Comparison of Clinical Effects of the Modified Masquelet Technique and Kirschner Wire External Fixation-Assisted Autogenous Bone Transplantation in the Treatment of Segmental Metacarpophalangeal Bone Defects.

OBJECTIVE: The present study aims to explore the (1) clinical effects of the modified Masquelet technique, whose improved Masquelet technique innovates the in vitro plasticity of the bone cement module and prefabricated hollow design, and the Kirschner wire external fixation-assisted autologous bone transplantation technique in the treatment of segmental metacarpophalangeal bone defects and (2) the differences between the two techniques. METHODS: The clinical data of 32 patients with segmental metacarpophalangeal bone defects (15 patients treated with the modified Masquelet technique and 17 patients treated with the self-made Kirschner wire external fixation technique) admitted to our department between January 2012 and January 2020 were retrospectively analyzed. The postoperative bone healing time, hand function, and complications were compared between the two groups. RESULTS: The two groups were comparable; there were no significant differences in age, sex, length of bone defect, and time from injury to operation between the two groups (P > 0.05). All patients were followed up with for 6-24 months (average = 13.7 months), and all patients with segmental metacarpophalangeal bone defects achieved fracture healing. The postoperative hospital stay, fracture healing time, functionary scores of the affected limb, and incidence of severe complications were better in the modified group than in the external fixation group (P < 0.05). CONCLUSION: Compared with the Kirschner wire external fixation stent assisted autologous bone transplantation, the improved Masquelet technique has the advantages of simple operation, fast healing, accurate effect, wide indications, and less complications, making it more worthy of clinical promotion.

[Effects of Long-Term Application of Chemical Fertilizers and Organic Fertilizers on Heavy Metals and Their Availability in Reddish Paddy Soil].

To investigate the effects of long-term fertilization on the accumulation and availability of heavy metals in reddish paddy soil and to analyze the major influencing factors, soil samples were collected after the later rice was harvested in 2018 from a long-term fertilization field experiment that began in 1984. Six treatments were selected, namely CK (control without fertilization), PK (P and K fertilizer), and NPK (N, P, and K fertilizer), and different proportions of organic fertilizer plus chemical fertilizer (M1NPK: 30%M+70%NPK; M2NPK: 50%M+50%NPK; and M3NPK: 70%M+30%NPK), soil chemical properties, total and available heavy metal contents, and the relationships between the available forms of heavy metals and soil chemical parameters and total heavy metals (THM) were analyzed. The results showed that ① long-term fertilization changed the soil chemical properties; compared with those of CK, PK significantly increased the contents of soil available phosphorus (AP) and available potassium (AK), NPK significantly increased the soil organic matter (SOM), cation exchange capacity (CEC), AP, and AK, and the organic fertilizer treatments significantly increased the contents of SOM, CEC, AP, AK, and nitrate (NO3--N). ② There were slight variations in the THM contents under the chemical fertilizer treatments (PK and NPK), whereas the organic fertilizer treatments significantly increased the total contents of Cu, Zn, and Cd. ③ The chemical fertilizer treatments significantly increased the available Cr and As, whereas the organic fertilizer treatments significantly increased the available Cu, Zn, Cr, Cd, As, and Fe. ④ There were significant positive correlations between the available Cu, Zn, Cr, Cd, As, and Fe and the SOM, CEC, AP, and NO3--N. In addition, the available Zn and Cd were significantly positively correlated with the soil pH, whereas the available Pb was significantly negatively correlated with soil pH, SOM, CEC, and NO3--N. ⑤ There were significant positive correlations between the available and total contents of Cu, Zn, and Cd, whereas there were significant negative correlations between the available and total contents of Cr and Fe. ⑥ Redundancy analysis showed that SOM and pH accounted for 80.7% and 5.5% of the variation in THM, whereas the soil CEC, AP, and pH accounted for 81.1%, 4.9%, and 3.3% of the variation in the available heavy metals, respectively. ⑦ The partial least squares path model analysis showed that the path coefficients of the THM, CEC, and AP on the available state of heavy metals were 0.459, 0.417, and 0.293, respectively. Long-term application of organic manure, such as pig manure, significantly improved the soil chemical properties and affected the availability of heavy metals, and soil CEC and AP may play key roles in regulation.

12ß,14-Dihy-droxy-3-oxo-5ß,20(22)-cardenolide monohydrate.

The title compound, digoxigenone, C(23)H(30)O(5)·H(2)O, was biotransformed from digoxigenin. In the crystal, inter-molecular O-H⋯O hydrogen bonds contribute to the formation of a three-dimensional supra-molecular structure. The title compound has three fused six-membered rings (A,B,C) and two non-fused five-membered rings (D,E). As in other structures, compound nucleus has a cis-trans-cis conformation for the A-B,B-C,C-D ring junctions with rings A, B and C exhibiting chair conformations.