Journal of Pediatric Orthopaedics-Part B最新文献_第5页

Femoral neck anteversion of the less involved side in unilateral cerebral palsy: kinematics and radiological considerations. 单侧脑瘫少受累侧股骨颈前倾：运动学和放射学考虑。

IF 1 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-08-20 DOI: 10.1097/BPB.0000000000001285

Zhenkun Gu, Anisa Mujaj, Olivia C Tracey, Jennifer Jezequel, Silvia Zanini, Bridget Assip, Vishnu D Chandran, David Scher, Paulo R Selber

{"title":"Femoral neck anteversion of the less involved side in unilateral cerebral palsy: kinematics and radiological considerations.","authors":"Zhenkun Gu, Anisa Mujaj, Olivia C Tracey, Jennifer Jezequel, Silvia Zanini, Bridget Assip, Vishnu D Chandran, David Scher, Paulo R Selber","doi":"10.1097/BPB.0000000000001285","DOIUrl":"https://doi.org/10.1097/BPB.0000000000001285","url":null,"abstract":"This research aims to investigate femoral neck anteversion (FNA) on the less involved side in unilateral cerebral palsy (CP) and examine its impact on hip rotation during gait. Sixty-nine patients with unilateral CP, with a mean of 21 years, were included study. Static and dynamic hip rotation ranges were quantified via physical examination and three-dimensional motion analysis. Patients were stratified into five levels of involvement according to modified Winters' classification. FNA differences between modified Winters' classification types and correlation with static and dynamic hip rotation were analyzed. Hip morphology was classified based on the Melbourne Cerebral Palsy Hip Classification Scale E&R. Regarding FNA, our analysis suggested a moderate correlation (r = 0.61, P < 0.05) between both sides. Hip dysplasia was found in 20.5 and 23.1% of the less involved and more involved sides, respectively, in 39 patients. Increased FNA was associated with increased static hip internal and decreased external rotation for both sides (P < 0.05). A positive correlation was observed between FNA and dynamic hip rotation on the more involved side (P < 0.05). Conversely, on the less involved side, FNA showed no significant correlation with pelvic, hip, or knee rotation. This study demonstrates that in unilateral CP, the less involved side is also significantly affected, a moderate correlation exists between the two sides, and both hips may exhibit dysplasia. These findings underscore the necessity for a comprehensive bilateral clinical assessment. Long-term surveillance of both hips and consideration of the less involved side for surgical planning may be warranted.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144975893","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

Application of three-dimensional triangular external fixator in proximal femoral derotational osteotomy for excessive femoral anteversion. 三维三角形外固定架在股骨近端旋转截骨术治疗股骨过度前倾中的应用。

IF 1 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-08-14 DOI: 10.1097/BPB.0000000000001280

Yunheng Jia, Junfang Xu, Yanzhao Dong, Ruquan Jiang, Guoming Feng, Yu Liu, Xiangyang Shan

{"title":"Application of three-dimensional triangular external fixator in proximal femoral derotational osteotomy for excessive femoral anteversion.","authors":"Yunheng Jia, Junfang Xu, Yanzhao Dong, Ruquan Jiang, Guoming Feng, Yu Liu, Xiangyang Shan","doi":"10.1097/BPB.0000000000001280","DOIUrl":"https://doi.org/10.1097/BPB.0000000000001280","url":null,"abstract":"To evaluate the safety and efficacy of a novel three-dimensional triangular external fixator (3D-TEF) in combination with proximal femoral derotational osteotomy (PFDO) for the treatment of symptomatic excessive femoral anteversion (EFA). A retrospective analysis was conducted on data from 12 patients (23 limbs) who underwent PFDO with 3D-TEF from July 2018 to 2024. The preoperative and postoperative femoral neck anteversion angle (FNA) was measured using computed tomography scans, quality of life was assessed using the Pediatric Outcomes Data Collection Instrument (PODCI), and complications and bone healing time were recorded. Twelve patients underwent surgery on a total of 23 limbs, with a mean age of 10.4 years (7.00-17.00). The mean follow-up duration was 23.25 months (5.00-44.00). The preoperative FNA was 42.58 ± 7.57°, which significantly decreased to 17.99 ± 2.14° postoperatively (t = 15.34, P < 0.001). The mean femoral neck-shaft angle measured 136 .25° ± 4. 26° preoperatively and 136.80° ± 4.24° postoperatively (t = -0.77, P > 0.05), indicating no statistically significant change. Postoperative PODCI scores approached normative levels. All patients showed improvement in symptoms of tripping and falling, as well as in the degree of FNA. Two complications were observed: one superficial pin tract infection and one knee flexion contracture, neither of which impacted final outcomes. All osteotomies achieved union without evidence of nonunion, malunion, delayed union, hardware loosening, or avascular necrosis. PFDO stabilized with the 3D-TEF yielded satisfactory outcomes in correcting EFA. The 3D-TEF may present itself as a viable alternative for treating EFA, offering positive clinical outcomes.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144975864","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

