Acta orthopaedica et traumatologica turcica最新文献

{"title":"Plantar fascia avulsion fracture of the calcaneus in adolescence: a rare case report.","authors":"Sönmez Sağlam, Mücahid Osman Yücel","doi":"10.5152/j.aott.2025.25275","DOIUrl":"10.5152/j.aott.2025.25275","url":null,"abstract":"<p><p>This case report describes a rare avulsion fracture of the calcaneus involving the plantar fascia insertion in an adolescent patient following a sports-related injury. The patient presented with acute heel pain, and imaging confirmed a significant avulsion at the plantar fascia's calcaneal attachment. Unlike the more common Achilles tendon-related avulsion injuries, this case illustrates a less frequently recognized injury pattern in the pediatric population. Management was conservative, consisting of rest, immobilization, and a structured rehabilitation program. The patient achieved full recovery, returning to normal activities without residual symptoms. This case underscores the importance of considering plantar fascia avulsion fractures in adolescent patients with heel pain, particularly in the context of athletic trauma.</p>","PeriodicalId":93854,"journal":{"name":"Acta orthopaedica et traumatologica turcica","volume":"59 5","pages":"331-333"},"PeriodicalIF":1.0,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12482953/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Limb preservation with radical muscle debridement in crush-related compartment syndrome: a case report from an earthquake survivor.","authors":"Güven Ozan Kaplan, Süleyman Yıldızdal, Serdar Nasır","doi":"10.5152/j.aott.2025.25252","DOIUrl":"10.5152/j.aott.2025.25252","url":null,"abstract":"<p><p>The role of fasciotomy in the treatment of lower extremity crush injuries remains controversial. Late fasciotomy wounds are known to be associated with sepsis and amputation. This report presents the results of a limb-saving treatment procedure for a patient with crushinduced leg compartment syndrome who had undergone fasciotomy before admission. A 36-year-old male patient, trapped under rubble for 37 hours, presented with purulent-necrotic drainage from the fasciotomy site of his right leg. Two radical muscle debridements were performed to excise all necrotic muscles. No signs of sepsis developed postoperatively, and renal function normalized with the aid of hemodialysis. At the 1-year follow-up, the patient was able to walk with the assistance of a walker. Semmes-Weinstein monofilament testing showed a positive response to a 4.31-mm monofilament over the plantar aspect of the first metatarsal head; however, no sensation was detected in the dorsal aspect of the foot. This case highlights that radical muscle debridement may be considered a limb-preserving surgical option in patients with crush-induced leg compartment syndrome, as it can prevent sepsis, improve renal and metabolic function, and potentially obviate the need for amputation.</p>","PeriodicalId":93854,"journal":{"name":"Acta orthopaedica et traumatologica turcica","volume":"59 5","pages":"327-330"},"PeriodicalIF":1.0,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12482963/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physiotherapists' preparedness for a national hip screening program in children with cerebral palsy: a survey study.","authors":"Süleyman Kozlu, Avni İlhan Bayhan, Evren Akpınar, Osman Nuri Özyalvaç","doi":"10.5152/j.aott.2025.25399","DOIUrl":"10.5152/j.aott.2025.25399","url":null,"abstract":"<p><p>Objective: Cerebral palsy (CP) is a prevalent neurological disorder a!ecting 2-3 per 1000 live births globally. A common orthopedic consequence in CP is hip dislocation, with an incidence ranging from 15% to 30%. This study aimed to assess physiotherapists' (PTs) awareness and knowledge of hip dislocation in CP and identify knowledge gaps in this field. Methods: A cross-sectional survey was administered to PT working in healthcare institutions across Türkiye. The online anonymous survey, hosted on Google Forms, received responses from 128 PTs. It included questions related to the diagnosis, treatment approaches, and clinical experience concerning hip dislocation/subluxation. The survey consisted of 3 types of questions: demographic questions, yes/no knowledge questions, and opinion-suggestion questions. Results: The majority of PTs participating in this study work with pediatric patients. Physiotherapists had basic knowledge about hip dislocation although we observed significant gaps in areas related to routine screening programs and advanced treatment modalities. PTs incorrectly answered 3 out of 8 knowledge-based questions. The majority emphasized the importance of early diagnosis and treatment and expressed a need for more education and awareness programs. Conclusion: Physiotherapist provided important opinion-suggestion insights. The findings indicate a need for improved education and training for PT concerning hip dislocation in children with CP. We believe that the most appropriate screening method for Türkiye is to establish a screening program with a multidisciplinary structure formed between pediatric orthopedists, physical medicine and rehabilitation specialists (PM&R), PT, and family physicians (FPs). Level of Evidence: N/A.