Arthroscopy-The Journal of Arthroscopic and Related Surgery最新文献

{"title":"Posterior Labral Repair With Capsular Plication Shows Enduring Mid-Term Outcomes and Return to Sports With Low Recurrence Rates.","authors":"Ignacio Pasqualini, Oguz Turan, Catalina Larrague, Ignacio Tanoira, Maximiliano Ranalletta, Luciano Rossi","doi":"10.1016/j.arthro.2025.07.040","DOIUrl":"10.1016/j.arthro.2025.07.040","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate mid-term (>5-year) clinical outcomes, recurrence rates, and return to sports in a cohort of patients undergoing arthroscopic posterior labral repair and capsular plication.</p><p><strong>Methods: </strong>We conducted a retrospective review of patients who underwent isolated posterior labral repairs with capsular plication for posterior shoulder instability with a minimum follow-up period of 8 years. We included patients who (1) underwent arthroscopic posterior labral repair and capsular plication as the index procedure, (2) had minimum 8-year follow-up, (3) were older than 18 years at the time of final follow-up, and (4) had complete patient-reported outcome measures at final follow-up. Clinical outcomes were assessed using the Rowe score, American Shoulder and Elbow Surgeons (ASES) score, and Single Assessment Numeric Evaluation (SANE) score at baseline, 1-year follow-up, and final follow-up. Recurrence rates, complications, and return to sports were also evaluated. The proportions of patients achieving the minimal clinically important difference (MCID) and patient acceptable symptomatic state (PASS) were calculated for each outcome measure using established thresholds.</p><p><strong>Results: </strong>Forty-seven patients met the inclusion criteria, with a mean age at surgery of 20.7 ± 4.1 years, and 87.2% were male patients. At a mean final follow-up of 10.2 years (range, 8.0-13.6 years), the mean Rowe, ASES, and SANE scores were 89.5 ± 13.0, 87.8 ± 12.8, and 83.8 ± 7.7, respectively, showing significant improvements from baseline. The MCID was achieved by 97.9% of patients for the Rowe score, 100% for the ASES score, and 85.1% for the SANE score. The PASS was achieved by 66% of patients for the Rowe score, 83% for the ASES score, and 68% for the SANE score. Three patients (6.4%) experienced recurrent instability, with a mean time to recurrence of 21.3 ± 1.5 months. Two patients underwent revision surgery. Most patients (91.5%) returned to sports, at an average time of 5.4 ± 1.0 months after surgery, with 78.7% returning at the same level as before the injury.</p><p><strong>Conclusions: </strong>Arthroscopic repair for posterior shoulder instability yields favorable mid-term outcomes, with significant improvements in functional scores and a low recurrence rate at a mean follow-up of 10.6 years. A high proportion of patients achieved the MCID and PASS for all outcome measures, indicating clinically meaningful improvements in shoulder function and patient satisfaction. Most patients successfully returned to sports, with nearly 80% returning at their preinjury level. These findings support the durability and effectiveness of arthroscopic repair in managing posterior shoulder instability, helping patients maintain a high level of shoulder function and sports participation over an extended period.</p><p><strong>Level of evidence: </strong>Level IV, retrospective case series.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":5.4,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145182385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Favorable Short-Term Outcomes of Matrix-Associated Autologous Chondrocyte Implantation for Osteochondral Lesions of the Talus: A Systematic Review.","authors":"Jimmy Wen, Burhaan Syed, Ubaid Ansari, Vince Thomas, Mouhamad Shehabat, Muzammil Akhtar, Daniel Razick, Christopher D Kreulen","doi":"10.1016/j.arthro.2025.07.045","DOIUrl":"10.1016/j.arthro.2025.07.045","url":null,"abstract":"<p><strong>Purpose: </strong>To synthesize the available research on matrix-associated autologous chondrocyte implantation (MACI) for osteochondral lesions of the talus (OLTs) by specifically focusing on clinical outcomes, patient-reported outcomes (PROs), return to activity/sport (RTA/RTS), and rates of complications/revisions.</p><p><strong>Methods: </strong>A search following the guidelines established by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses was performed in three databases for studies including MACI repair for OLTs. Study variables included title, author, publication date, study year, number of patients/ankles, mean age, mean follow-up time, RTA/RTS, PROs, and rates of complications/revisions.