporting of the accuracy of osseous corrections performed on standardized radiographs. Level IV, systematic review and/or meta-analysis of studies with Levels I to IV.</p>","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"12 4","pages":"270-275"},"PeriodicalIF":1.1,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12712977/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145805997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Femoral head osteochondral allograft transplantation with and without simultaneous periacetabular osteotomy: a case series.","authors":"Sarah J Wegman, Hashim Shaikh, James D Brodell, P Christopher Cook, Brian D Giordano","doi":"10.1093/jhps/hnaf037","DOIUrl":"10.1093/jhps/hnaf037","url":null,"abstract":"<p><p>Focal femoral head degeneration can lead to loss of structural support of the femoral head and eventual collapse. Formerly, total hip arthroplasty (THA) was the only definitive means available to restore function and mitigate pain. Osteochondral allograft transplantation (OATS) of the femoral head can be used to potentially prevent or delay THA, and the aim of this study is to analyse outcomes of patients who have undergone OATS procedures. An OATS procedure involves vessel-sparing hip dislocation to achieve global femoral head exposure, removal of damaged cartilage and subchondral bone, and press-fit implantation of a fresh femoral head allograft. Eleven patients have undergone OATS at our institution, and we collected retrospective data and Patient-Reported Outcome Measurement Information System (PROMIS) data. All eleven patients demonstrated focal femoral head degeneration. Six patients underwent simultaneous PAO for concomitant structural instability. Postoperatively, patients returned to weight bearing by an average of 9.8 ± 5.6 weeks and physical activities in 9.9 ± 2.9 months. Four patients had unrelated health conditions limiting physical activity involvement. One patient had undergone THA, 6 years postoperatively. Five patients provided updated follow-up metrics, demonstrating significant improvement in average physical function PROMIS scores (<i>P</i> = .01). Patients in our series demonstrated sustained favourable outcomes for pain reduction and functional gain at the time of their final follow up. The femoral head OATS procedure may be a reliable treatment with potential to delay THA. In patients with concomitant dysplasia, combined OATS and PAO may provide further enhancement and durability of surgical outcomes.</p>","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"13 1","pages":"26-34"},"PeriodicalIF":1.1,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12891996/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146183033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Age is not necessarily a determinant: labral reconstruction of the hip demonstrates improved patient-reported outcomes in adults aged 60 years and older.","authors":"Brian J White, Shannon M Constantinides, Solomon P Samuel","doi":"10.1093/jhps/hnaf042","DOIUrl":"10.1093/jhps/hnaf042","url":null,"abstract":"<p><p>This case series aims to share our experience with arthroscopic circumferential allograft labral reconstruction (CLR) as a part of the treatment for femoroacetabular impingement (FAI) syndrome in 34 nonarthritic hips of patients aged 60 and older. Twenty-nine patients had a minimum follow-up of 36 months (ranging from 3 to 10 years), with one case converting to total hip arthroplasty. Five patients were lost to follow-up. Significant improvements were observed across all patient-reported outcomes used at the last follow-up. Modified Harris Hip Scores improved by a mean of 40 points (<i>P</i> < .001), with 96% of patients meeting the minimal clinically important difference (MCID) of 8.9. Lower Extremity Functional Scale scores improved by a mean of 31 points (<i>P</i> < .001), with 92% of patients meeting the MCID of 8.6. Pain, as measured by the Visual Analogue Scale, showed significant improvement at rest, during daily activities, and with sports. At the latest follow-up visit, the mean post-operative satisfaction level was 9.2 out of 10, with 96% of patients rating their satisfaction above 7. The case series suggests that CLR as a part of treatment for FAI is a viable surgical alternative to conservative treatment for pain reduction and joint preservation in non-arthritic hips of select patients aged 60 and older. Moreover, the results indicate that chronological age alone is not an absolute contraindication for joint preservation surgery.</p>","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"13 1","pages":"3-8"},"PeriodicalIF":1.1,"publicationDate":"2025-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12891989/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146183092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Arthroscopic treatment of iliopsoas cyst using outside-in technique-surgical technique and clinical outcomes.","authors":"Zhi Li, Jonathan Patrick Ng, Guanda Lu, Ahamed Fazloon Fathima Farha, Atiya Prajna Hooblal, Timoné Wagner, Fusheng Wang, Weiguo Zhang, Zhiyuan Liang, Kang Tian","doi":"10.1093/jhps/hnaf028","DOIUrl":"10.1093/jhps/hnaf028","url":null,"abstract":"<p><p>Due to the low prevalence of iliopsoas cysts, as well as the technical challenges involved in locating cysts from outside the joint capsule during arthroscopic surgery, there is a lack of comprehensive arthroscopy technique and clinical literature on this topic. We conducted a retrospective analysis and follow-up of five patients with iliopsoas cysts treated arthroscopically, over the past 3 years. Patient ages ranged from 39 to 73 years, with a mean age of 54 years. Our surgical approach involves the utilization of the outside-in technique to access and excise the cysts, along with potential concurrent procedures such as repair or debridement of the acetabular labrum. Each patient had a follow-up duration exceeding 23 months. The outcomes revealed significant pain relief and hip joint function improvement in all patients postoperatively. The Visual Analogue Scale scores reduced from a mean of 5.75 ± 0.43 preoperatively to 1.00 ± 0.70 postoperatively (<i>P</i> < .01), and the Modified Harris Hip Score increased from 50.75 ± 4.43 to 86.00 ± 4.47 (<i>P</i> < .01). For individuals presenting with symptoms of groin pain in the presence of a radiologically confirmed iliopsoas cyst, hip arthroscopy using the outside-in technique represents a minimally invasive and reliable approach for cyst removal.