La prótesis de cadera con recubrimiento de vidrio Primeros resultados con 2 años de evolución

El presente trabajo analiza los primeros resultados clínicos y radiográficos de un estudio con la prótesis de cadera no cementada con recubrimiento «de vidrio» a nivel metafísario (prótesis CRM). La casuística comprende 80 artroplastias totales implantadas desde 1991 a 1994 con un seguimiento mínimo de 2 años. La evolución clínica, valorada según el sistema de Harris modificado, ha sido satisfactoria en el 90% de los enfermos. La observación radiográfica ha mostrado buena fijación y orientación de los componentes femorales en 72 casos. La conclusión de este análisis preliminar permite apreciar que el recubrimiento protésico con cerámica de vidrio supone un mecanismo de seguridad en la fijación primaria y secundaria de la prótesis de cadera.This work analizes the first clinical and radiological results of a cementless hip prosthesis with glass coating at metaphyseal level (CRM prosthesis). A total of 80 arthroplasties implanted since may 1991 to 1994 were studied with a two year follow-up. The clinical assesment was done by the modified Harris score, being satisfactory in 90% of the patients. The radiological study demonstrated good fixation and orientation of the prosthetic compounds in 72 cases. The prosthetic model studied provides a security mechanism both for primary and secondary fixation of the femoral stem and acetabular cup

Prótesis modular de cadera Poropalcar : resultados clínicos en 106 pacientes con 3 años de evolución

Los resultados tras reemplazamiento total de cadera con prótesis de superficie porometal «poropros», para fijación biológica, han sido evaluados en 106 pacientes después de tres años de evolución. La valoración clínica se ha realizado según el sistema de Harris modificado, obteniendo un 91,5% de buenos resultados y un 8,5% de resultados regulares incluyendo todos los enfermos de cualquier edad y patología. El estudio realizado a partir de parámetros clínicos y radiográficos permite apreciar una buena fijación primaria de la prótesis y una excelente estabilidad de la misma, tanto para el componente femoral como cotiloideo.In a series of 106 patients who undewent porocoated total hip arthroplasty, the results were evaluated after three years follow-up. Harris'score was used for clinical assesment, obtaining 91,5% of good results and 8,5% of fair results, including all the cases whichever aetiology and age. Clinical and radiographic studies showed a good primary fixation and excellent stability in both the acetabular and the femoral stem components

La artroscopia de rodilla: experiencia de 474 casos

El objetivo de este trabajo es dar a conocer los resultados de un estudio de 474 artroscopias realizadas en nuestro Servicio de Cirugía Ortopédica y Traumatología desde el mes de enero 1988 hasta agosto 1992. La edad media de los pacientes fue de 32 años, con una mayor incidencia en el sexo masculino (73%). La patología más frecuente correspondió a la meniscopatía interna (48%). Tuvimos una estancia media hospitalaria de 3 días, apreciándose una relación inversa entre ésta y la edad del paciente. La complicación más habitual en el post-operatorio fue el derrame sinovial (3%) siendo necesaria al artrocentesis para su desaparición en el plazo de 1-2 semanas.This work was aimed at presenting the results of 474 diagnostic artroscopies of the knee performed in our Department of orthopaedic surgery from January 1988 to August 1992. The mean age of the patients was 32 years. There was a greater incidence in males (73%). The most frequent pathologic finding was medial meniscopathy (48%). The mean period of hospitalization was 3 days. There was an opposite relationship betwen the hospitalization period and the age of the patient. As complications, synovial effusion was found in 3% of cases, synovial fluid evacuation been necessary

Prótesis total de cadera con doble recubrimiento de porometal e hidroxiapatita: resultados preliminares

