Long-Term Outcomes in Anterior Cruciate Ligament Reconstruction: A Systematic Review of Patellar Tendon Versus Hamstring Autografts.

BACKGROUND: Much controversy still exists surrounding graft choice in anterior cruciate ligament (ACL) reconstruction. Over the past decade, an increase in comparative studies with longer follow-up has enhanced our understanding of current graft options and outcomes. PURPOSE: To describe the long-term comparative outcomes of ACL reconstruction with autograft bone-patellar tendon-bone (BPTB) versus autograft hamstring (HS) ACL reconstruction with regard to clinical and radiographic outcomes. STUDY DESIGN: Systematic review; Level of evidence, 2. METHODS: A search of the PubMed, MEDLINE, Cochrane, and Scopus databases was performed to identify studies in the English language with outcome data comparing ACL reconstruction utilizing autograft BPTB and autograft HS; only studies with a minimum 5-year follow-up were included. Outcome data included failure and complications, manual and instrumented laxity, patient-reported outcomes, and radiographic risk of osteoarthritis. RESULTS: Twelve studies with a total of 953 patients met the inclusion criteria. Of these studies, 8 were level 1 evidence and 2 were level 2. Mean follow-up was 8.96 years (range, 5-15.3 years). No differences in graft failure or manual or instrumented laxity were seen in any studies. Lower clinical outcomes scores and greater motion loss were seen in BPTB patients in 1 and 2 studies, respectively. Two of 4 studies reporting on anterior knee pain, and 3 of 7 that recorded kneeling pain found it more frequently among BPTB patients. One study found significantly increased reoperation rates in HS patients, while another found a similar result in BPTB, and 1 study reported a significant increase in contralateral ACL tears in BPTB patients. Three of 5 studies reporting on radiographic evidence of osteoarthritis noted significantly increased rates in BPTB patients. CONCLUSION: This systematic review comparing long-term outcomes after ACL reconstruction with either autograft BPTB or autograft HS suggests no significant differences in manual/instrumented laxity and graft failures between graft types. An increase in long-term anterior knee pain, kneeling pain, and higher rates of osteoarthritis were noted with BPTB graft use

Micronucleus test in erythrocytes of Barbus plebejus (Teleostei, Pisces) from two natural environments: A bioassay for the in situ detection of mutagens in freshwater

Erythrocyte micronucleus frequencies in wild fish from two riverine environments and in fish reproduced and reared under controlled conditions (control group) were compared, with the aim to evaluate the suitability of the MN test for the in situ detection of mutagens in freshwaters. Fish were caught in different months in two rivers of central ItaIy which have different pollution levels. As indicator species, the barbel (Barbus plebejus) was chosen because of its ecological significance. Blood samplings wen performed on wild fish immediately after capture and repeated at different time intervals on the same individuals, which were maintained in controlled conditions after capture. A total of 10,000 erythrocytes per specimen were scored. No significant differences in micronucleus frequencies were observed between the control group and fish from the unpolluted river (Mignone). A significantly higher frequency of micronuclei was observed in fish caught in the polluted river (Tibet), in comparison to both the controls and the Mignone river fish. No significant seasonal differences were observed. Barbels examined 50 and 100 days after capture presented a remarkable decrease in micronucleus frequency in comparison with the frequency observed in barbels at capture. The micronucleus test in fish erythrocytes was shown to be a sensitive bioassay for detecting mutagenic pollution in fresh water environments

Genetic composition of Atlantic and Mediterranean recruits of European eel Anguilla anguilla based on EST-linked microsatellite loci

Anguilla anguilla glass eels arriving at two Mediterranean and two Atlantic sites were tested for differences in genetic composition between regions using a total of 23 microsatellite loci developed from an expressed sequence tag (EST) library. Hierarchical analysis of molecular variance indicated a non-significant difference between regions (Mediterranean v. Atlantic), which contrasted with the significant differences observed between samples within regions. The existence of a single spawning site for all A. anguilla individuals and extensive migration loop with great opportunity for mixing of individuals might explain the homogeneity in genetic composition found between regions. The observation of a (small-scale) pattern of genetic patchiness among intra-annual samples (arrival waves) within geographic regions does not conflict with the lack of (large-scale) geographic substructuring found between the Mediterranean and Atlantic regions, but most likely is a consequence of the strong dependence of A. anguilla on oceanic conditions in the Sargasso Sea that might result in a limited parental contribution to each spawning event. The comparison of Atlantic and Mediterranean A. anguilla glass eel recruits based on EST-linked microsatellite loci provides evidence supporting the hypothesis of panmixia A. anguilla across Europe