</p>","PeriodicalId":93854,"journal":{"name":"Acta orthopaedica et traumatologica turcica","volume":"59 5","pages":"268-273"},"PeriodicalIF":1.0,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12482971/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A bibliometric analysis of Turkish orthopedics and traumatology in high-impact global literature over a decade (2014-2023).","authors":"Tolgahan Korkmaz, Muhammed Yusuf Afacan, Cansu Elibollar, Ali Osman Gokhan Cıbıkcı, Bedri Karaismailoğlu, Ali Seker","doi":"10.5152/j.aott.2025.25362","DOIUrl":"10.5152/j.aott.2025.25362","url":null,"abstract":"&lt;p&gt;&lt;p&gt;Objective: This study aimed to assess the contributions and global impact of Turkish orthopedics and traumatology research published in high-impact international journals over the past decade (2014-2023). By examining article types, citation metrics, journal impact factors, and author a!liations, the aim was to highlight publication trends, strengths, and areas needing improvement within Turkish orthopedic research. Methods: Using the Web of Science database, keywords were searched under journal categories including \"Orthopedics,\" \"Orthopedics, Rehabilitation and Sports Medicine,\" and \"Sports Sciences.\" Articles from the top 40 orthopedic journals indexed in Science Citation Index Expanded were identified and selected based on their 2022 impact factors. Articles published between January 2014 and December 2023 with first authors a!liated with a Turkish institution were included. Citation density was calculated by dividing the total number of citations by the number of years since publication. Data extracted included publication type, citation count, citation density, research methodology, author a!liations, and institutional contributions. Results: Out of 70 279 articles published globally, 425 orthopedic articles with Turkish first authorship were identified in the selected journals. Most articles were clinical (88.7%), with the most frequent article types being case presentations (31.3%), retrospective cohort studies (17.9%), and laboratory research (11.3%). The least common types were expert opinions, epidemiological studies, and meta-analyses. The majority of articles appeared in Spine Journal (34.6%) and Knee Surgery, Sports Traumatology, Arthroscopy (27.3%), with no articles published in the highest-ranked journal (British Journal of Sports Medicine). Spine surgery was the leading subfield (29.9%), followed by sports, shoulder, and elbow surgery (22.6%) and reconstructive surgery (16%). Orthopedic specialists comprised 56% of first authors, with multicenter studies representing 65.4% of the articles. Public institutions accounted for 80.1% of published articles, while private institutions contributed 19.9%. A total of 356 articles were cited 8349 times, with a median citation number of 9 per article. Mean citation density was highest in meta-analysis (8.5 citation/year), epidemiological studies (8.3 citation/year), and randomized controlled trials (7.8 citation/ year), while lowest in case presentations (0.3 citation/year), expert opinions (0.4 citation/year), and laboratory research (2.2 citation/year). Conclusion: Turkish orthopedic research has maintained a significant presence in top orthopedic journals, mostly through clinical studies, especially in spinal and sports injury subfields. Despite high publication volume, citation impact remains relatively lower. Future e\"orts should encourage higher-impact study designs, international collaborations, and standardized research evaluations to enhance the global influence of Turkish ort","PeriodicalId":93854,"journal":{"name":"Acta orthopaedica et traumatologica turcica","volume":"59 5","pages":"315-321"},"PeriodicalIF":1.0,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12482954/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Simultaneous arthroscopic treatment of adhesive capsulitis and rotator cuff tear: a retrospective analysis of clinical outcomes.","authors":"Sevan Sıvacıoğlu, Onur Tunalı, Onur Çetin, Ata Can Atalar","doi":"10.5152/j.aott.2025.25441","DOIUrl":"10.5152/j.aott.2025.25441","url":null,"abstract":"<p><p>Objective: This study aimed to evaluate the clinical and functional outcomes of patients who underwent simultaneous arthroscopic capsular release for adhesive capsulitis and rotator cu! repair. Methods: A retrospective analysis was performed on patients treated between 2014 and 2023 who underwent arthroscopic global capsular release combined with rotator cu! repair. Preoperative and postoperative outcomes, including range of motion (ROM), Visual Analogue Scale (VAS) scores, and Constant scores, were assessed with a minimum follow-up of six months. Results: Among 69 patients undergoing capsular release, 29 patients (20 females, 9 males; mean age: 56 years) received concurrent rotator cu! repair. The mean follow-up period was 14 months. Most tears involved the supraspinatus (25 full-thickness, 4 partial bursal-side). Complications were minimal, with only two diabetic patients displaying persistent ROM limitations and there were no re-tear in followup period. Statistically significant di!erences seen in ROM, VAS and Constant scores, VAS decreased from 7.1 to 1.2, Constant score improved from 37.5 to 72.3 (P < .05). Conclusion: Simultaneous arthroscopic management of adhesive capsulitis and rotator cu! tears provides favorable clinical and functional outcomes with lower complication rates compared to current literature, supporting its value as an e!ective treatment option. However, the limited sample size and relatively short follow-up should be considered when interpreting these results. Level of Evidence: Level IV, Therapeutic study.