Hidden blood loss in dega osteotomy with varus derotation osteotomy is more pronounced than in varus derotation alone. 椎弓形截骨联合内翻截骨术的隐性失血比单纯内翻截骨术更为明显。

IF 1 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-08-14 DOI: 10.1097/BPB.0000000000001284

Ethem Burak Oklaz, Asim Ahmadov, Nurullah Gurbuz, Erdem Aras Sezgin, Hakan Atalar

引用次数: 0

Radiological hindfoot abnormalities in the Ponseti corrected clubfoot followed long-term. Ponseti矫正畸形足的后足影像学异常长期随访。

IF 1 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-08-05 DOI: 10.1097/BPB.0000000000001277

Anil Agarwal, Lokesh Sharma, Kishmita Sachdeva, Ashish Upadhyay, Ankitha Ks, Varun Garg

{"title":"Radiological hindfoot abnormalities in the Ponseti corrected clubfoot followed long-term.","authors":"Anil Agarwal, Lokesh Sharma, Kishmita Sachdeva, Ashish Upadhyay, Ankitha Ks, Varun Garg","doi":"10.1097/BPB.0000000000001277","DOIUrl":"https://doi.org/10.1097/BPB.0000000000001277","url":null,"abstract":"We investigated to what extent the Ponseti technique is successful in radiologically aligning the deformed foot when the deformity was clinically corrected. This prospective study radiologically evaluated Ponseti-treated clubfoot children (Pirani score zero) at a minimum follow-up of 5 years. The radiographs obtained were foot anteroposterior and lateral views (standing views). The angles evaluated in the anteroposterior view were the talocalcaneal and the talus first metatarsal angle. In the lateral view, calcaneal fifth metatarsal, talocalcaneal, talus first metatarsal, tibiocalcaneal, and calcaneal pitch angles were measured. The measured radiological angles were statistically compared to the unaffected feet of the unilateral cases. The mean age of initial treatment for 91 enrolled children (unilateral 37; bilateral 54) was 4 months, and the mean follow-up was 7.2 years. The radiographs revealed similarities for the treated (n = 145) and unaffected feet (n = 37) for two angles (talocalcaneal and talus first metatarsal) evaluated in the anteroposterior view, indicating corrected hindfoot varus and midfoot adduction. Again, the calcaneal fifth metatarsal, talus first metatarsal, and calcaneal pitch angles matched for both feet, indicating a completely corrected cavus. There were, however, significantly lower talocalcaneal (mean 28.1 degrees vs. 32.9 degrees in the unaffected feet) and higher tibiocalcaneal angles (76.5 degrees vs. 72 degrees in the unaffected feet) in the lateral projection of the treated clubfeet, indicating the presence of residual hindfoot abnormalities. The radiological measures in the successfully treated clubfeet matched those of unaffected feet. The exceptions were abnormal lateral talocalcaneal and tibiocalcaneal angles. These might indicate the presence of a certain amount of subclinical hindfoot equinus in the treated children.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144795995","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

Investigation of the relationship between femoral neck-shaft angle, age, and sex in developing children. 发育中儿童股骨颈轴角与年龄、性别关系的探讨。

IF 1 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-08-05 DOI: 10.1097/BPB.0000000000001281

Edgar Cedeno, Bailyn Hogue, Raymond W Liu

{"title":"Investigation of the relationship between femoral neck-shaft angle, age, and sex in developing children.","authors":"Edgar Cedeno, Bailyn Hogue, Raymond W Liu","doi":"10.1097/BPB.0000000000001281","DOIUrl":"https://doi.org/10.1097/BPB.0000000000001281","url":null,"abstract":"Femoral neck-shaft angle (NSA) is a standard measurement for identifying hip pathology. Prior normative investigations relied on single radiographs from various children and lacked serial radiographs from the same individuals. Existing reference values do not explicitly differentiate by sex. In addition, they overlook the variability of this measurement in younger children. This study uses consecutive serial images to explore yearly changes and enhance our understanding of established patterns in femoral NSA adjustments. A total of 870 serial anteroposterior left hip radiographs from the Bolton-Brush collection were included in this study, representing 215 subjects ranging in age from 3 to 16 years. The NSA was measured as the angle between the femoral neck axis and the femoral shaft axis. A mixed model analysis revealed a significant negative association between NSA and age (P < 0.001), indicating that NSA decreases as children grow older. No significant correlation was observed between sex and NSA (P = 0.61). Pairwise comparisons of NSA between sequential ages did not show statistically significant differences after age 8 years.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144795994","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