</p>","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"12 4","pages":"265-269"},"PeriodicalIF":1.1,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12712980/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145805411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Innovative modified light bulb technique with custom offset curettes for treating precollapsed femoral head osteonecrosis.","authors":"Ali Parsa, Morteza Behjat, Neda Mirzaei, Mohammad Ghorbani, Elham Rahmanipour","doi":"10.1093/jhps/hnaf021","DOIUrl":"10.1093/jhps/hnaf021","url":null,"abstract":"<p><p>Osteonecrosis of the femoral head is a devastating disease that accounts for 10-15% of all hip arthroplasty cases in the USA, eventually leading to femoral head collapse and joint destruction. Even the current forms of treatment only slightly slow down the progression of the disease itself. This article describes a modified lightbulb technique, which perfects the method, the instrument, and the flap used in order to ensure hip musculature preservation and improved outcomes. With the direct anterior approach, there is no need to perform surgical dislocation, so the time of the surgery is reduced, as well as the risk of vascular injury. The necrotic bone can be precisely removed using custom-made offset curettes, and a bone graft substitute and autograft can be placed under C-arm guidance. This technique may be beneficial in treating early osteonecrosis of the femoral head by reducing operative time and reducing the risk of complications related to surgical dislocation.</p>","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"13 1","pages":"56-59"},"PeriodicalIF":1.1,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12891994/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146182582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating a semiquantitative magnetic resonance imaging-based scoring system to predict hip preservation or arthroplasty in patients with an intact preoperative joint space.","authors":"Benjamin D Kuhns, Ady H Kahana-Rojkind, Roger Quesada-Jimenez, Tyler R McCarroll, Yasemin E Kingham, Matthew J Strok, Veer Shah, Benjamin G Domb","doi":"10.1093/jhps/hnaf027","DOIUrl":"10.1093/jhps/hnaf027","url":null,"abstract":"<p><p>Subjective interpretation of magnetic resonance imaging (MRI) findings in the setting of early hip osteoarthritis can be challenging with little agreement between surgeons. While arthroplasty is rarely indicated for patients with preserved joint space, it may be the preferred surgical option when advanced imaging reveals severe intra-articular pathology. The purpose of this study was to evaluate a semiquantitative MRI-based scoring system in patients undergoing surgery for hip pain without advanced radiographic joint space loss. Consecutive patients with hip pain refractory to conservative measures and without severe radiographic hip osteoarthritis [Tönnis grade 0-1, Joint Space Width (JSW)> 3 mm] who received primary total hip arthroplasty with a preoperative MRI were included. This cohort was propensity-matched by Tönnis grade and JSW, as well as age, gender, and BMI, to patients undergoing hip preservation surgery. Preoperative MRIs were evaluated according to the Scoring Hip Osteoarthritis with MRI (SHOMRI) grading system. SHOMRI scores were compared between the arthroplasty and hip preservation cohorts with threshold values calculated to evaluate associations with treatment pathways. Patients undergoing arthroplasty had significantly greater SHOMRI total scores as well as cartilage component scores. Threshold values for the cartilage component SHOMRI score were significantly associated with the designated surgical treatments between the two groups (<i>P</i> < .001). Subjects in each treatment group had significant postoperative improvement to the 2-year time point with high postoperative satisfaction, indicating appropriate treatment designation. Application of SHOMRI scoring thresholds may decrease subjectivity in surgeon decision making when using advanced imaging in patients without significant radiographic osteoarthritis.</p>","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"12 4","pages":"256-264"},"PeriodicalIF":1.1,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12712967/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145805834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Normal range of femoral version for different measurement methods on CT or MRI-scoping review of normal femoral version.","authors":"Till D Lerch, Thierry Leimbacher, Malin K Meier, Adam Boschung, Emanuel F Liechti, Moritz Tannast, Simon D Steppacher, Florian Schmaranzer","doi":"10.1093/jhps/hnaf003","DOIUrl":"10.1093/jhps/hnaf003","url":null,"abstract":"<p><p>Correct quantification of femoral version (FV) is crucial for femoroacetabular impingement (FAI) patients for diagnosis and for surgical planning. However, different measurement methods for FV and different normal values are confusing. The study aimed to investigate differences in FV measurement methods and to review normal FV. This retrospective comparative study investigated a total of 84 hips for FV measurement: 48 hips (asymptomatic patients) and 36 hips (asymptomatic volunteers) without hip pain. The 48 patients underwent computed tomography (CT) for another reason (mean age 63 ± 11 years) and most (39 hips, 81%) were male patients. The 36 hips reported no hip pain at the time of magnetic resonance imaging (MRI) (mean age 27 ± 7 years, 20 female patients, 56%). FV was measured on CT or MRI included pelvis and knee) and with the Murphy method. Mean FV for 48 hips was 22° (range 5-34°), and for 36 hips, it was 24° (7-44°). No significant differences were found between the two groups. For 39 male patients with CT scans, the mean FV was 21° (6-34°) and was significantly (<i>P</i> = 0.041) decreased compared to female patients (FV of 26°). For the review, 18 studies were compared that evaluated normal FV (total of 2275 hips) in the literature. Increasing values for normal FV were found for measurement methods with a more distal definition of the femoral neck axis: Normal values were reported for the Lee method (most proximal definition; 8-11°), Reikeras method (9-20°), Oblique/Jarrett method (9-15°), Tomczak method (22-24°), and Murphy method (most distal: 18-23°). Reported normal range of FV differs between measurement methods. This is important for patients with FAI/hip dysplasia undergoing hip preservation surgery (hip arthroscopy/femoral derotation osteotomy).</p>","PeriodicalId":48583,"journal":{"name":"Journal of Hip Preservation Surgery","volume":"12 3","pages":"157-163"},"PeriodicalIF":1.1,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12461209/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}