</p>","PeriodicalId":93854,"journal":{"name":"Acta orthopaedica et traumatologica turcica","volume":"59 5","pages":"265-267"},"PeriodicalIF":1.0,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12482961/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Button-related finger injuries in textile workers: the hidden danger of the industry.","authors":"Mehmet Şah Şakçı, Mümin Karahan","doi":"10.5152/j.aott.2025.24236","DOIUrl":"10.5152/j.aott.2025.24236","url":null,"abstract":"<p><p>Objective: This study aimed to evaluate button-related injuries, which are increasingly common in the textile and apparel manufacturing sector, to contribute to diagnosis and treatment and to raise awareness among employers and workers. Methods: This retrospective study included 23 patients with button-related injuries. The study evaluated patient demographics, the department they presented to, the level of hand injury, accompanying pathologies (osseous, neurological, vascular, and tendinous injuries), tetanus immunization status, occupational health and safety training status, awareness of workplace physicians, prior awareness of such injuries, history of occupational accidents, and long-term outcomes. Statistical analyses were performed using SPSS v21. Descriptive data were summarized as frequency (%) or mean ± SD, and the Shapiro-Wilk test was used to assess normality. Results: Among the 23 patients (14 males, 9 females), 16 sustained injuries to the distal phalanx and pulp level, while 7 had injuries at the middle phalanx level. At presentation, 4 patients exhibited hypoesthesia on the a!ected side of the finger, and 9 patients had reduced blood flow. Two patients had accompanying phalanx fractures. No tendinous pathologies were observed in any of the patients. All patients underwent surgical intervention. Seven patients developed nail deformities in the follow-up. Conclusion: Timely intervention and appropriate treatment after an injury are crucial for limb salvage and functionality. In long-term follow-ups, most patients healed without major complications; however, some the patients developed nail deformities. Level of Evidence: Level IV, Therapeutic Study.</p>","PeriodicalId":93854,"journal":{"name":"Acta orthopaedica et traumatologica turcica","volume":"59 5","pages":"299-304"},"PeriodicalIF":1.0,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12482960/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Amputation surgery is associated with a higher risk of malpractice in cases of traumatic amputation: retrospective analyses of extremity amputation malpractice litigation.","authors":"Filiz Ekim Çevik, Serkan Bayram, Furkan Söylemez, Caner Beşkoç, Hızır Aslıyüksek","doi":"10.5152/j.aott.2025.25296","DOIUrl":"10.5152/j.aott.2025.25296","url":null,"abstract":"<p><p>Objective: This study aims to undertake a comprehensive review of malpractice litigation cases involving limb amputation surgery, with a subsequent evaluation of the cases accepted as malpractice. Methods: The retrospective, descriptive study evaluated cases of alleged medical malpractice involving extremity amputations sent to the Medical Council. When medical error decisions were made by the board, the full range of allegations was subjected to evaluation, including issues related to consent, diagnosis, and treatment errors. A review was conducted of all closed legal cases pertaining to medical malpractice in the field of extremity amputation. A comprehensive dataset was collated, encompassing detailed information on each case. This included age, sex, and the anatomical location of the amputation (lower or upper extremity). Additionally, the amputation mechanism, the duration of hospitalization, and the time interval between surgery and the initiation of legal proceedings were investigated. Results: The study encompassed 290 medical litigations with a mean age of 39.6 ± 20 years. Of the participants, 213 (73.4%) were male, and 77 (26.6%) were female. Amputation surgery was conducted on the lower extremity in 191 patients (65.9%), the upper extremity in 97 patients (33.4%), and both upper and lower extremities in 2 patients (0.7%). The reasons for amputation surgery were classified as secondary to disease in 143 patients (49.3%) and traumatic injury in 147 patients (50.7%). Fifty-nine cases were accepted as medical malpractice. No significant di!erences were found between cases with and without medical malpractice, or among age groups, genders, extremities, lengths of hospital stays, levels of amputation, whether cases were secondary to trauma or disease. Conclusion: It is evident that there is a higher prevalence of malpractice in cases of traumatic injury; therefore, clinicians should exercise greater caution and diligence in the management of these cases. Level of Evidence: Level IV, Prognostic study.