Clinical features of atlantoaxial rotatory fixation among children with Kawasaki disease. 川崎病患儿寰枢旋转固定的临床特点。

IF 1 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-08-05 DOI: 10.1097/BPB.0000000000001276

Yusuke Oshita, Ichiro Okano, Yoshitaka Watanabe, Haruka Emori, Ryota Ito, Toshiyuki Shirahata, Yushi Hoshino, Koji Kanzaki, Tomoaki Toyone, Hirokazu Ikeda, Yoshifumi Kudo

{"title":"Clinical features of atlantoaxial rotatory fixation among children with Kawasaki disease.","authors":"Yusuke Oshita, Ichiro Okano, Yoshitaka Watanabe, Haruka Emori, Ryota Ito, Toshiyuki Shirahata, Yushi Hoshino, Koji Kanzaki, Tomoaki Toyone, Hirokazu Ikeda, Yoshifumi Kudo","doi":"10.1097/BPB.0000000000001276","DOIUrl":"https://doi.org/10.1097/BPB.0000000000001276","url":null,"abstract":"More than 50% of Kawasaki disease patients exhibit cervical lymphadenopathy, which can lead to atlantoaxial rotatory fixation (AARF). Yet, the incidence and clinical features of AARF in Kawasaki disease (KD-AARF) have been poorly documented. This study explored the symptomatic incidence of AARF in patients with Kawasaki disease. Data were retrospectively collected from 1296 consecutive patients (740 male and 556 female) diagnosed with Kawasaki disease between April 2005 and March 2022 at a single academic institution. Fourteen (six males and eight females) of 1296 Kawasaki disease cases (1.08%) were diagnosed with AARF. The median and interquartile range (IQR) age (month) of KD-AARF was 60.0 months (IQR: 42.5-84.8 months), and the median age of Kawasaki disease without AARF was 28.0 months (IQR: 14.0-28.3 months) (P < 0.001). The average (range) symptomatic duration of torticollis was 16.0 (5-43) days. Moreover, seven cases were treated only with bed rest, one case with bed rest and analgesics, three with a cervical collar, and three using Glisson's traction. At the final follow-up (average: 35.5 months), none of the patients exhibited any residual symptoms. The average time from fever onset to torticollis onset was 2.9 (0-7) days, and that from fever resolution to torticollis resolution was 13.4 (4-41) days. The total treatment duration for KD-AARF was 16.4 ± 12.6 days. AARF incidence in Kawasaki disease cases was 1.08%. Patients with KD-AARF were older than those without.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144795992","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

The role of Shelf-AID technique as a method of containment for treatment of Perthes disease: preliminary results. 货架- aid技术作为一种围护方法在珀尔斯病治疗中的作用：初步结果。

IF 1 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-07-18 DOI: 10.1097/BPB.0000000000001274

Mahmoud Abdou, Ihab Badawi, Elsayed Abdelhalim Abdullah, Amin A Y Ahmed

{"title":"The role of Shelf-AID technique as a method of containment for treatment of Perthes disease: preliminary results.","authors":"Mahmoud Abdou, Ihab Badawi, Elsayed Abdelhalim Abdullah, Amin A Y Ahmed","doi":"10.1097/BPB.0000000000001274","DOIUrl":"https://doi.org/10.1097/BPB.0000000000001274","url":null,"abstract":"The objective of this study is to evaluate the role of the Shelf-AID technique as a method of containment in cases with Perthes disease. This clinical study included 21 hips in 20 patients with Perthes disease. They were followed up clinically and radiologically, with a mean follow-up was 18.7 ± 3.27 months. Hip arthrography was done for all cases to ensure that no hinge abduction was present. We combine shelf acetabuloplasty with soft tissue release (hip adductor and iliopsoas release) associated with percutaneous drilling. There was a statistically significant improvement in the Sharp acetabular index from 41.81 ± 1.72 to 35.67 ± 2.24 at final follow-up. There was also a statistically significant improvement in center edge angle from 27.76 ± 4.04 preoperatively to 51.48 ± 5.47 postoperatively. Acetabular coverage also improved from 76.33 ± 4.71% to 117.05 ± 7.98% at final follow-up. Functional improvement was assessed by the Harris hip score, which improved from 77.05 ± 3.31 preoperatively to 86.95 ± 3.46 at final follow-up (t = 16.367, P < 0.001). We recommend the use of the Shelf-AID technique as we described for containment in patients with Perthes disease with reducible subluxation.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762124","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

Scoliosis in Rett syndrome: a comparative analysis of postoperative complications. Rett综合征脊柱侧凸：术后并发症的比较分析。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-07-01 Epub Date: 2024-12-23 DOI: 10.1097/BPB.0000000000001223

Jialun Chi, Xiangwei Song, Ju Liu, Eunha G Oh, Zhichang Zhang, Zhiwen Xu, Hanzhi Yang, Hui Yuan, Yi Zhang

