Comparison of titanium cable tension band and nickel-titanium patella concentrator for patella fractures

BACKGROUND

Patellar fractures account for approximately 1% of all fractures. Due to the patella's importance as regards the extensor mechanism, effort should be made to preserve the patella. Several operative treatment methods have been introduced for patella fractures.

OBJECTIVES

This study aims to compare the clinical effect of a titanium cable tension band and nickeltitanium (NiTi) patella concentrator (NT-PC) in treating patella fractures.

MATERIAL AND METHODS

Thirty-nine patients with patella fractures were enrolled in this retrospective study. All the patients were treated via the open reduction internal fixation procedure using a titanium cable tension band or NT-PC. All the patients were followed up over an average period of 13 months. The main outcome measures were operation time, time of fracture union, postoperative complications, and Böstman knee scores. Statistical analyses were conducted between the 2 groups.

RESULTS

All the patients were operated on successfully. The operation time of the NT-PC treatment group was less than that of the titanium cable tension band treatment group (p < 0.05). The mean scores at the final follow-up were 28.2 and 27.6 points in the titanium cable tension band and NT-PC groups, respectively. No significant difference was observed between the excellent and good results (p > 0.05).

CONCLUSIONS

Both titanium cable tension band and NT-PC showed good efficacy for the treatment of patellar fractures. NT-PC fixation, a new option for the treatment of patella fractures, is a simple and effective fixation method.

MicroRNA-145 Mediates Steroid-Induced Necrosis of the Femoral Head by Targeting the OPG/RANK/RANKL Signaling Pathway

Objective

To investigate the role of microRNA-145 (miR-145) in steroid-induced necrosis of the femoral head (SINFH) by evaluating its effects on the OPG/RANK/RANKL signaling pathway.

Methods

A rat model of SINFH was constructed via injection of the lentiviral vector pLV-shRNA-miR-145. Pathological observation was performed via tartrate-resistant acid phosphatase (TRAP) staining, and serum OPG levels were detected by ELISA. The mRNA expression levels of miR-145, OPG, RANK and RANKL in THP-1 cells were assessed by RT-PCR, and the protein expression levels of OPG, RANK and RANKL were assessed by western blotting.

Results

The expression of miR-145 in the lentivirus-mediated miR-145 group was significantly up-regulated compared with that in the control and normal groups (both P < 0.01). Serum OPG levels were decreased in SINFH rats compared with control and normal rats. The mRNA and protein expression levels of OPG in THP-1 cells decreased after transfection (all P < 0.05). By contrast, the mRNA and protein expression levels of RANK and RANKL in THP-1 cells increased after transfection (all P < 0.05). After transfection of 293T cells with an miR-145 overexpression vector, miR-145 expression in 293T cells increased significantly, while OPG mRNA and protein expression decreased significantly (all P < 0.05).

Conclusion

MiR-145 plays a role in the occurrence of SINFH by targeting the OPG/RANK/RANKL signaling pathway.

Dipole, quadrupole and octupole plasmon resonance modes in non-concentric nanocrescent/nanodisk structure: local field enhancement in the visible and near infrared regions

By deviating the nanodisk from the center in the silver nanocrescent/nanodisk structure, we find that the dipole, quadrupole and octupole modes can all induce very high local electric field enhancement (LFE, more than 750) for the coupling of nanocrescent and crescent gap modes, which makes the resonant wavelengths of the non-concentric nanostructures change from the visible to near infrared regions. In addition, the LFE factor of the quadrupole mode is more than 1000, which is suitable for single molecular detection by local surface enhanced spectroscopy.

Periodic nanoripples in the surface and subsurface layers in ZnO irradiated by femtosecond laser pulses

We present the formation of periodic ripples in ZnO crystal irradiated by a wavelength-tunable femtosecond laser. The results indicate that in the surface thin layer, the periods change from 0.1 lambda to lambda with laser fluences and pulse numbers, and in the subsurface layer the periods are always lambda/2n, where n is the refractive index. The formation processes and mechanisms are also discussed.

Nonequilibrium nuclear-electron spin dynamics in semiconductor quantum dots

We study the spin dynamics in charged quantum dots in the situation where the resident electron is coupled to only about 200 nuclear spins and where the electron spin splitting induced by the Overhauser field does not exceed markedly the spectral broadening. The formation of a dynamical nuclear polarization as well as its subsequent decay by the dipole-dipole interaction is directly resolved in time. Because not limited by intrinsic nonlinearities, almost complete nuclear polarization is achieved, even at elevated temperatures. The data suggest a nonequilibrium mode of nuclear polarization, distinctly different from the spin temperature concept exploited on bulk semiconductors.

Electron spin dynamics in a self-assembled semiconductor quantum dot: the limit of low magnetic fields

Using the trion as an optical probe, we uncover novel electron spin dynamics in CdSe/ZnSe Stranski-Krastanov quantum dots. The longitudinal spin lifetime obeys an inverse power law associated with recharging processes in the dot ensemble. No hint at spin-orbit mediated spin relaxation is found. At very weak magnetic fields (< 50 mT), electron spin dynamics related to the hyperfine interaction with the lattice nuclei is uncovered. A strong Knight field gives rise to nuclear ordering and formation of dynamical polarization on a 100-micros time scale under continuous electron spin pumping. The associated spin transients are temperature robust and can be observed up to 100 K.

Incoherent subharmonic light scattering in isotropic media

Incoherent subharmonic light scattering in isotropic media is a new kind of nonlinear light scattering, which involves single input photon and multiple output photons of equal frequency. We investigate theoretically the dependence of the subharmonic scattering intensity on the hyperpolarizability of molecules and the incident intensity using nonlinear optics theory similar to that used for Hyper-Rayleigh scattering and degenerate optical parametric oscillators. It is derived that the subharmonic scattering intensities grow exponentially or superexponentially with the hyperpolarizability of molecules and the incident intensity.

Virtual bronchoscopy: segmentation method for real-time display

Computed tomography (CT) data sets obtained in 14 patients were used in a segmentation method for virtual bronchoscopy (VB). The method constrained the distance of propagation of a region-growing algorithm. The resulting three-dimensional bronchial model was a faithful representation of the source CT data and could be manipulated in real time at frame rates of one to two frames per second. Preliminary data showed that 90% of bronchi (up to third order) measureable on multiplanar CT reformations were also measurable at VB. The bronchial diameters measured at VB were within 1 mm of those measured on multi-planar reconstructions of the CT data.