Journal of Pediatric Orthopaedics-Part B最新文献_第4页

Toddler's fracture: an updated guide on evaluation and management. 幼儿骨折：评估和管理的最新指南。

IF 1 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-09-01 Epub Date: 2025-07-29 DOI: 10.1097/BPB.0000000000001272

Andreas Rehm, Khurram Sheharyar, Rebecca J Worley, Hatem Osman, Eve Mcmahon, Elizabeth Ashby

引用次数: 0

Is the use of neuromonitoring necessary in Sprengel's deformity surgery? 斯普格尔畸形手术有必要使用神经监测仪吗？

IF 1 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-09-01 Epub Date: 2024-08-29 DOI: 10.1097/BPB.0000000000001206

Abdulhalim Akar, Gokhan Bulent Sever, Umut Dogu Akturk, Muhammed Fatih Serttas, Ugur Ozdemir, Omer Faruk Tekin, Mehmet Aydogan

{"title":"Is the use of neuromonitoring necessary in Sprengel's deformity surgery?","authors":"Abdulhalim Akar, Gokhan Bulent Sever, Umut Dogu Akturk, Muhammed Fatih Serttas, Ugur Ozdemir, Omer Faruk Tekin, Mehmet Aydogan","doi":"10.1097/BPB.0000000000001206","DOIUrl":"10.1097/BPB.0000000000001206","url":null,"abstract":"This study aimed to emphasize the effectiveness of using intraoperative neuromonitoring (IONM) in preventing possible nerve damage in Sprengel's deformity surgery. Eighteen patients who underwent Woodward surgery accompanied by neuromonitoring due to Sprengel's deformity were included in the study. Demographic information of the patients and their clinical and cosmetic results before and after surgery were recorded. Complications that occurred during and after the surgery were recorded. Of the 18 patients who underwent surgery, 12 were female and 6 were male. The mean age of the patients was 4.4 (2-8). The mean shoulder abduction angle of the patients was 84.4 (65-105) degrees before the surgery and 151.1 (125-175) degrees in the first year after the surgery. The mean Cavendish score of the patients was 3.6 (3-4) before the surgery and 1.1 (1-2) in the first year after the surgery. In one patient, there was a decrease in IONM motor-evoked potency signals during the reduction of the intraoperative scapula. Considering some loss of correction in the deformity, the scapula was detected at the point where there was no loss of signals. No patients developed wound problems or infections. In this study, it was determined that the use of neuromonitoring was effective in preventing brachial plexus damage, even if this complication was minimal in patients operated on due to Sprengel's deformity.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"411-416"},"PeriodicalIF":1.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142127111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Paediatric T-condylar fracture of distal humerus: a systematic review and meta-analysis. 儿童肱骨远端t型髁骨折：一项系统回顾和荟萃分析。

IF 1 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-09-01 Epub Date: 2025-06-30 DOI: 10.1097/BPB.0000000000001268

Sushil Prajapati, Omprakash Meena, Mohit Kumar Patralekh, Vibhu Krishnan Viswanathan, Deepak Kumar, Vijay Kumar Jain