{"title":"Scoliosis in Rett syndrome: a comparative analysis of postoperative complications.","authors":"Jialun Chi, Xiangwei Song, Ju Liu, Eunha G Oh, Zhichang Zhang, Zhiwen Xu, Hanzhi Yang, Hui Yuan, Yi Zhang","doi":"10.1097/BPB.0000000000001223","DOIUrl":"10.1097/BPB.0000000000001223","url":null,"abstract":"Rett syndrome, a neurodevelopmental disorder primarily affecting females, presents unique challenges in managing associated scoliosis. This study aims to evaluate the efficacy and challenges of posterior spinal fusion (PSF) in Rett syndrome patients by analyzing postoperative complications. A retrospective cohort study was conducted using a large national database. We included Rett syndrome patients aged 10-18 years who underwent PSF between 2010 and 2020. Outcomes such as medical and surgical complications, emergency department visits, readmissions, mortality, and reoperation rates up to 5 years were compared with a matched neuromuscular scoliosis (NMS) group. The study identified 195 Rett syndrome patients and 973 NMS patients. Post-surgery, Rett syndrome patients showed a significantly higher incidence of pneumothorax (56.9%, P < 0.001), respiratory failure (24.6%, P = 0.013), and pneumonia (26.2%, P < 0.001). Additionally, ileus (7.2%, P = 0.041), acute kidney injury (14.9%, P = 0.029), and urinary tract infections (14.9%, P < 0.001) were also significantly more frequent in the Rett syndrome group. Rett syndrome group also had higher rates of transfusion (11.3%, P = 0.004). Interestingly, the incidence of pseudarthrosis, implant complications, junctional failures, and the necessity for reoperation did not significantly differ at postoperative year 2. Mid-term follow-up showed that the reoperation rates over a 5-year period did not significantly differ between the Rett syndrome and NMS groups. Rett syndrome is associated with increased immediate postoperative complications, necessitating tailored preoperative planning, and intensive postoperative care. Despite these challenges, the mid-term surgical outcomes are comparable to those in NMS patients.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"390-395"},"PeriodicalIF":0.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883328","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 from the urgent assessment pathway in selective ultrasonographic screening for developmental dysplasia of the hip (DDH). 选择性超声筛查髋关节发育不良（DDH）的紧急评估途径的结果。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-07-01 Epub Date: 2025-03-10 DOI: 10.1097/BPB.0000000000001247

Ben Arthur Marson, Belal Darwich, Ripak Purbe, Prithviraj Hallikeri, Kathryn Price

引用次数: 0

Was the ultrasound examination for developmental dysplasia of the hip performed correctly? Introduction of a rapid training tool for nonexpert practitioners. 髋关节发育不良的超声检查是否正确？为非专业从业人员引入快速培训工具。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-07-01 Epub Date: 2025-01-07 DOI: 10.1097/BPB.0000000000001228

Manuele Lampasi, Giovanni Lucchesi, Camila Bettuzzi, Salvatore Bonforte, Federico Canavese

{"title":"Was the ultrasound examination for developmental dysplasia of the hip performed correctly? Introduction of a rapid training tool for nonexpert practitioners.","authors":"Manuele Lampasi, Giovanni Lucchesi, Camila Bettuzzi, Salvatore Bonforte, Federico Canavese","doi":"10.1097/BPB.0000000000001228","DOIUrl":"10.1097/BPB.0000000000001228","url":null,"abstract":"Pediatricians and general practitioners are involved in the newborn screening for developmental dysplasia of the hip. They often rely on the quality of the ultrasound (US) examination to make diagnostic and therapeutic decisions. Therefore, the professional must be able to assess its quality. The aim of our work is to present a new system to evaluate the quality of a neonatal hip US and to assess the effectiveness and reproducibility of this tool among professionals involved in the evaluation of the neonatal hip but not experts in the radiological examination of hip US. In a 15-min training session, 135 professionals involved in neonatal hip US screening with limited or no experience in evaluating the quality of hip US were taught to recognize the basic landmarks of hip US using evocative descriptions (Christmas ball) despite the technical terms. Before and after training, participants were given a test of 10 hip US images presented in random order and asked to identify incorrect images. One hundred thirty-five physicians participated in the study. In the first and second evaluation, participants answered 1.46 ± 2.49 and 8.64 ± 1.51 questions correctly on average ( P < 0.05); analysis of the individual questions showed a significant improvement ( P < 0.05) for all questions. A simple and relatively quick training tool can help professionals with little or no experience in interpreting neonatal hip US to understand when a hip US exam has been performed incorrectly and improve their diagnostic and therapeutic decisions. Level of evidence: III.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"337-344"},"PeriodicalIF":0.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142957160","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