Unicondylar fractures of the distal femur

AbstractBackgroundUnicondylar fractures of the distal femur are rare, complex, intra-articular fractures. The objective of this multicentre study was to assess the reduction and fixation of unicondylar fractures.HypothesisAnatomic reduction followed by strong fixation allows early rehabilitation therapy and provides good long-term outcomes.Material and methodsWe studied 163 fractures included in two multicentre studies, of which one was retrospective (n=134) and the other prospective (n=29). Follow-up of at least 1 year was required for inclusion. The treatment was at the discretion of the surgeon. Outcome measures were the clinical results assessed using the International Knee Society (IKS) scores and presence after fracture healing of malunion with angulation, an articular surface step-off, and/or tibio-femoral malalignment.ResultsMean age of the study patients was 50.9±24 years, and most patients were males with no previous history of knee disorders. The fracture was due to a high-energy trauma in 51% of cases; 17% of patients had compound fractures and 44% multiple fractures or injuries. The lateral and medial condyles were equally affected. The fracture line was sagittal in 82% of cases and coronal (Hoffa fracture) in 18% of cases. Non-operative treatment was used in 5% of cases and internal fixation in 95% of cases, with either direct screw or buttress-plate fixation for the sagittal fractures and either direct or indirect screw fixation for the coronal fractures. After treatment of the fracture, 15% of patients had articular malunion due to insufficient reduction, with either valgus-varus (10%) or flexion-recurvatum (5%) deformity; and 12% of patients had an articular step-off visible on the antero-posterior or lateral radiograph. Rehabilitation therapy was started immediately in 65% of patients. Time to full weight bearing was 90 days and time to fracture healing 120 days. Complications consisted of disassembly of the construct (2%), avascular necrosis of the condyle (2%), and arthrolysis (5%). The material was removed in 11% of patients. At last follow-up, the IKS knee score was 71±20 and the IKS function score 64±7; flexion range was 106±28° (<90° in 27% of patients); and 12% of patients had knee osteoarthritis.ConclusionAnatomic reduction of unicondylar distal femoral fractures via an appropriate surgical approach, followed by stable internal fixation using either multiple large-diameter screws or a buttress-plate, allows immediate mobilisation, which in turn ensures good long-term outcomes.Level of evidenceIV, cohort study

All-solid-state electrochromic reflectance device for emittance modulation in the far-infrared spectral region

All-solid-state electrochromic reflectance devices for thermal emittance modulation were designed for operation in the spectral region from mid- to far-infrared wavelengths (2–40 μm). All device constituent layers were grown by magnetron sputtering. The electrochromic (polycrystalline WO3), ion conductor (Ta2O5), and Li+ ion-storage layer (amorphous WO3), optimized for their infrared (IR) optical thicknesses, are sandwiched between a highly IR reflecting Al mirror, and a 90% IR transmissive Al grid top electrode, thereby meeting the requirements for a reversible Li+ ion insertion electrochromic device to operate within the 300 K blackbody emission range. Multicycle optical switching and emittance modulation is demonstrated. The measured change in emissivity of the device is to 20%

SNP Discovery and Haplotypic Variation in Full-Length Herbage Quality Genes of Perennial Ryegrass (Lolium Perenne L.)

The development of forages with enhanced nutritive value through improvements of herbage quality (digestibility, carbohydrate content) is potentially capable of increasing both meat and milk production by up to 25%. However, the expense and time-consuming nature of the relevant biochemical and biophysical assays has limited breeding improvement for forage quality. The development of accurate high-throughput molecular marker-based selection systems such as single nucleotide polymorphisms (SNPs) permits evaluation of genetic variation and selection of favourable variants to accelerate the production of elite new varieties

Gene-Associated Single Nucleotide Polymorphism (SNP) Discovery in Perennial Ryegrass (\u3cem\u3eLolium Perenne\u3c/em\u3e L.)

Perennial ryegrass (Lolium perenne L.) is the most important grass species for temperate pasture systems world-wide. Varietal improvement programs for this obligate outbreeding species are based on polycrossing of multiple parents to produce heterogeneous synthetic populations. The complexity of breeding systems creates challenges and opportunities for molecular marker technology development and implementation. Previous research has led to: the generation of a comprehensive suite of simple sequence repeat (SSR) markers, reference genetic map construction, comparative genetic studies, QTL identification, and population structure analysis. Emphasis has now shifted from the use of anonymous genetic markers linked to trait-specific genes to the development of functionally-associated genetic markers based on candidate genes. The successful implementation of this approach will allow effective selection of parental plants in germplasm collections based on superior allele content

QTL Analysis of Mineral Content in Perennial Ryegrass (\u3cem\u3eLolium Perenne\u3c/em\u3e L.)

