Treatment of Hoffa fracture of femoral condyle with anchor combined with auxiliary fixation.

BACKGROUND: A Hoffa fracture is an unstable intra-articular break that is generally treated with surgery. OBJECTIVE: To evaluate the feasibility and clinical outcomes of using a suture anchor combined with auxiliary fixation for the treatment of a lateral femoral condyle Hoffa fracture. METHODS: The study retrospectively reviewed 8 patients (5 males and 3 females) with a lateral femoral condyle Hoffa fracture who had been treated by combining a suture anchor with auxiliary fixation between January 2016 and April 2020. The mean age of patients was 37.5 years (ranging from 23 to 45). According to Letenneur's classification, there were 4 cases of type I, 2 cases of type II, and 2 cases of type III fractures. The clinical outcomes were assessed using Letenneur's functional assessment. RESULTS: The follow-up duration ranged between 14-24 months. All patients achieved primary healing of the incision and fracture union, as well as normal flexion and extension of the knee joint, with 7 cases showing excellent outcomes and 1 case showing a good outcome. No postoperative complications, such as fracture displacement, anchor loosening, or fracture malunion, occurred in this series. CONCLUSION: Our results indicated that a suture anchor, combined with external fixation, was an effective treatment for a lateral femoral condyle Hoffa fracture. Accordingly, this procedure is worthy of wider clinical application.

Clinical study of suture anchors in the treatment of radial head fractures.

BACKGROUND: This study aimed to analyze and study the clinical effect of suture anchors in the treatment of radial head fractures (RHFs). METHODS: A total of 11 patients (five male and six female) with RHFs who were treated from March 2016 to June 2021 were included in this study. They were 17-61 (average 38.5) years old. In terms of the Johnston-Mason classification, two cases were type II, seven cases were type III, and two cases were type IV. All patients were treated with open reduction and anchor internal fixation. RESULTS: All 11 patients were followed up, all incisions healed by first intention, and the duration of follow-up was 14-20 months. The average operation time was 40 ± 15 min. The clinical healing time was 4-6 (average 5) weeks. No patients had any complications, such as traumatic arthritis, malunion, nerve injury, joint stiffness, or incision infection. The clinical effects were evaluated according to the Mayo Elbow Performance Score. The scores of all 11 cases were 90-95, all excellent. CONCLUSION: The application of suture anchor internal fixation in the treatment of RHFs has the advantages of accurate reduction, no need for a secondary operation to remove the fixation materials, less trauma, fewer complications, good fracture healing, and good recovery of elbow extension, flexion, and rotation functions.

The emissions from co-firing of biomass and torrefied biomass with coal in a chain-grate steam boiler.

In this study, biomass of rice straw (RS) and wood (WD) and their torrefied biomass (RST and WDT) were used as solid biofuel (SBF) for co-firing individually with coal in a commercial continuous chain-grate steam boiler system, which was conducted at fixed input rate of heating value of mixture of SBF and coal and at fixed airflow rate. The effects of key system parameters on the gaseous and particulate pollutions and ash were examined. These include SBF type and blending ratio (RBL) of biomass (i.e., SBF) in the mixture of coal and biomass based on heating values for co-firing.The results indicated that wood, which possesses high heating value while less amount of ash, is more suitable for co-firing with coal than rice straw. Torrefaction can increase the heating value of biomass and homogenize its property, being beneficial to co-firing. Also, torrefaction can decompose the hydroxyl group of biomass, which makes biomass tending to possess hydrophobicity. This, in turn, helps the storage and transportation of biomass. Generally, adding the RS (with RBL = 5-10%), WD (2-15%), RST (2-10%) and WDT (2-20%), respectively, with coal decreases the emissions of NOx and SO2, but increases that of CO (except RST). The emission of HCl is little. The addition of biomass also increases the emission of fine particulate matters (PM) especially PM2.5 in the flue gases, raising PM2.5/PM100 from 34.87 to 78.35 wt.% (Case 50%WDT). These emissions for the Cases tested satisfy with Taiwanese emission standards of stationary sources which set limitations of NOx, SO2, CO and HCl < 350, 300, 2000 and 80 ppmv, while PM < 50 mg/m3, respectively. The results support the use of RS, WD, RST and WDT for co-firing with coal.Implications: This study examined the suitability of using solid bio-fuels to co-fire with coal in an industrial chain-grate steam boiler system with a capacity of 100 kW, in order to achieve carbon-free emissions. Both biomass and torrefied biomass of solid bio-fuel were tested. The findings would be useful for proper design and rational operation of solid bio-fuel/coal co-firing combustion matching the appeal of sustainable material management and circular economy of biomass, and of adaptation of global warming induced by greenhouse gases. It also provides information for policy-makers to promote the co-firing application of biomass and related bio-waste materials.