Fish response to multiple anthropogenic stressors in mediterranean coastal lagoons: A comparative study of the role of different management strategies

Transitional waters are among the most productive ecosystems of the world and their biotic communities show high diversity and complex mechanisms of self-regulation that provide valuable ecosystem services and societal goods and benefits. In this work a comparison of the fish assemblages of three non-tidal Mediterranean coastal lagoons is carried out in order to evaluate the impacts of alternative management strategies. The anthropogenic pressures acting on the lagoons were quantified by means of categorical indicators, while the characteristics of the fish assemblages were summarized in multi-metric indices (MMIs). Two MMIs were developed using data collected with a beach seine net and with fyke nets, following an empirical approach that selects, from a pool of 73 metrics, the combination that maximizes the MMI/pressure relationship. The two MMIs include four metrics each, most of which are based on feeding mode functional guilds and habitat use functional guilds, and they are sensitive to anthropogenic pressures. The human activities directly or indirectly affecting water quality are the ones that most influence the fish assemblage, while the presence of artisanal fisheries, a typical and relevant resource use in these lagoons, seems to play a beneficial role. Lagoon fisheries management relies on the maintenance of infrastructures that guarantee the hydraulic functioning of the lagoon, thus ensuring exchanges with the adjacent coastal sea, and therefore indirectly contributing to the habitat quality

Monitoring skeletal anomalies in big-scale sand smelt, atherina boyeri, as a potential complementary tool for early detection of effects of anthropic pressure in coastal lagoons

Mediterranean coastal lagoons are increasingly affected by several threats, all concurrently leading to habitat degradation and loss. Methods based on fish for the assessment of the ecological status are under implementation for the Water Framework Directive requirements, to assess the overall quality of coastal lagoons. Complementary tools based on the use of single fish species as biological indicators could be useful as early detection methods of anthropogenic impacts. The analysis of skeletal anomalies in the big-scale sand smelt, Atherina boyeri, from nine Mediterranean coastal lagoons in Italy was carried out. Along with the morphological examination of fish, the environmental status of the nine lagoons was evaluated using a method based on expert judgement, by selecting and quantifying several environmental descriptors of direct and indirect human pressures acting on lagoon ecosystems. The average individual anomaly load and the frequency of individuals with severe anomalies allow to discriminate big-scale sand smelt samples on the basis of the site and of its quality status. Furthermore, a relationship between skeletal anomalies and the environmental quality of specific lagoons, driven by the anthropogenic pressures acting on them, was found. These findings support the potentiality of skeletal anomalies monitoring in big-scale sand smelt as a tool for early detection of anthropogenic impacts in coastal lagoons of the Mediterranean region

Fractoluminescence characterization of the energy dissipated during fast fracture of glass

Fractoluminescence experiments are performed on two kinds of silicate glasses. All the light spectra collected during dynamic fracture reveal a black body radiator behaviour, which is interpreted as a crack velocity-dependent temperature rise close to the crack tip. Crack velocities are estimated to be of the order of 1300 m.s$^{-1}$ and fracture process zones are shown to extend over a few nanometers.Comment: Accepted for publication in Europhysics Letters; 5 pages; 4 figure

No apparent genetic bottleneck in the demographically declining European eel using molecular genetics and forward-time simulations

No apparent genetic bottleneck in the demographically declining European eel using molecular genetics and forward-time simulations

Evaluation of environmental quality of mediterranean coastal lagoons using persistent organic pollutants and metals in thick-lipped grey mullet

The evaluation of past and present anthropogenic impacts affecting the ecological quality status of transitional ecosystems is crucial from the perspective of protecting them from further deterioration, and to evaluate remediation and restoration measures. Contamination patterns of thick-lipped grey mullet from two Mediterranean coastal lagoons within a protected area in Italy were assessed and compared in order to evaluate their overall quality status and to collect information that can provide useful feedback on management choices aimed at enhancing environmental quality and biodiversity conservation. The quality status of the two lagoons was evaluated by an environmental assessment methodology based on indicators of direct and indirect human pressures, while a broad range of analyses were carried out to determine the presence and concentration of persistent organic pollutants (POPs) and metals in fish muscle tissue. A good quality status resulted for both lagoons, and an overall limited anthropogenic impact in the surrounding area. This could account for POPs and metal contamination levels found in mullet, although limited, and relating to their patterns. The overlap of results achieved with the two evaluation approaches can provide support for management choices in Mediterranean lagoon environments, especially for those committed to the protection and conservation of biodiversity