Variation in mineral content of grasses can be strongly influenced by genetic factors. Grass tetany (hypomagnesemia) of cattle and sheep is due to disturbances in serum magnesium levels. In Southern Australia, resultant levels of mortality in cattle vary between 0.5-1.5% of total stock numbers. Serum magnesium variation may be due to feed deficits, or dietary imbalances that interfere with magnesium metabolism. High levels of potassium appear to exert negative effects on the levels of magnesium in the blood. Italian ryegrass genotypes with high levels of magnesium can alleviate the incidence of grass tetany. The genetic control of mineral content, including magnesium, in perennial ryegrass has been investigated using molecular marker-based analysis

Young people and political action: who is taking responsibility for positive social change?

A human rights perspective suggests that we are all responsible for ensuring the human rights of others, which in turn ensures that our own human rights are respected and protected. A convenience sample of 108 young people (41 males and 67 females) aged between 16 and 25 completed a questionnaire which asked about (a) levels of involvement in political activity and (b) sense of personal responsibility for ensuring that the human rights of marginalised groups (e.g. ethnic minorities, immigrants, lesbians and gay men) are protected. Findings showed that most respondents supported (in principle) the notion of human rights for all, but tended to engage in low key political activity (e.g. signing petitions; donating money or goods to charity) rather than actively working towards positive social change. Qualitative data collected in the questionnaire suggested three main barriers to respondents viewing themselves as agents of positive social change: (1) "It’s not my problem", (2) "It’s not my responsibility", and (3) a sense of helplessness. Suggestions for how political action might best be mobilised among young people are also discussed.</p

Integration of Perennial Ryegrass (L. Perenne) Genetic Maps using Gene-Associated SNPs

The reference genetic map of perennial ryegrass was developed by the International Lolium Genome Initiative (ILGI), using the p150/112 one-way pseudo-testcross population. A selection of public domain genetic markers including RFLPs, detected by wheat, barley, oat and rice cDNA probes, and AFLPs were mapped, allowing studies of comparative relationships between perennial ryegrass and other Poaceae species. The map was enhanced through the addition of unique perennial ryegrass genomic DNA-derived SSR (LPSSR) markers, providing the basis of framework genetic mapping in other populations. In addition, a small number of RFLP loci detected by candidate genes involved in herbage quality traits were added to the map. A second-generation reference genetic mapping family was developed based on the F1(NA6 x AU6) two-way pseudo-testcross family, generating two parental genetic maps. These maps were populated by genomic SSR loci, EST-RFLP loci and EST-SSR loci (corresponding to multiple functional categories of agronomic importance). A third genetic mapping population based on an interspecific cross between perennial and annual ryegrass genotypes [F1(Andrea1246 x Lincoln1133)] generated a map based on LPSSR and EST-SSR markers. Linkage groups in the two latter maps were inferred using common LPSSR loci with the p150/112 genetic map

Discovery of Very High-Energy Gamma-Ray Radiation from the BL Lac 1ES 0806+524

The high-frequency-peaked BL-Lacertae object \objectname{1ES 0806+524}, at redshift z=0.138, was observed in the very-high-energy (VHE) gamma-ray regime by VERITAS between November 2006 and April 2008. These data encompass the two-, and three-telescope commissioning phases, as well as observations with the full four-telescope array. \objectname{1ES 0806+524} is detected with a statistical significance of 6.3 standard deviations from 245 excess events. Little or no measurable variability on monthly time scales is found. The photon spectrum for the period November 2007 to April 2008 can be characterized by a power law with photon index $3.6 \pm 1.0_{\mathrm{stat}} \pm 0.3_{\mathrm{sys}}$ between $\sim$300 GeV and $\sim$700 GeV. The integral flux above 300 GeV is $(2.2\pm0.5_{\mathrm{stat}}\pm0.4_{\mathrm{sys}})\times10^{-12}\:\mathrm{cm}^{2}\:\mathrm{s}^{-1}$ which corresponds to 1.8% of the Crab Nebula flux. Non contemporaneous multiwavelength observations are combined with the VHE data to produce a broadband spectral energy distribution that can be reasonably described using a synchrotron-self Compton model.Comment: 14 pages, 4 figures, accepted to APJ

Gene-Associated Single Nucleotide Polymorphism Discovery in White Clover (\u3cem\u3eT. Repens\u3c/em\u3e L.)

Single nucleotide polymorphism (SNP) discovery permits the discovery of molecular marker variation associated with functionally-defined genes. SNP markers have been developed for the temperate pasture legume crop white clover (Trifolium repens) using public and proprietary genic sequences correlated with key agronomic traits of interest