El objetivo de este trabajo es evaluar la eficacia de la prótesis con superficie de Poropatita, recubrimiento doble de Poropros e Hidroxiapatita, para su fijación ósea directa en el reemplazo total de cadera. El estudio ha sido llevado a cabo en 80 pacientes con un seguimiento mínimo de 3 años. La valoración clínica se ha realizado según el sistema de Harris modificado, obteniendo un 90% de buenos resultados y un 10% de resultados regulares en la serie estudiada. El análisis, revisado a partir de parámetros clínicos y radiográficos, permite apreciar que el recubrimiento de un metal poroso con hidroxiapatita supone un mecanismo de seguridad en la fijación primaria como secundaria del implante. La estabilidad inmediata del componente femoral y cotiloideo, factor importante en la osteointegración del implante.This study was aimed at evaluating the outcome in terms of primary bone fixation of a total hip prosthesis coated with Poropatita® , o double coating of porous-metal and hidroxyapatite. The study reviews 80 patients operated on with a minimum follow-up of 3 years. A modified Harris score was used for clinical assessment. Good clinical results wer obtained in 9 0% of patients, while 10% achieved a fair outcome. Based on clinical and radiographic parameters, porous-metal and hidroxyapatite double coating provides both excellent primary and secondary bone fixation of the prosthetic components. Primary stability of both femoral stem and cup seens to be an important factor for osteointegration of the implant

A multidisciplinary approach for the management of hypodontia: case report

Hypodontia is the congenital absence of one or more teeth and may affect permanent teeth. Several options are indicated to treat hypodontia, including the maintenance of primary teeth or space redistribution for restorative treatment with partial adhesive bridges, tooth transplantation, and implants. However, a multidisciplinary approach is the most important requirement for the ideal treatment of hypodontia. This paper describes a multidisciplinary treatment plan for congenitally missing permanent mandibular second premolars involving orthodontics, implantology and prosthodontic specialties

Desalination of shale gas produced water: A rigorous design approach for zero-liquid discharge evaporation systems

Shale gas has recently emerged as a promising energy source to face the increasing global demand. This paper introduces a new rigorous optimization model for the simultaneous synthesis of single and multiple-effect evaporation (SEE/MEE) systems, considering mechanical vapor recompression (MVR) and energy recovery. The proposed model has been especially developed for the desalination of high-salinity produced water from shale gas hydraulic fracturing (“fracking”). Its main objective is to enhance the system energy efficiency through the reduction of brine discharges. Therefore, the outflow brine salinity should be near to salt saturation conditions to achieve zero liquid discharge (ZLD). The multiple-effect superstructure is comprised by several effects of horizontal-tube falling film evaporation. Due to the inclusion of the electric-driven mechanical compressor, no other external energy source is needed in the SEE/MEE system. A more accurate process design is attained through the calculation of the overall heat transfer coefficients in function of the individual coefficients for the falling boiling film and vapor condensation. Additionally, the SEE/MEE-MVR model allows the estimation of the major geometrical characteristics of the evaporation system. The non-linear programming (NLP)-based model is optimized using the CONOPT solver under GAMS by the minimization of the process total annualized cost. Thermal analysis is carried out to evaluate the effects of the feed salinity and geometrical parameters on system heat transfer performance. The results highlight the ability of the developed model to rigorously design SEE/MEE-MVR systems by improving their cost-effectively and reaching ZLD conditions

Phenological Model Intercomparison for Estimating Grapevine Budbreak Date (Vitis vinifera L.) in Europe

Budbreak date in grapevine is strictly dependent on temperature, and the correct simulation of its occurrence is of great interest since it may have major consequences on the final yield and quality. In this study, we evaluated the reliability for budbreak simulation of two modeling approaches, the chilling-forcing (CF), which describes the entire dormancy period (endo- and eco-dormancy) and the forcing approach (F), which only describes the eco-dormancy. For this, we selected six phenological models that apply CF and F in different ways, which were tested on budbreak simulation of eight grapevine varieties cultivated at different latitudes in Europe. Although none of the compared models showed a clear supremacy over the others, models based on CF showed a generally higher estimation accuracy than F where fixed starting dates were adopted. In the latter models, the accurate simulation of budbreak was dependent on the selection of the starting date for forcing accumulation that changes according to the latitude, whereas CF models were independent. Indeed, distinct thermal requirements were found for the grapevine varieties cultivated in Northern and Southern Europe. This implies the need to improve modeling of the dormancy period to avoid under- or over-estimations of budbreak date under different environmental conditions.This research was funded by the European Union’s Horizon 2020 Research and Innovation Programme, under the Clim4Vitis project: “Climate change impact mitigation for European viticulture: knowledge transfer for an integrated approach”, grant agreement no. 810176. It was also supported by FCT-Portuguese Foundation for Science and Technology, under the project UIDB/04033/2020 and the French National Research Agency (ANR) in the frame of the Investments for the Future Program, within the cluster of excellence COTE (ANR-10-LABX-45)