</p>","PeriodicalId":93854,"journal":{"name":"Acta orthopaedica et traumatologica turcica","volume":"59 5","pages":"322-326"},"PeriodicalIF":1.0,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12482969/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of anticoagulation therapy on surgical timing, hospital stay, and postoperative outcomes in proximal femur fracture patients.","authors":"Povilas Masionis, Daniele Derkintyte, Elvin Francisek Bogdzevic, Rokas Bobina, Igoris Satkauskas","doi":"10.5152/j.aott.2025.25341","DOIUrl":"10.5152/j.aott.2025.25341","url":null,"abstract":"<p><p>Objective: This study aimed to evaluate the association between preoperative anticoagulant use and time to surgery, hospital length of stay, and 30-day postoperative complications in elderly patients with proximal femur fractures. Methods: This study included 572 patients with low-energy proximal femur fractures who required surgical treatment. Patients were categorized into two groups based on anticoagulation therapy use. The following data was collected and compered between the groups: time from hospitalization to surgery, hospital length of stay, percent changes in hemoglobin and other post-operative complications: death, cardiac complications, sepsis, deep venous thrombosis, pneumonia, urinary tract infection, surgical site infection, pressure ulcers, acute kidney injury and delirium. Multivariate regression analysis was performed to analyze possible confounders. Results: The median age of study participants was 83 years. 78.2% being female. Anticoagulation therapy was used by 19.9% of patients, predominantly non-vitamin K oral anticoagulants. Patients receiving anticoagulants experienced significantly longer hospital stays (median 9 vs. 7 days; P < .05) and surgical delays (median 3 vs. 2 days; P < .0001) compared to those without anticoagulation. Complication rates and hemoglobin level changes did not di!er significantly among the groups (P > .05). Multivariate analysis identified age, time to surgery, and hospital length of stay as independent predictors of 30-day postoperative complications, with age and hospital stay also significantly associated with 30-day mortality. Conclusion: Anticoagulation therapy did not directly increase 30-day postoperative complications or mortality but was associated with surgical delays and prolonged hospital stays, which negatively impacted outcomes. Delayed surgery and extended hospitalization emerged as key risk factors. These findings underscore the clinical importance of minimizing surgical delays in anticoagulated patients to improve postoperative outcomes. Level of Evidence: Level II, Prognostic study.</p>","PeriodicalId":93854,"journal":{"name":"Acta orthopaedica et traumatologica turcica","volume":"59 5","pages":"253-258"},"PeriodicalIF":1.0,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12482519/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Upholding ethical standards in submissions and peer review.","authors":"Haluk Berk","doi":"10.5152/j.aott.2025.250911","DOIUrl":"10.5152/j.aott.2025.250911","url":null,"abstract":"","PeriodicalId":93854,"journal":{"name":"Acta orthopaedica et traumatologica turcica","volume":"59 5","pages":"243-244"},"PeriodicalIF":1.0,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12482521/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A nationwide survey of orthopedic residency training in Türkiye: Theoretical education, surgical exposure, faculty engagement, and mentorship influence on resident competence.","authors":"Mahmut Kalem, Merve Dursun Savran, Bedir Özgencil, Emre Anıl Özbek, Ercan Şahin","doi":"10.5152/j.aott.2025.25438","DOIUrl":"10.5152/j.aott.2025.25438","url":null,"abstract":"<p><p>Objective: This study aimed to evaluate orthopedic residency training in Türkiye by analyzing the structure of clinical education, levels of faculty engagement, availability of mentorship, and residents' self-perceived competence. It further examined the influence of mentorship and faculty involvement on surgical training, academic career interest, and subspecialty decisions. Methods: A cross-sectional survey was conducted among orthopedic residents across Türkiye between February 6-18, 2025. A total of 849 residents participated, covering all provinces with orthopedic training centers. Data on institutional characteristics, educational methods, surgical exposure, mentorship, and residents' self-assessed competencies were collected using an online questionnaire. The mean age of participants was 29.1 years (range: 23-35), and 95.2% were male. The mean residency year was 2.7. The primary outcomes included surgical exposure, self-assessed competence, academic interest, and mentorship impact. Results: Among participants, 8.13% reported no theoretical education, with peer-based learning (52.1%) being the dominant method. Faculty-led instruction was limited (24.6%). A mentor figure was present in 68.8% and was significantly associated with higher selfassessed competence in theoretical knowledge, surgical skills, and complication management (P < .0001). Mentored residents had greater academic interest (41.1% vs. 33.2%, P=.011) and clearer subspecialty goals (27.9% vs. 18.9%, P=.017). Only 45.7% of the fifth-year residents rated themselves as highly competent. Higher monthly operating room days and case volumes were significantly correlated with greater self-perceived competence (P=.0001). Conclusion: This study reveals substantial disparities in surgical training, faculty engagement, and mentorship across orthopedic residency programs in Türkiye. Structured mentorship initiatives, improved surgical exposure, and faculty-driven education are essential to enhance residents' professional development and preparedness for independent practice.</p>","PeriodicalId":93854,"journal":{"name":"Acta orthopaedica et traumatologica turcica","volume":"59 5","pages":"305-314"},"PeriodicalIF":1.0,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12482967/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}