Pub Date : 2024-12-01DOI: 10.1016/j.eats.2024.103133
Juan Bernardo Villarreal-Espinosa M.D. , Rodrigo Saad-Berreta B.A. , Richard Danilkowicz M.D. , Zeeshan A. Khan B.A. , Stephanie Boden M.D. , Nikhil N. Verma M.D.
Failure of rotator cuff repairs contributes to decreased patient satisfaction and quality of life. Biologic enhancement of repairs represents a novel augmentation strategy attempting to reproduce native healing while concomitantly potentially decreasing the existing high failure rates associated with rotator cuff repairs. Scaffolds placed on top of the rotator cuff have been widely studied, yet no recreation of the native enthesis is achieved via this augmentation strategy. Several strategies involving placement of demineralized bone matrix scaffolds on an inlay configuration (between bone and tendon) have been reported demonstrating enhanced recreation of the native bone-tendon unit. This Technical Note describes the surgical technique of inlay demineralized bone fiber scaffold augmentation of rotator cuff repairs to enhance biological healing in aims of recreating the native enthesis.
{"title":"Arthroscopic Transosseous-Equivalent Double-Row Rotator Cuff Repair Augmentation With Interpositional Demineralized Bone Fiber Implant","authors":"Juan Bernardo Villarreal-Espinosa M.D. , Rodrigo Saad-Berreta B.A. , Richard Danilkowicz M.D. , Zeeshan A. Khan B.A. , Stephanie Boden M.D. , Nikhil N. Verma M.D.","doi":"10.1016/j.eats.2024.103133","DOIUrl":"10.1016/j.eats.2024.103133","url":null,"abstract":"<div><div>Failure of rotator cuff repairs contributes to decreased patient satisfaction and quality of life. Biologic enhancement of repairs represents a novel augmentation strategy attempting to reproduce native healing while concomitantly potentially decreasing the existing high failure rates associated with rotator cuff repairs. Scaffolds placed on top of the rotator cuff have been widely studied, yet no recreation of the native enthesis is achieved via this augmentation strategy. Several strategies involving placement of demineralized bone matrix scaffolds on an inlay configuration (between bone and tendon) have been reported demonstrating enhanced recreation of the native bone-tendon unit. This Technical Note describes the surgical technique of inlay demineralized bone fiber scaffold augmentation of rotator cuff repairs to enhance biological healing in aims of recreating the native enthesis.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"13 12","pages":"Article 103133"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11704921/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956816","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}
Pub Date : 2024-12-01DOI: 10.1016/j.eats.2024.103221
Jorge Chahla M.D., Ph.D., Juan Bernardo Villarreal-Espinosa M.D., Salvador Gonzalez Ayala B.S., Joshua Wright-Chisem M.D., Ron Gilat M.D., Shane J. Nho M.D., M.S.
Over the past decade, hip-preservation strategies have gained momentum, resulting in a notable increase in the use of hip arthroscopy for diagnostic and therapeutic interventions in hip-related pathology. In this 3-part series, the authors will aim to comprehensively review the fundamentals of hip arthroscopy in the setting of femoroacetabular impingement. This Technical Note will thoroughly review the senior authors’ approach to managing the central compartment of the hip in the context of femoroacetabular impingement.
{"title":"Basic Hip Arthroscopy Part 2: Central Compartment Arthroscopy (Interportal Capsulotomy, Acetabuloplasty, and Labral Repair)","authors":"Jorge Chahla M.D., Ph.D., Juan Bernardo Villarreal-Espinosa M.D., Salvador Gonzalez Ayala B.S., Joshua Wright-Chisem M.D., Ron Gilat M.D., Shane J. Nho M.D., M.S.","doi":"10.1016/j.eats.2024.103221","DOIUrl":"10.1016/j.eats.2024.103221","url":null,"abstract":"<div><div>Over the past decade, hip-preservation strategies have gained momentum, resulting in a notable increase in the use of hip arthroscopy for diagnostic and therapeutic interventions in hip-related pathology. In this 3-part series, the authors will aim to comprehensively review the fundamentals of hip arthroscopy in the setting of femoroacetabular impingement. This Technical Note will thoroughly review the senior authors’ approach to managing the central compartment of the hip in the context of femoroacetabular impingement.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"13 12","pages":"Article 103221"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11704905/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956820","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}
Pub Date : 2024-12-01DOI: 10.1016/j.eats.2024.103222
Jorge Chahla M.D., Ph.D., Juan Bernardo Villarreal-Espinosa M.D., Salvador Gonzalez Ayala B.S., Joshua Wright-Chisem M.D., Ron Gilat M.D., Shane J. Nho M.D., M.S.
