50 research outputs found
Anterolateral ligament reconstruction protects the repaired medial meniscus: a comparative study of 383 anterior cruciate ligament reconstructions from the SANTI study group with a minimum follow-up of 2 years
Background: The prevalence of osteoarthritis after successful meniscal repair is significantly less than that after failed meniscal repair.
Study Design: Cohort study; Level of evidence, 3.
Purpose: The aim of this study was to determine whether the addition of anterolateral ligament reconstruction (ALLR) confers a protective effect on medial meniscal repair performed at the time of anterior cruciate ligament reconstruction (ACLR).
Methods: Retrospective analysis of prospectively collected data was performed to include all patients who had undergone primary ACLR with concomitant posterior horn medial meniscal repair through a posteromedial portal between January 2013 and August 2015. ACLR autograft choice was bone–patellar tendon–bone, hamstring tendons (or quadrupled hamstring tendons), or quadrupled semitendinosus tendon graft with or without ALLR. At the end of the study period, all patients were contacted to determine if they had undergone reoperation. A Kaplan-Meier survival curve was plotted, and a Cox proportional hazards regression model was used to perform multivariate analysis.
Results: 383 patients (mean ± SD age, 27.4 ± 9.2 years) were included with a mean follow-up of 37.4 months (range, 24-54.9 months): 194 patients underwent an isolated ACLR, and 189 underwent a combined ACLR + ALLR. At final follow-up, there was no significant difference between groups in postoperative side-to-side laxity (isolated ACLR group, 0.9 ± 0.9 mm [min to max, –1 to 3]; ACLR + ALLR group, 0.8 ± 1.0 mm [min to max, –2 to 3]; P = .2120) or Lysholm score (isolated ACLR group, 93.0 [95% CI, 91.3-94.7]; ACLR + ALLR group, 93.7 [95% CI, 92.3-95.1]; P = .556). Forty-three patients (11.2%) underwent reoperation for failure of the medial meniscal repair or a new tear. The survival rates of meniscal repair at 36 months were 91.2% (95% CI, 85.4%-94.8) in the ACLR + ALLR group and 83.8% (95% CI, 77.1%-88.7%; P = .033) in the ACLR group. The probability of failure of medial meniscal repair was >2 times lower in patients with ACLR + ALLR as compared with patients with isolated ACLR (hazard ratio, 0.443; 95% CI, 0.218-0.866). No other prognosticators of meniscal repair failure were identified.
Conclusion: Combined ACLR and ALLR is associated with a significantly lower rate of failure of medial meniscal repairs when compared with those performed at the time of isolated ACLR
Greener Method to Obtain a Key Intermediate of Vitamin E over Cu-ZSM-5
The catalytic oxidation of 2,3,5-trimethylphenol was performed over transition metals modified ZSM-5 zeolites employing hydrogen peroxide as oxidant under mild reaction conditions. Catalysts samples were characterized by several techniques (XRD, FTIR, BET, AA) and cristallinity and orthorhombic symmetry were confirmed for all of them. Best catalytic results were obtained for Cu-ZSM-5 sample, so further activity studies were done over this material. 2,3,5-trimethyl-1,4-benzoquinone was obtained as the main product of the selective oxidation. Reaction parameters (nature of the solvent, hydrogen peroxide concentration, reaction time, catalyst mass, substrate initial concentration and reaction temperature) were evaluated to reach the optimum reaction conditions. According to the obtained results, an apparent activation energy of 52.33 kJ/mol was calculated.Fil: Saux, Clara. Consejo Nacional de Investigaciones Cientificas y Tecnicas. Centro Cientifico Tecnologico Cordoba. Centro de Investigacion y Tecnologia Quimica; Argentina. Universidad Tecnologica Nacional. Facultad Regional Cordoba; ArgentinaFil: Renzini, Maria Soledad. Consejo Nacional de Investigaciones Cientificas y Tecnicas. Centro Cientifico Tecnologico Cordoba. Centro de Investigacion y Tecnologia Quimica; Argentina. Universidad Tecnologica Nacional. Facultad Regional Cordoba; ArgentinaFil: Gómez, Silvina. Consejo Nacional de Investigaciones Cientificas y Tecnicas. Centro Cientifico Tecnologico Cordoba. Centro de Investigacion y Tecnologia Quimica; Argentina. Universidad Tecnologica Nacional. Facultad Regional Cordoba; ArgentinaFil: Pierella, Liliana Beatriz. Consejo Nacional de Investigaciones Cientificas y Tecnicas. Centro Cientifico Tecnologico Cordoba. Centro de Investigacion y Tecnologia Quimica; Argentina. Universidad Tecnologica Nacional. Facultad Regional Cordoba; Argentin
Hazard Perception Based on Safety Words and Colors: An Indian Perspective
Globalization and trade among developed and developing countries has increased the need of risk communication at the workplace. The purpose of this study was to examine differences in risk communication and perception in various countries. It looked at hazard perception associated with colors and safety words among Indian industry workers. Fifty workers participated in the study focused on hazard rating of 9 safety words and 7 colors. In one part of the study the participants were asked to associate colors with safety words through recalling them from their long-term memory; in another they were asked to associate safety words with given colors. The results showed that certain words and colors implied different hazard rating at the workplace. The rank ordering of safety words and colors varied significantly in different countries. Hence population factors should be taken into consideration when designing standards for hazard communication