Proximal ulna comminuted fractures: Fixation using a double-plating technique

SummaryIntroductionComminuted fractures of the proximal ulna are severe injuries often associated with bone and ligament injuries of the elbow joint (Monteggia lesion, radial head fractures, dislocation of the elbow). The treatment of these fractures is very demanding and the functional results often fairly mediocre due to associated injuries. Based on a single-center retrospective study, we report the results of the treatment of these fractures fixed using a double-plate technique. The aim was to evaluate the feasibility and reliability of this fixation mode and to compare it with other fractures series using a single plate fixation (in terms of bone union, elbow joint function, and complications stemming from the plates).Patients and methodsEighteen patients sustained a comminuted proximal ulna fracture between 2002 and 2006. The fractures were associated in five cases with a Monteggia type lesion, in two cases with elbow dislocation, and in four cases with a Mason 3 radial head fracture. Four patients had an open fracture. These comminuted ulna fractures included nine Mayo Clinic IIIB fractures. Bone fixation was performed with two third-cylinder tubular plates, one plate on each side of the proximal ulna. This allows more versatile solutions for screw insertion. Functional assessment (according to Broberg and Morrey) and radiological evaluation (bone healing) were provided at 6 months and at the longest follow-up by an independent surgeon.ResultsSixteen of 18 patients achieved bone union. No septic complications occurred and no hardware removal was required on patient request. In 67% of the cases, the Morrey score indicated excellent or good results with a mean score of 82.DiscussionThere are no reports in the literature on the technical point of fixation concerning complex fractures of the ulna. Two plates mean the possibility of twice the number of screw insertions for epiphyseal reconstruction . This fixation remains easy to perform and provides stable anatomic reconstruction of the ulna.Level of evidenceLevel IV. Retrospective study

Deformation change in light iridium nuclei from laser spectroscopy

Laser spectroscopy measurements have been performed on neutron-deficient and stable Ir isotopes using the COMPLIS experimental setup installed at ISOLDE-CERN. The radioactive Ir atoms were obtained from successive decays of a mass-separated Hg beam deposited onto a carbon substrate after deceleration to 1kV and subsequently laser desorbed. A three-color, two-step resonant scheme was used to selectively ionize the desorbed Ir atoms. The hyperfine structure (HFS) and isotope shift (IS) of the first transition of the ionization path 5d^{7}6s ^{2}^{4}F_{9/2} \to 5d^{7}6s6p ^{6}F_{11/2} at 351.5nm were measured for $^{182-189}$Ir, $^{186}Ir^{m}$ and the stable $^{191,193}$Ir. The nuclear magnetic moments μI and the spectroscopic quadrupole moments Qs were obtained from the HFS spectra and the change of the mean square charge radii from the IS measurements. The sign of μI was experimentally determined for the first time for the masses 182≤A≤189 and the isomeric state $^{186}Ir^ m$ . The spectroscopic quadrupole moments of $^{182}$Ir and $^{183}$Ir were measured also for the first time. A large mean square charge radius change between $^{187}$Ir and $^{186}Ir^g$ and between $^{186}Ir^m$ and $^{186}Ir ^g$ was observed corresponding to a sudden increase in deformation: from β2 ≃ + 0.16 for the heavier group A = 193, 191, 189, 187 and 186m to β2 ≥ + 0.2 for the lighter group A = 186g, 185, 184, 183 and 182. These results were analyzed in the framework of a microscopic treatment of an axial rotor plus one or two quasiparticle(s). This sudden deformation change is associated with a change in the proton state that describes the odd-nuclei ground state or that participates in the coupling with the neutron in the odd-odd nuclei. This state is identified with the π3/2+[402] orbital for the heavier group and with the π1/2-[541] orbital stemming from the 1h _9/2 spherical subshell for the lighter group. That last state seems to affect strongly the observed values of the nuclear moments

Seismic precursory patterns before a cliff collapse and critical-point phenomena

We analyse the statistical pattern of seismicity before a 1-2 103 m3 chalk cliff collapse on the Normandie ocean shore, Western France. We show that a power law acceleration of seismicity rate and energy in both 40 Hz-1.5 kHz and 2 Hz-10kHz frequency range, is defined on 3 order of magnitude, within 2 hours from the collapse time. Simultaneously, the average size of the seismic events increases toward the time to failure. These in-situ results are derived from the only station located within one rupture length distance from the rock fall rupture plane. They mimic the "critical point" like behavior recovered from physical and numerical experiments before brittle failures and tertiary creep failures. Our analysis of this first seismic monitoring data of a cliff collapse suggests that the thermodynamic phase transition models for failure may apply for cliff collapse

Release properties of UCx_x and molten U targets

The release properties of UC$_x$ and molten U thick targets associated with a Nier- Bernas ion source have been studied. Two experimental methods are used to extract the release time. Results are presented and discussed for Kr, Cd, I and Xe

Charge-radius change and nuclear moments in the heavy tin isotopes from laser spectroscopy: Charge radius of 132^{132}Sn

NESTER ACCLaser spectroscopy measurements have been carried out on the neutron-rich tin isotopes with the COMPLIS experimental setup. Using the $5s^25p^2$ $^3P_0 \rightarrow 5s^25_p6s$ $^3P_1$ optical transition, hyperfine spectra of $^{126-132}$Sn and $^{125,127,129-131}Sn^m$ were recorded for the first time. The nuclear moments and the mean square charge radius variation ($\delta) were extracted. From the quadrupole moment values, these nuclei appear to be spherical. The magnetic moments measured are thus compared with those predicted by spherical basis approaches. From the measured$\delta, the absolute charge radii of these isotopes were deduced in particular that of the doubly magic $^{132}$Sn nucleus. The comparison of the results with several mean-field-type calculations have shown that dynamical effects play an important role in the tin isotopes

COMPLIS experiments : COllaboration for spectroscopy Measurements using a Pulsed Laser Ion Source

Laser spectroscopy measurements have been carried out on very neutron-deficient isotopes of Au, Pt and Ir, produced as daughter elements from a Hg ISOLDE beam. For these transitional region nuclides, the hyperfine structure (HFS) and isotope shift (IS) were measured by Resonance Ionization Spectroscopy (RIS). Magnetic moments μ, spectroscopic quadrupole moments Qs and changes of the nuclear mean square charge radius δ〈rc 2〉along isotopic series have been extracted. For some results, a detailed comparison with theoretical predictions is presented. (Springer