{"title":"Paediatric T-condylar fracture of distal humerus: a systematic review and meta-analysis.","authors":"Sushil Prajapati, Omprakash Meena, Mohit Kumar Patralekh, Vibhu Krishnan Viswanathan, Deepak Kumar, Vijay Kumar Jain","doi":"10.1097/BPB.0000000000001268","DOIUrl":"10.1097/BPB.0000000000001268","url":null,"abstract":"T-condylar fractures of the distal humerus are rare pediatric injuries. There is no consensus regarding ideal management and clinical outcomes for these injuries. The current review was planned to comprehensively review existing evidence regarding these rare pediatric fractures. A literature search was performed to identify the articles on pediatric T-condylar distal humerus fractures (1950-2024). Patient data was categorized under two groups: groups A (≤8 years old) and B (9-18 years). Finally, 32 articles were reviewed. Groups A and B included 25 and 148 patients, respectively. A majority of patients were males (72.3%) in both groups. 100% and 95.3% (141) of patients in groups A and B, respectively, were managed surgically [closed/open reduction and internal fixation (CR/ORIF)]. IF was predominantly done using Kirschner wire (K-wire) in group A. In group B, IF was performed using plate/screw/K-wire. There was no significant difference in complication rates between the groups [3/10 and 39/62 complications were observed in groups A and B, respectively; Mantel-Haenszel odds ratio:0.33 (95% confidence interval (CI): 0.09-1.14; Z = 1.75, P = 0.08; Chi-square = 3.23, P = 0.66; I2 = 0%)]. 87.5% in group A and 91.8% in group B had excellent; and good to excellent outcomes, respectively. The final elbow range of motion was significantly higher in group A (vs. group B; mean difference:13.91°; 95% CI: 6.93°-20.89°; test of overall effect: z = 3.91, P < 0.0001). Surgical management (i.e. ORIF) is the preferred intervention in pediatric T-condylar fractures. K-wire fixation is the most common operative technique. Overall complication rate is 58.3% (irrespective of age and treatment). Postinjury stiffness is more common in older children (>8 years).","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"444-452"},"PeriodicalIF":1.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Outcomes of displaced mid-shaft radius/ulna fractures in children treated with the Rang method: a pilot study. 用Rang方法治疗儿童移位的中骨干桡骨/尺骨骨折的疗效：一项初步研究

IF 1 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-09-01 Epub Date: 2025-02-04 DOI: 10.1097/BPB.0000000000001239

Joshua Chen, Sarah Peiffer, Sam Dressler, William Hennrikus

{"title":"Outcomes of displaced mid-shaft radius/ulna fractures in children treated with the Rang method: a pilot study.","authors":"Joshua Chen, Sarah Peiffer, Sam Dressler, William Hennrikus","doi":"10.1097/BPB.0000000000001239","DOIUrl":"10.1097/BPB.0000000000001239","url":null,"abstract":"Pediatric forearm fractures of the radius and ulna are common. Previous literature suggests that conservatively managed mid-shaft radius and ulna forearm fractures have a remanipulation rate of 10-70%. The purpose of this study is to compare the re-displacement rate of closed displaced mid-shaft both-bone forearm fractures (BBFF) in children treated with closed reduction and casting with a loop and sling applied proximal to the fracture site (Rang method) compared with a standard sling. A retrospective review was performed of 42 patients under the age of 14 with BBFF treated over a 4-year period. The average patient age was 7 years. Data analyzed included demographics, mechanism of injury, presence of a pulse, presence of nerve injury, incidence of compartment syndrome, sling type, loss of reduction, remanipulation, and need for surgical fixation. Loss of reduction was defined as a final number of >15° angulation if age <10 years old and >10° angulation if >10 years old. Fifteen patients (36%) were treated with the Rang method. Twenty-seven patients (64%) were given a standard sling. Only one patient (7%) managed with the Rang method lost reduction, whereas 17/27 patients (63%) given a regular sling lost reduction and required remanipulation ( P = 0.0004). Treatment of a BBFF in a child aged <14 years typically involves closed reduction and casting. The 'Rang' method of placing a loop and attached sling proximal to the fracture site is a casting pearl that helps to minimize fracture redisplacement.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"461-464"},"PeriodicalIF":1.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Interobserver reliability of Pirani scoring for idiopathic clubfoot in walking-age children. 学龄儿童特发性内翻足的皮拉尼评分的观察者间信度。

IF 1 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-09-01 Epub Date: 2025-01-21 DOI: 10.1097/BPB.0000000000001236

Anil Agarwal, Ashish Upadhyay, Varun Garg, Kishmita Sachdeva, Ankitha Ks, Jainam Salot

