Treatment of patients with ankle fractures. Use of Xarelto for the prevention of thromboembolic complications

The article tells about the results of analysis of treatment applied to patients with distal tibia fractures (transsyndesmotic malleolar fractures, 44-B type by AO classification, associated with rupture of the distal tibiofibular syndesmosis) and prevention of thromboembolic complications. Studies were carried out comparing conservative and surgical treatment of patients with ankle fractures; the treatment tactics was suggested, medicines used in the prevention of venous thromboembolic complications were compared. The obtained data demonstrates excellent results of surgery in case of no contraindications and high effectiveness of oral drugs for the prevention of thromboembolic complications

Arthroscopic reconstruction of anterior cruciate ligament with hamstring tendon. Comparison of anticoagulation protocols

The article describes the arthroscopic reconstructive surgical technique for the correction of anterior cruciate ligament in the instability of the knee joint; the expected long-term results of plastic repair of the anterior cruciate ligament and results of own observations are presented; different protocols of prophylactic anticoagulation therapy in the early postoperative period are compared. The obtained data demonstrates comparable efficacy of tableted medicines and traditional injectable drug forms for the prevention of thromboembolic complications

A laboratory model for deep-seated jets on the gas giants

International audienceThe strong east–west jet flows on the gas giants, Jupiter and Saturn, have persisted for hundreds of years. Yet, experimental studies cannot reach the planetary regime and similarly strong and quasi-steady jets have been reproduced in numerical models only under simplifying assumptions and limitations. Two models have been proposed: a shallow model where jets are confined to the weather layer and a deep model where the jets extend into the planetary molecular envelope. Here we show that turbulent laboratory flows naturally generate multiple, alternating jets in a rapidly rotating cylindrical container. The observed properties of gas giants’ jets are only now reproduced in a laboratory experiment emulating the deep model. Our findings demonstrate that long-lived jets can persist at high latitudes even under conditions including viscous dissipation and friction and bear relevance to the shallow versus deep models debate in the context of the ongoing Juno mission