</p><p><strong>Results: </strong>In total, 11 studies including 166 patients who underwent MACI with an age range of 17.7 to 45.8 years, a defect size range of 1.21 to 3.4 cm², and a follow-up time of 21.1 to 144 months were included. Lesions treated were classified as Outerbridge III-IV, Hepple 3-4, International Cartilage Repair Society III-IV, or chronic-type lesions. The mean preoperative ranges for American Orthopedic Foot and Ankle Score (AOFAS) (9 studies) and Magnetic Resonance Observation of Cartilage Repair Tissue (1 study) were 36.9 to 70.1 and 62.4, respectively. The mean postoperative ranges for AOFAS (9 studies) and Magnetic Resonance Observation of Cartilage Repair Tissue (4 studies) were 78.3 to 95.3 and 62 to 83.8, respectively. Rates for RTA (1 study) and RTS (3 studies) were 81.8% and 50% to 82.4%, respectively. Complications and revisions ranged from 0% to 59% and 0% to 45%, respectively.</p><p><strong>Conclusions: </strong>MACI for OLTs is associated with improved AOFAS scores and RTA/RTS rates at short-term follow-up. Reported complication and revision rates ranged from 0% to 59% and 0% to 45%, respectively. No included studies reported minimal clinically important difference, patient acceptable symptom state, or substantial clinical benefit metrics, limiting the interpretation of patient-level clinical improvements.</p><p><strong>Level of evidence: </strong>Level IV, systematic review of LOE III-IV studies.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":5.4,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145093082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Femoral Derotational Osteotomy Alone or Combined With Hip Arthroscopy Is Superior to Arthroscopy Alone in Patients With Femoral Retroversion.","authors":"Hayden P Baker, Mason E Uvodich, Alex Capitano, Brian T Muffly, Robert Buly, Bryan T Kelly, Anil S Ranawat, Danyal H Nawabi","doi":"10.1016/j.arthro.2025.07.047","DOIUrl":"10.1016/j.arthro.2025.07.047","url":null,"abstract":"<p><strong>Purpose: </strong>To compare patient-reported outcomes in patients with femoral retroversion (<5° of femoral anteversion) treated with either isolated hip arthroscopy (HA), femoral derotation osteotomy (FDO), or a combined procedure.</p><p><strong>Methods: </strong>Patients treated between 2013 and 2019 were identified from an institutional hip preservation registry. Inclusion criteria were age 14 to 60 years, femoral version <5° as measured on preoperative computed tomography, and a minimum 1-year follow-up. Patients underwent isolated HA, isolated FDO, or combined HA + FDO. The primary outcome was improvement in the modified Harris Hip Score. Secondary outcomes included hip range of motion, postoperative complications, revision surgery rates, and achievement of minimum clinically important difference (MCID), substantial clinical benefit, and patient acceptable symptomatic state (PASS).</p><p><strong>Results: </strong>A total of 82 patients met the inclusion criteria. The combined HA + FDO group had the greatest improvement in modified Harris Hip Score, followed by the FDO group, then the HA group (P = .001). A significantly higher proportion of FDO patients achieved the MCID (95%) compared to HA patients (67%) (P = .03). PASS was also more frequently achieved in the FDO and combined groups (90% and 78%, respectively) compared to HA (48%) (P = .004). No patients required conversion to total hip arthroplasty.</p><p><strong>Conclusions: </strong>In patients with femoral retroversion, treatment with FDO, either alone or combined with HA, resulted in greater improvements in functional outcomes and higher rates of MCID and PASS compared to isolated hip arthroscopy.</p><p><strong>Level of evidence: </strong>Level III, retrospective comparative case series.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":5.4,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145093104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Arthroscopically Assisted Posterior Latissimus Dorsi and Teres Major Transfer Can Alleviate Pain and Improve Shoulder Function.","authors":"Chang Hee Baek, Bo Taek Kim, Luis Alfredo Miranda, Jung Gon Kim, Chaemoon Lim, Seung Jin Kim, Jean Kany","doi":"10.1016/j.arthro.2025.07.046","DOIUrl":"10.1016/j.arthro.2025.07.046","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the efficacy of arthroscopically assisted latissimus dorsi-teres major (LD-TM) transfer in patients with posterosuperior irreparable rotator cuff tears (PSIRCTs) without glenohumeral arthritis.</p><p><strong>Methods: </strong>This retrospective study reviewed patients from 2 centers who underwent arthroscopically assisted LD-TM transfer: center A (between June 2014 and June 2020) and center B (between October 2014 and December 2017). The inclusion criteria consisted of patients with PSIRCTs without glenohumeral arthritis and a minimum 2-year follow-up. The exclusion criteria were combined biceps superior capsular reconstruction, missing clinical data, or loss to follow-up. Patient outcomes were assessed using the visual analog scale score, range of motion (ROM), progression of arthritis, and various patient-reported measures, including the Simple Shoulder Test (SST) score, Subjective Shoulder Value (SSV), Activities of Daily Living That Require Active External Rotation (ADLER) score, and American Shoulder and Elbow Surgeons (ASES) score.