{"title":"Interobserver reliability of Pirani scoring for idiopathic clubfoot in walking-age children.","authors":"Anil Agarwal, Ashish Upadhyay, Varun Garg, Kishmita Sachdeva, Ankitha Ks, Jainam Salot","doi":"10.1097/BPB.0000000000001236","DOIUrl":"10.1097/BPB.0000000000001236","url":null,"abstract":"Pirani scoring system is one of the most commonly used tools to assess the initial deformity, monitor the treatment progression, and identify relapse in clubfoot. The method has been demonstrated to correlate well with the sequential correction of deformity for children under age 1 year. We conducted a study to examine the interobserver reliability of Pirani scores in children of walking-age. The retrospective study focused on children >1 year age with idiopathic clubfoot presenting for primary treatment. The Pirani scores at presentation charted by pediatric orthopedic consultant and orthopedic registrars were compared and the intergroup reliability calculated using Cohen's kappa. Thirty-five feet in 22 clubfoot children (13 bilateral) were analyzed. The mean child's age was 3.9 years. The mean Pirani score for the consultant was 3.2 and for the registrars was 3.6. The overall reliability of Pirani score was 0.3 ('fair'). The highest reliability was calculated for the head of talus (0.55), rigid equinus (0.48), and lateral border (0.44) (moderate). A lower kappa was recorded for medial crease (0.28), posterior crease (0.34), and empty heel (0.4). The registrars graded the clubfoot deformity in the walking-age child as more severe compared to the consultant. The mean Pirani scores for medial and posterior crease subcomponents were low. Contrary to the common perception, empty heel manifested even in this age group. Looking to the statistics of 'fair' reliability of Pirani score for older child, further research is warranted to develop more reliable scores for assessment and treatment of clubfoot.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"484-487"},"PeriodicalIF":1.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Ankle range of motion following surgical correction of early relapse in clubfoot. 畸形足早期复发手术矫正后的踝关节活动范围。

IF 1 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-09-01 Epub Date: 2025-03-12 DOI: 10.1097/BPB.0000000000001249

David E Westberry, Emily R Shull, Daphne Lew, Prabhav Saraswat, Emily Waters, Lauren C Hyer

{"title":"Ankle range of motion following surgical correction of early relapse in clubfoot.","authors":"David E Westberry, Emily R Shull, Daphne Lew, Prabhav Saraswat, Emily Waters, Lauren C Hyer","doi":"10.1097/BPB.0000000000001249","DOIUrl":"10.1097/BPB.0000000000001249","url":null,"abstract":"Surgical options for relapsed clubfoot include repeat heel cord lengthening or posterior release for recurrent equinus, and anterior tibialis tendon transfer (ATT) for residual dynamic supination deformity. Some studies have suggested that these procedures be performed in isolation to allow for early range of motion after intra-articular surgery. This study was performed to examine clinical and radiographic outcomes comparing two surgical methods, simultaneous ATT with posterior release (ATT/PR) vs ATT performed in isolation (ATT(i)), for the management of recurrent clubfoot deformity. Patients who underwent ATT(i) and ATT/PR for relapsed clubfoot deformity after initial Ponseti casting, were 2-20 years old at time of surgery, and had postoperative range of motion (ROM) data, pedobarographic data, and radiographic results with minimal follow-up of 1 year were included. A total of 49 patients (69 feet) were reviewed. Mean age at time of surgery was 4.4 (SD 1.73) years. Of the 69 feet, 27 received ATT(i) and 42 received ATT/PR. No difference in the ROM outcome of ankle dorsiflexion was found between ATT(i) vs ATT/PR at a mean of 5.8 years follow-up. In patients undergoing ATT(i), there was a mild increase in lateral loading of the foot compared to those feet having ATT/PR. Follow up radiographic results for both groups were in the normal range, with less residual radiographic equinus in the ATT/PR group. ATT(i) or ATT performed along with intra-articular posterior capsular release offers comparable short-term outcomes. Level of evidence. This study was a retrospective case series, Level IV.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"477-483"},"PeriodicalIF":1.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Are computed tomography scans necessary in the preoperative evaluation of calcaneonavicular tarsal coalitions? 计算机断层扫描在跟骨-舟骨-跗骨联合术前评估中是否必要？