Removal of methylene blue from aqueous solution using wine-processing waste sludge.

Dye wastewaters usually contain toxins and high chroma, making them difficult to treat with biological methods. The adsorption process plays an important role in removing dyes from wastewaters. This study aimed to explore the methylene blue (MB) adsorption mechanism by wine-processing waste sludge (WPWS). The WPWS contains a high cation-exchange capacity (64.2 cmol(c) kg(-1)) and organic matter (52.8%). The parameters affecting MB adsorption included pH, initial concentration of MB, reaction temperature, particle size and dosage of WPWS. The WPWS adsorption isotherms of MB were only well described by Langmuir adsorption isotherm. The maximum adsorption capacity (Q(m)) of MB was 285.7 mg g(-1) at 25 °C. The activation energy determined by Arrhenius equation is 29.995 kJ mol(-1). Under steady-state reaction conditions, the Gibb free energy (ΔG°) ranged from -24.607 to -27.092 kJ mol(-1) and ΔH° was -8.926 kJ mol(-1), indicating that lower reaction temperature would favor MB adsorption. Therefore, MB adsorption by WPWS was a spontaneous, exothermic and physisorption reaction.

Biosorption of chromium, copper and zinc by wine-processing waste sludge: single and multi-component system study.

Wine-processing waste sludge (WPWS) has been shown to have powerful potential for sorption of some heavy metals (i.e., chromium, lead and nickel) in single-component aqueous solutions. But although most industrial wastewater contains two or more toxic metals, there are few sorption studies on multicomponent metals by WPWS. This study has two goals: (i) conduct competitive adsorption using Cr, Cu and Zn as sorbates and examine their interaction in binary or ternary systems; and (ii) determine the effects of temperature on the kinetic sorption reaction. The sludge tested contained a high amount of organic matter (38%) and had a high cation exchange capacity (CEC, 255 cmol(c)kg(-1)). Infrared analysis reveals that carboxyl is the main functional group in this WPWS. The (13)C NMR determination indicates alkyl-C and carboxyl-C are major organic functional groups. At steady state, there are about 40.4% (Cr), 35.0% (Cu) and 21.9% (Zn) sorbed in the initial 6.12 mM of single-component solutions. Only pseudo-second-order sorption kinetic model successfully describes the kinetics of sorption for all experimental metals. The rate constants, k(2), of Cr, Cu and Zn in single-component solutions are 0.016, 0.030 and 0.154 g mg(-1)min(-1), respectively. The sorption of metals by WPWS in this competitive system shows the trend: Cr>Cu>Zn. Ions of charge, hydrated radius and electronic configuration are main factors affecting sorption capacity. The least sorption for Zn in this competitive system can be attributed to its full orbital and largest hydrated radius. Though the effect of temperature on Zn sorption is insignificant, high temperature favors the other metallic sorptions, in particular for Cr. However, the Cr sorption is lower than Cu at 10 degrees C. The Cr sorption by WPWS can be higher than that of Cu at 30 degrees and 50 degrees C.

Kinetic studies of adsorption of lead(ll) from aqueous solution by wine-processing waste sludge.

A waste sludge produced from a wine-processing wastewater treatment process was used as an adsorbent to removal of heavy metal-lead(II) from aqueous solution. Results of kinetic experiments demonstrated that the adsorption was effective and rapid. Four different kinds of adsorption kinetic models (i.e., pseudo-first-order, pseudo-second-order, and two intra-particular mass diffusion models) were used to investigate the adsorption mechanisms. A normalized standard deviation was used to find the best adsorption kinetic model for the removal of lead(ll) by the sludge. The comparison shows that the kinetic adsorption data can be well-described by the pseudo-second-order adsorption model and that sorption might be a rate-limiting control. The adsorption-rate constant and adsorption capacity of pseudo-second-order adsorption equation were calculated. The parameters (initial lead(II) concentration, sludge-particle size, and sludge dosages), which affect the adsorption capacity of sludge, were discussed by using the pseudo-second-order adsorption equation.

Adsorption of Cr(III) from wastewater by wine processing waste sludge.

Wine processing waste sludge has been shown to be an effective adsorbent for the adsorption of Cr(III) from aqueous solution. The sludge has been characterized by scanning electron microscopy (SEM) and energy dispersive X-rays (EDX). The effect of pH, initial concentration of Cr(III), sludge particle size, and temperature on the adsorption studied. The equilibrium data could be described well by the Langmuir and Freundlich isotherm equations. A separation factor was used to judge the favorable adsorption. The calculated thermodynamic parameters, deltaH0 and deltaS0, are 1.95 kJ/mol and 27.16 J/molK, respectively. The deltaG0 values range from -5.98 to -6.79 J/mol, which shows the physical adsorption properties of the sludge. Adsorption dynamics had been successfully studied by the Lagergren model and an intraparticle diffusion model.