Over the past decade, hip preservation strategies have gained momentum, resulting in a notable increase in the use of hip arthroscopy for diagnostic and therapeutic interventions for hip-related pathology. In this 3-part series, we aim to comprehensively review the fundamentals of hip arthroscopy in the setting of femoroacetabular impingement. This Technical Note will thoroughly review the senior authors’ approach to managing the peripheral compartment of the hip in the context of femoroacetabular impingement.
{"title":"Basic Hip Arthroscopy Part 3: Peripheral-Compartment Arthroscopy (T-Capsulotomy, Femoroplasty, and Capsular Closure)","authors":"Jorge Chahla M.D., Ph.D., Juan Bernardo Villarreal-Espinosa M.D., Salvador Gonzalez Ayala B.S., Joshua Wright-Chisem M.D., Ron Gilat M.D., Shane J. Nho M.D., M.S.","doi":"10.1016/j.eats.2024.103222","DOIUrl":"10.1016/j.eats.2024.103222","url":null,"abstract":"<div><div>Over the past decade, hip preservation strategies have gained momentum, resulting in a notable increase in the use of hip arthroscopy for diagnostic and therapeutic interventions for hip-related pathology. In this 3-part series, we aim to comprehensively review the fundamentals of hip arthroscopy in the setting of femoroacetabular impingement. This Technical Note will thoroughly review the senior authors’ approach to managing the peripheral compartment of the hip in the context of femoroacetabular impingement.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"13 12","pages":"Article 103222"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11704898/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956841","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}
Tenodesis of the long head of biceps is a common shoulder surgical procedure. Tenodesis can be performed either arthroscopically or open and within the glenohumeral joint, within the bicipital groove, or below the pectoralis major tendon insertion. Arthroscopic tenodesis of the biceps tendon reduces the risk of infection. Our technique may also address persistent pain due to over tensioning of the tenodesis or from lesions hidden within the groove, such as bicipital synovitis or partial tendon tears, that are not visualized in a standard open technique. We describe an all-arthroscopic onlay technique for biceps tendon fixation at an extra-articular position within the bicipital groove, above the pectoralis major insertion. The technique uses standard arthroscopic equipment and a single knotless suture anchor.
{"title":"Arthroscopic Suprapectoral Biceps Tenodesis Using an Onlay Technique","authors":"Kenneth Cutbush M.B.B.S., F.R.A.C.S., F.A.Orth.A. , Kathir Azhagan Stalin M.B.B.S., M.S., M.R.C.S., D.N.B. , Helen Ingoe M.D. , Roberto Pareyón M.D. , Brandon Ziegenfuss B.Sc.(Hons), M.PH. , Ashish Gupta M.B.B.S., M.Sc., F.R.A.C.S., F.A.Orth.A.","doi":"10.1016/j.eats.2024.103123","DOIUrl":"10.1016/j.eats.2024.103123","url":null,"abstract":"<div><div>Tenodesis of the long head of biceps is a common shoulder surgical procedure. Tenodesis can be performed either arthroscopically or open and within the glenohumeral joint, within the bicipital groove, or below the pectoralis major tendon insertion. Arthroscopic tenodesis of the biceps tendon reduces the risk of infection. Our technique may also address persistent pain due to over tensioning of the tenodesis or from lesions hidden within the groove, such as bicipital synovitis or partial tendon tears, that are not visualized in a standard open technique. We describe an all-arthroscopic onlay technique for biceps tendon fixation at an extra-articular position within the bicipital groove, above the pectoralis major insertion. The technique uses standard arthroscopic equipment and a single knotless suture anchor.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"13 12","pages":"Article 103123"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141689839","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}
Pub Date : 2024-12-01DOI: 10.1016/j.eats.2024.103141
Wood W. Dale M.D., Larry D. Field M.D.
Instability of the long head of the biceps tendon is a common pathologic condition that may be difficult to identify using history, physical examination, advanced diagnostic imaging, and even arthroscopic diagnostic inspection. The goal of this technical article is to showcase important anatomic features, intra-articular arthroscopic assessment, and commonly associated pathologies that should raise concern for biceps instability. Techniques to address concurrent biceps and subscapularis lesions are also described.
{"title":"Arthroscopic Recognition and Treatment Options for Biceps Subluxation","authors":"Wood W. Dale M.D., Larry D. Field M.D.","doi":"10.1016/j.eats.2024.103141","DOIUrl":"10.1016/j.eats.2024.103141","url":null,"abstract":"<div><div>Instability of the long head of the biceps tendon is a common pathologic condition that may be difficult to identify using history, physical examination, advanced diagnostic imaging, and even arthroscopic diagnostic inspection. The goal of this technical article is to showcase important anatomic features, intra-articular arthroscopic assessment, and commonly associated pathologies that should raise concern for biceps instability. Techniques to address concurrent biceps and subscapularis lesions are also described.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"13 12","pages":"Article 103141"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11704894/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956795","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}
Pub Date : 2024-12-01DOI: 10.1016/j.eats.2024.103129
Milind V. Pimprikar M.S.D.Ortho., P.G.Dip. , Hitendra G. Patil M.B.B.S., D.N.B.Ortho.