IF 1 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-09-01 Epub Date: 2025-07-04 DOI: 10.1097/BPB.0000000000001270

Lauren M Harte, Corey T Clyde, Sonja Pavlesen, Jeremy P Doak

{"title":"Are computed tomography scans necessary in the preoperative evaluation of calcaneonavicular tarsal coalitions?","authors":"Lauren M Harte, Corey T Clyde, Sonja Pavlesen, Jeremy P Doak","doi":"10.1097/BPB.0000000000001270","DOIUrl":"10.1097/BPB.0000000000001270","url":null,"abstract":"Calcaneonavicular (CNC) and talocalcaneal coalitions (TCC) account for most tarsal coalitions. Plain radiographs are typically sufficient to diagnose CNC, while computed tomography (CT) scans are often required to diagnose TCC. The standard of care for all coalitions includes a CT to characterize the coalition and identify additional coalitions. Multiple ipsilateral coalitions are rare and literature on the topic is limited. While the role of routine CT in TCC is well-established, the benefits of routine CT in CNC are less clear. A retrospective review of medical records and plain radiographs of patients less than 20 years of age who underwent tarsal coalition resection at our institution from 2006 to 2021 was performed. Patients received preoperative foot XRs and CT scans. We evaluated demographics, surgical data, and whether the diagnosis was made with XR or CT. In multiple coexisting coalitions, special consideration was placed on whether CT modified treatment plans. The study population consisted of 76 patients. 55 (100%) of CNC were diagnosed on XR compared to 11 (52.4%) of TCC. CT was necessary to diagnose in 10 (47.6%) of the TCC patients. CT identified additional coalitions in two (2.6%) patients. The treatment plan was affected by CT findings in one (1.3%) patient. The rate of clinically significant multiple ipsilateral tarsal coalitions is extremely low in our patient population. The utility of CT scan remains important in diagnosing TCC that cannot be seen on XR but is suspected clinically. Patients with XR diagnosis and consistent clinical presentation of CNC are unlikely to benefit from routine CT. Modifying the standard of care would decrease cost, time, and radiation exposure. Level of evidence: Level IV.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"507-510"},"PeriodicalIF":1.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Interobserver reliability of Pirani scoring for idiopathic clubfoot in walking-age children: comment. 行走年龄儿童特发性内翻足的皮拉尼评分的观察者间可靠性：评论。

IF 1 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-09-01 Epub Date: 2025-07-29 DOI: 10.1097/BPB.0000000000001261

Hinpetch Daungsupawong, Viroj Wiwanitkit

引用次数: 0

From algorithms to answers: a comparative analysis of popular search engines and large language models on clubfoot patient education. 从算法到答案：流行搜索引擎与大型语言模型对畸形足患者教育的比较分析。

IF 1 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-08-29 DOI: 10.1097/BPB.0000000000001287

Daniel E Pereira, Ndeye F Guisse, Rohit Siddabattula, Julia Perugini, Pooya Hosseinzadeh