</p><p><strong>Results: </strong>After the exclusion of 15 patients, 96 patients (26 from center A and 70 from center B) were included. The mean age was 64.0 ± 9.4 years (range, 38-83 years), with a mean follow-up of 43.3 ± 18.3 months (range, 24-101 months). Significant improvements were observed in the SST score, SSV, ADLER score, and ASES score (P < .001 for all). Significant ROM improvements were noted in forward elevation, abduction, and external rotation. Clinically meaningful improvements (minimal clinically important difference, calculated by 0.5 standard deviation method) were seen in 73.9% of patients for the SST score, 90.6% for the SSV, 73.5% for the ADLER score, and 79.1% for the ASES score. A total of 16 patients experienced retears, and 3 patients required conversion to reverse total shoulder arthroplasty because of persistent pain unresponsive to conservative treatment. No significant differences in outcomes or complication rates were observed between the 2 centers.</p><p><strong>Conclusions: </strong>Arthroscopically assisted LD-TM transfer significantly relieved pain and improved functional outcomes in patients with PSIRCTs, as shown by significant improvements in pain scores, patient-reported outcome measures, and ROM. This study supports that arthroscopically assisted LD-TM transfer is an effective treatment option for managing PSIRCTs.</p><p><strong>Level of evidence: </strong>Level IV, retrospective case series.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":5.4,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Computer Navigation-Assisted Osteochondroplasty May Improve Accuracy of Resection Planning With Limited Outcome Differences Compared With Freehand Hip Arthroscopic Technique in Patients With Femoroacetabular Impingement Syndrome.","authors":"Masayoshi Saito, Shota Higashihira, Yohei Yukizawa, Hyonmin Choe, Hiroyuki Ike, Ken Kumagai, Yutaka Inaba, Naomi Kobayashi","doi":"10.1016/j.arthro.2025.07.048","DOIUrl":"10.1016/j.arthro.2025.07.048","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the achievement of the preoperative plan and clinical outcomes in patients with cam- or combined-type femoroacetabular impingement syndrome undergoing computer navigation-assisted arthroscopic osteochondroplasty compared with freehand techniques.</p><p><strong>Methods: </strong>This retrospective study included patients treated between 2020 and 2024 who met the following criteria: (1) primary hip arthroscopic surgery for cam- or combined-type femoroacetabular impingement syndrome, (2) availability of pre- and postoperative computed tomography imaging, and (3) minimum 12-month follow-up. Patients were divided into a navigation-assisted group and a freehand group. In the navigation group, a computed tomography-based system was used, enabling real-time tracking of the abrader burr during resection. Achievement of the preoperative plan was assessed by comparing postoperative 3-dimensional range of motion simulations to preoperative targets at 90°, 70°, and 45° of hip flexion. Clinical outcomes included the modified Harris Hip Score (mHHS) and Non-Arthritic Hip Score (NAHS).</p><p><strong>Results: </strong>Fifty-five hips were included (25 in the navigation-assisted group and 30 in the freehand group). Mean follow-up was 14.7 ± 4.4 months (range, 12-25 months) in the navigation group and 31.3 ± 11.2 months (range, 12-58 months) in the freehand group. The navigation group had greater achievement rates of the preoperative range of motion plan at 90° (92.0% vs 46.7%, P < .001) and 70° (80.0% vs 50.0%, P = .027). At 1 year, NAHS was greater in the navigation group (88.6 ± 9.2 vs 79.8 ± 18.9, P = .037), with more patients achieving the minimal clinically important difference (76.0% vs 46.7%, P = .032). There were no significant differences in mHHS, revision arthroscopy, or conversion to total hip arthroplasty.</p><p><strong>Conclusions: </strong>Computer navigation-assisted osteochondroplasty may improve the accuracy of cam resection and contribute to better short-term outcomes such as the NAHS at 1 year. However, clinical benefits over freehand technique were limited in other measures such as mHHS, revision, or conversion rates.</p><p><strong>Level of evidence: </strong>Level Ⅲ, retrospective comparative study.