Avulsion of the triceps tendon is a rare injury accounting for less than 1% of all tendon injuries. The triceps is an extensor of the elbow and causes compromised function if left untreated. Complete ruptures should be treated with early repairs for satisfactory outcomes. Most of the repair techniques describe transosseous repairs, which do not replicate the footprint anatomy of the triceps insertion. This Technical Note describes an arthroscopic double-row footprint repair for the avulsion of the triceps tendon using all posterior portals.
{"title":"Arthroscopic Repair of the Triceps Tendon Avulsion—Double-Row Repair","authors":"Milind V. Pimprikar M.S.D.Ortho., P.G.Dip. , Hitendra G. Patil M.B.B.S., D.N.B.Ortho.","doi":"10.1016/j.eats.2024.103129","DOIUrl":"10.1016/j.eats.2024.103129","url":null,"abstract":"<div><div>Avulsion of the triceps tendon is a rare injury accounting for less than 1% of all tendon injuries. The triceps is an extensor of the elbow and causes compromised function if left untreated. Complete ruptures should be treated with early repairs for satisfactory outcomes. Most of the repair techniques describe transosseous repairs, which do not replicate the footprint anatomy of the triceps insertion. This Technical Note describes an arthroscopic double-row footprint repair for the avulsion of the triceps tendon using all posterior portals.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"13 12","pages":"Article 103129"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11704922/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956811","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}
Pub Date : 2024-12-01DOI: 10.1016/j.eats.2024.103136
Matthew R. Bryan B.S. , Alex E. White M.D. , Paul M. Inclan M.D. , Stephen J. O’Brien M.D. , Samuel A. Taylor M.D.
Biceps-labrum complex (BLC) disease is a well-established pain generator in the shoulder. Despite its ubiquity, BLC disease continues to pose a diagnostic challenge for orthopaedic surgeons. The use of magnetic resonance imaging and glenohumeral arthroscopy in the diagnosis of BLC disease has proven to be inadequate when performed independently. As a result, physical examination remains a critical component in the evaluation of BLC disease. The purpose is to provide a comprehensive compendium of physical examination maneuvers in the evaluation of BLC disease.
{"title":"A Comprehensive Review of the Physical Examination for the Biceps-Labrum Complex of the Shoulder","authors":"Matthew R. Bryan B.S. , Alex E. White M.D. , Paul M. Inclan M.D. , Stephen J. O’Brien M.D. , Samuel A. Taylor M.D.","doi":"10.1016/j.eats.2024.103136","DOIUrl":"10.1016/j.eats.2024.103136","url":null,"abstract":"<div><div>Biceps-labrum complex (BLC) disease is a well-established pain generator in the shoulder. Despite its ubiquity, BLC disease continues to pose a diagnostic challenge for orthopaedic surgeons. The use of magnetic resonance imaging and glenohumeral arthroscopy in the diagnosis of BLC disease has proven to be inadequate when performed independently. As a result, physical examination remains a critical component in the evaluation of BLC disease. The purpose is to provide a comprehensive compendium of physical examination maneuvers in the evaluation of BLC disease.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"13 12","pages":"Article 103136"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141849245","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}
Pub Date : 2024-12-01DOI: 10.1016/j.eats.2024.103126
Carl Edge M.D. , Carter Berry B.S. , James Satalich M.D. , J. Brett Goodloe M.D.
Remplissage is a procedure that decreases the rate of recurrent instability after arthroscopic stabilization in patients with an engaging Hill-Sachs lesion. This technique involves capsulotenodesis of the infraspinatus tendon and posterior capsule into the Hill-Sachs lesion using 2 knotless anchors with suture passage through the infraspinatus tendon guided by a percutaneous needle. Previously described techniques use knots or anchor placement through the infraspinatus, which can be challenging to control and irreversible if tendon penetration occurs in an undesirable location. Benefits of this technique include less manipulation within the subacromial space, precision with suture passage through the infraspinatus tendon and capsule to maximize spread, and decreased morbidity for the cuff tissue.
