ABSTRACT
OBJECTIVE: To identify risk factors for radiographic signs of post-traumatic osteoarthritis (OA) 2-3 years after anterior cruciate ligament (ACL) reconstruction through multivariable analysis of minimum joint space width (mJSW) differences in a specially designed nested cohort. METHODS: A nested cohort within the Multicenter Orthopaedic Outcomes Network (MOON) cohort included 262 patients (148 females, average age 20) injured in sport who underwent ACL reconstruction in a previously uninjured knee, were 35 or younger, and did not have ACL revision or contralateral knee surgery. mJSW on semi-flexed radiographs was measured in the medial compartment using a validated computerized method. A multivariable generalized linear model was constructed to assess mJSW difference between the ACL reconstructed and contralateral control knees while adjusting for potential confounding factors. RESULTS: Unexpectedly, we found the mean mJSW was 0.35 mm wider in ACL reconstructed than in control knees (5.06 mm (95% CI 4.96-5.15 mm) vs 4.71 mm (95% CI 4.62-4.80 mm), P < 0.001). However, ACL reconstructed knees with meniscectomy had narrower mJSW compared to contralateral normal knees by 0.64 mm (95% C.I. 0.38-0.90 mm) (P < 0.001). Age (P < 0.001) and meniscus repair (P = 0.001) were also significantly associated with mJSW difference. CONCLUSION: Semi-flexed radiographs can detect differences in mJSW between ACL reconstructed and contralateral normal knees 2-3 years following ACL reconstruction, and the unexpected wider mJSW in ACL reconstructed knees may represent the earliest manifestation of post-traumatic osteoarthritis and warrants further study.
Subject(s)
Anterior Cruciate Ligament Reconstruction , Athletic Injuries/surgery , Knee Injuries/surgery , Knee Joint/diagnostic imaging , Menisci, Tibial/surgery , Adolescent , Adult , Age Factors , Athletic Injuries/complications , Child , Cohort Studies , Female , Follow-Up Studies , Humans , Knee Injuries/complications , Knee Joint/surgery , Linear Models , Longitudinal Studies , Male , Menisci, Tibial/diagnostic imaging , Osteoarthritis, Knee/epidemiology , Radiography , Risk Factors , Treatment Outcome , Young AdultABSTRACT
Inhibition of return (IOR) is a response delay when the target is preceded by an irrelevant stimulus (cue) at the same location. In a previous study, we investigated the separate and joint effects on IOR of cue onset and offset. IOR was much greater when cue onset was followed by cue offset (on-off cue) than when the cue was a single event (on or off cues). The aim of the present study was to test whether the greater IOR with an on-off cue is due to the presence of two cue events. Three experiments were conducted. In Experiment 1 we replicated, with a different delay between cue onset and offset, the finding that IOR is greater with an on-off cue than with a single cue event. In Experiments 2 and 3, we used cues formed by two events. In Experiment 2, an on-off cue was compared with an off-on cue, whereas in Experiment 3 an on-on cue was compared with an off-off cue. Results showed that the magnitude of IOR did not simply depend on the number of cue events occurring before the target. IOR was greater with two different events than with two identical events and greater when was preceded by an off-event than an on-event. Therefore, IOR was greatest with an on-off cue, which likely also benefited from a gap effect. Possible mechanisms underlying IOR were discussed.
Subject(s)
Cues , Fixation, Ocular/physiology , Space Perception/physiology , Adolescent , Adult , Analysis of Variance , Female , Humans , Male , Reaction TimeABSTRACT
A convenient method for the purification of aspartate aminotransferase [L-aspartate-2-oxoglutarate aminotransferase (EC 2.6.1.1)] from wheat germ is described. An overall purification of 150 fold was achieved. On polyacrylamide gel electrophoresis at pH 8.9 the purified enzyme revealed two protein bands both provided with enzymatic activity. The holoenzyme is readily resolved on conversion to the aminic form and gel-filtration. The apoenzyme is reactivated by pyridoxal-5-phosphate. Kinetic data indicate that a Ping-Pong mechanism is operative similar to that found for the tyrosine aminotransferase by Litwack and Cleland (1968). Phosphate ion behaves as a competitive inhibitor towards the coenzyme. The relatively low affinity between coenzyme and apoenzyme from wheat germ allowed the determination of the dissociation constants for coenzymes (pyridoxal-5'-phosphate and pyridoxamine-5'-phosphate) and of the inhibition constant for phosphate.