{"title":"From algorithms to answers: a comparative analysis of popular search engines and large language models on clubfoot patient education.","authors":"Daniel E Pereira, Ndeye F Guisse, Rohit Siddabattula, Julia Perugini, Pooya Hosseinzadeh","doi":"10.1097/BPB.0000000000001287","DOIUrl":"https://doi.org/10.1097/BPB.0000000000001287","url":null,"abstract":"This study evaluates Chat Generative Pre-Trained Transformer 4o's (ChatGPT-4o's) utility in clinical relevance and accuracy compared with Google for pediatric clubfoot treatment questions. Both were queried for the 15 most frequently asked questions related to pediatric clubfoot treatment, with Google as control. Questions were classified using the modified Rothwell criteria for online sources. Questions and answers were independently graded for clinical relevance (0 = not clinically relevance, 1 = some clinical relevance, 2 = very clinically relevant) and clinical accuracy (0 = inaccurate, 1 = somewhat accurate, 2 = accurate), respectively (D.E.P. and N.G.). Questions and answers were validated by an expert, board-certified pediatric orthopedic surgeon (P.H.), who also resolved any discrepancies in grading. Per modified Rothwell criteria, Google responses were most frequently classified as either 'notion' or 'indications/management' while ChatGPT-4o responses were most likely addressed as 'notion' or 'longevity'. Google sources were primarily from academic and government platforms, while ChatGPT-4o exclusively used academic sources. ChatGPT-4o questions scored higher for clinical relevance (P = 0.006); however, clinical accuracy of answers was equivalent (P = 0.570). ChatGPT-4o provides clinically relevant questions, more so than Google with regard to pediatric clubfoot treatment. Furthermore, ChatGPT-4o uses a greater proportion of academic sources compared with Google. While both sources provided clinically accurate answers, large language models appeared to provide information that was more relevant and scholarly to patients' concerns regarding clubfoot; however, further validation and extensive testing are required to prevent the unnecessary spread of misinformation and its utilization in a clinical setting.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Plaster of Paris versus semirigid fiberglass casting in the Ponseti method for idiopathic clubfoot: a systematic review and a meta-analysis. 巴黎石膏与半刚性玻璃纤维铸造在Ponseti方法治疗特发性内翻足：一项系统回顾和荟萃分析。

IF 1 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-08-26 DOI: 10.1097/BPB.0000000000001286

Andrea Cosentino, Wilhelm Berger

{"title":"Plaster of Paris versus semirigid fiberglass casting in the Ponseti method for idiopathic clubfoot: a systematic review and a meta-analysis.","authors":"Andrea Cosentino, Wilhelm Berger","doi":"10.1097/BPB.0000000000001286","DOIUrl":"https://doi.org/10.1097/BPB.0000000000001286","url":null,"abstract":"Plaster of Paris (POP) is traditional for Ponseti treatment of idiopathic congenital talipes equinovarus (CTEV), but semirigid fiberglass (SRF) is an alternative. This systematic review and meta-analysis compare POP and SRF outcomes. We searched PubMed, Scopus, Cochrane, and EMBASE up to 5th April 2025 for randomized controlled trials (RCTs) and quasi-RCTs comparing POP versus SRF for initial Ponseti treatment of idiopathic CTEV. Eligible studies reported on the number of casts, clinical scores (Dimeglio/Pirani), relapse or skin complications. Risk of bias was assessed using the Cochrane RoB tool. Data were pooled using random-effects meta-analysis [mean difference (MD) for continuous, risk ratio (RR) for binary outcomes]. Four studies (two RCTs, one prospective, one retrospective; 454 feet) met inclusion criteria. Study quality varied. No significant difference was found in the mean number of casts [MD: 0.34, 95% confidence interval (CI): -8.80 to 9.48; two studies, I² = 70.6%], relapse rates (RR: 1.41, 95% CI: 0.04-50.93; two studies, I² = 0.0%), or skin lesions (RR: 0.68, 95% CI: 0.31-1.50; two studies, I² = NA). Evidence certainty was low due to heterogeneity and limited studies. Clinical score analysis was limited by differing scales and missing data; SRF consistently received higher parental satisfaction ratings. Based on limited, low-certainty evidence, no significant difference in clinical efficacy (casts, relapse, skin lesions) was found between POP and SRF. SRF offers advantages in parental satisfaction. Limitations include heterogeneity, few studies per outcome, and inconsistent reporting. While POP is cost-effective, SRF is a viable alternative. Further high-quality RCTs are needed.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0