{"title":"Remplissage Using Percutaneous Needle Navigation With Knotless Anchors in a Suture Staple Configuration","authors":"Carl Edge M.D. , Carter Berry B.S. , James Satalich M.D. , J. Brett Goodloe M.D.","doi":"10.1016/j.eats.2024.103126","DOIUrl":"10.1016/j.eats.2024.103126","url":null,"abstract":"<div><div>Remplissage is a procedure that decreases the rate of recurrent instability after arthroscopic stabilization in patients with an engaging Hill-Sachs lesion. This technique involves capsulotenodesis of the infraspinatus tendon and posterior capsule into the Hill-Sachs lesion using 2 knotless anchors with suture passage through the infraspinatus tendon guided by a percutaneous needle. Previously described techniques use knots or anchor placement through the infraspinatus, which can be challenging to control and irreversible if tendon penetration occurs in an undesirable location. Benefits of this technique include less manipulation within the subacromial space, precision with suture passage through the infraspinatus tendon and capsule to maximize spread, and decreased morbidity for the cuff tissue.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"13 12","pages":"Article 103126"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141839277","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}
Pub Date : 2024-12-01DOI: 10.1016/j.eats.2024.103127
Tyler R. Mange M.D. , Christen E. Chalmers M.D. , Dean Wang M.D.
Although specific techniques vary, core decompression is generally accepted as the treatment of choice for precollapse avascular necrosis (AVN) of the hip to delay or prevent progression of the disease. This can be combined with hip arthroscopy to allow visual assessment of the femoral head as well as treatment of intra-articular pathologies, which may contribute to pain and joint degeneration. We describe a technique of hip arthroscopy and concurrent core decompression using an expandable reamer and bone grafting for treatment of hip AVN. This allows for minimally invasive treatment of both bony and intra-articular soft tissue pathologies, which are often concomitantly present in hip AVN disease, while minimizing reaming of healthy femoral bone.
{"title":"Arthroscopy-Assisted Core Decompression and Bone Grafting for Avascular Necrosis of the Hip","authors":"Tyler R. Mange M.D. , Christen E. Chalmers M.D. , Dean Wang M.D.","doi":"10.1016/j.eats.2024.103127","DOIUrl":"10.1016/j.eats.2024.103127","url":null,"abstract":"<div><div>Although specific techniques vary, core decompression is generally accepted as the treatment of choice for precollapse avascular necrosis (AVN) of the hip to delay or prevent progression of the disease. This can be combined with hip arthroscopy to allow visual assessment of the femoral head as well as treatment of intra-articular pathologies, which may contribute to pain and joint degeneration. We describe a technique of hip arthroscopy and concurrent core decompression using an expandable reamer and bone grafting for treatment of hip AVN. This allows for minimally invasive treatment of both bony and intra-articular soft tissue pathologies, which are often concomitantly present in hip AVN disease, while minimizing reaming of healthy femoral bone.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"13 12","pages":"Article 103127"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141844922","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}
This Technical Note describes a surgical approach that combines circumferential fiber augmentation with transtibial pullout repair for the treatment of medial meniscal posterior root tears. To address the challenge of meniscal extrusion and subsequent joint space narrowing that predisposes to osteoarthritis, this technique uses an artificial ligament to add circumferential collagen fiber reinforcement to improve meniscal extrusion. This integrated approach is designed to address the limitations of conventional tibial pullout repairs by potentially providing better results in preventing meniscal extrusion. Despite the promising benefits, the complexity of this combined technique may present a learning curve for surgeons and require specialized training. This technique represents a significant advancement in the surgical treatment of medial meniscal posterior root tears and offers a promising solution to reduce the risk of osteoarthritis progression in affected patients.
{"title":"Circumferential Fiber Augmentation Technique Combined With Transtibial Pullout Repair","authors":"Yuya Kodama M.D., Ph.D., Shin Masuda M.D., Ph.D., Daiichirou Yokomizo M.D., Toshinori Ohmori M.D., Ph.D., Masato Tanaka M.D., Ph.D.","doi":"10.1016/j.eats.2024.103132","DOIUrl":"10.1016/j.eats.2024.103132","url":null,"abstract":"<div><div>This Technical Note describes a surgical approach that combines circumferential fiber augmentation with transtibial pullout repair for the treatment of medial meniscal posterior root tears. To address the challenge of meniscal extrusion and subsequent joint space narrowing that predisposes to osteoarthritis, this technique uses an artificial ligament to add circumferential collagen fiber reinforcement to improve meniscal extrusion. This integrated approach is designed to address the limitations of conventional tibial pullout repairs by potentially providing better results in preventing meniscal extrusion. Despite the promising benefits, the complexity of this combined technique may present a learning curve for surgeons and require specialized training. This technique represents a significant advancement in the surgical treatment of medial meniscal posterior root tears and offers a promising solution to reduce the risk of osteoarthritis progression in affected patients.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"13 12","pages":"Article 103132"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141853543","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}
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