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":5.4,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145093045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial Commentary: Navigating the Cam: Balancing Precision, Cost, and Patient-Reported Outcomes for Computer-Assisted Femoral Resections.","authors":"Lauren H Schoof, Matthew J Hartwell","doi":"10.1016/j.arthro.2025.08.026","DOIUrl":"10.1016/j.arthro.2025.08.026","url":null,"abstract":"<p><p>Accurate correction of cam or combined deformities in femoroacetabular impingement syndrome is essential because under- and over-resection can lead to complications and inferior patient-reported outcomes. Yet, consistent visualization and complete resection remain challenging, with under-resection being a leading cause of revision surgery. Computer-assisted navigation in hip arthroscopy offers the potential to improve accuracy and reduce variability. Recent studies show improved adherence to preoperative plans, reduced residual impingement, and favorable short-term functional scores. However, long-term, patient-centered outcomes remain unknown, and there is limited evidence for improved clinical outcomes compared with traditional freehand fluoroscopic techniques. Drawbacks, including longer operative time and increased system cost, may limit efficiency and raise cost-effectiveness concerns. Larger, prospective studies with extended follow-up are needed to clarify the true clinical impact of computer-assisted navigation and identify the settings in which it may provide maximal benefit.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":5.4,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial Commentary: Arthroscopically Assisted Posterior Latissimus Dorsi and Teres Major Transfers Show Improvement for Irreparable Posterosuperior Rotator Cuff Tears but Are Rarely the Best Choice.","authors":"Stephen C Weber","doi":"10.1016/j.arthro.2025.08.025","DOIUrl":"10.1016/j.arthro.2025.08.025","url":null,"abstract":"<p><p>Tendon transfers have shown good clinical results in a numerous reviews of treatment options for unrepairable posterosuperior rotator cuff tears. Combined latissimus dorsi and teres major transfer have been described as an option to improve external rotation strength. Although outcomes have been acceptable, other options for treatment of this patient population may be preferable in terms of outcomes and perioperative morbidity.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":5.4,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial Commentary: Femoral Version Is Not a Solo Act but Rather a Complex Interplay When Considered in Hip Preservation.","authors":"Taylor J Freetly, David E Hartigan","doi":"10.1016/j.arthro.2025.08.024","DOIUrl":"10.1016/j.arthro.2025.08.024","url":null,"abstract":"<p><p>Femoral retroversion is increasingly recognized as a contributor to hip pain, impingement, and inferior outcomes after hip preservation surgery. Although its natural history remains incompletely defined, biomechanical studies show that retroversion decreases impingement-free range of motion and alters labral contact. Clinical outcomes following hip arthroscopy in retroverted hips have been mixed. Recent comparative studies have reported that femoral derotational osteotomy, either alone or combined with hip arthroscopy, can outperform hip arthroscopy alone in terms of patient-reported outcomes in patients with <5° of femoral anteversion.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":5.4,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial Commentary: Matrix-Associated Autologous Chondrocyte Implantation for Osteochondral Talar Lesions Is Promising yet Premature.","authors":"Nicola Maffulli, Filippo Migliorini","doi":"10.1016/j.arthro.2025.08.023","DOIUrl":"10.1016/j.arthro.2025.08.023","url":null,"abstract":"<p><p>Matrix-associated autologous chondrocyte implantation (MACI) has long been established as a viable option for focal cartilage defects in the knee. Its application in the ankle, however, remains controversial, with inconsistent evidence and substantial variation in outcomes. This commentary reflects on the current status of MACI for osteochondral lesions of the talus, highlighting methodologic weaknesses, uncertain clinical significance, and the need for robust comparative trials. The field needs higher-quality prospective research to generalize the use of MACI to focal cartilage lesions of the talus with the same confidence as in the knee.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":5.4,"publicationDate":"2025-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial Commentary: Targeting Meniscal Extrusion Is the Key to Saving the Meniscus and Preserving Articular Cartilage.","authors":"Aaron J Krych, Adam J Tagliero","doi":"10.1016/j.arthro.2025.09.005","DOIUrl":"10.1016/j.arthro.2025.09.005","url":null,"abstract":"<p><p>Meniscal root repair has advanced considerably, yet extrusion remains the pivotal determinant of outcomes, primarily with medial meniscus repairs. In our view, successful preservation of the meniscus-and ultimately the joint-hinges on minimizing extrusion through timely intervention, meticulous technique, and consideration of centralization strategies. If we fail to target extrusion, we fail to preserve meniscus function and ultimately protect the cartilage. Only by targeting extrusion as the key modifiable risk factor can we hope to achieve higher patient satisfaction and long-term cartilage preservation.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":5.4,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145071243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}