The Application of Bidirectional Rapid Reductor in Minimally Invasive Plate Osteosynthesis for the Treatment of Proximal Humeral Fractures: A Case Series.

OBJECTIVE: Rapid and effective reduction is difficult for minimally invasive plate osteosynthesis (MIPO) surgery. This study aims to introduce a bidirectional rapid reductor (BRR) designed to assist in the reduction during MIPO surgery for proximal humeral fractures (PHFs). METHODS: This retrospective study was conducted between June 2021 and February 2022 in the Third Hospital of Hebei Medical University, involving patients diagnosed with PHFs. A detailed technical approach of BRR in MIPO surgery was described, and the patients' outcomes based on postoperative radiographic results including x-ray postoperative follow-up, and clinical outcome parameters including visual analogue scale (VAS) and constant-Murley score at last follow-up were reported. RESULTS: A total of 12 patients were included in this study, comprising three males and nine females, with an average age of 67.58 years. The mean operative time was 70.92 min (range 63-80 min). The mean blood loss was 102.27 mL (range 50-300 mL). The mean VAS and constant-Murley scores at final follow-up were 0.33 and 88, respectively. All patients had their fractures healed without secondary displacement at last follow-up. One patient experienced shoulder stiffness post-operation. There were no adverse events or complications following the use of this technique, such as acromion fracture, nerve or blood vessel injury. CONCLUSION: The BRR can assist MIPO for good reduction of PHFs. However, the efficacy should be validated with a large-sample randomized controlled trial and longer follow-up.

Posterior unilateral small fenestration of lamina combined with a custom-made Y-shaped fracture reduction device for the treatment of severe thoracolumbar burst fracture: a prospective comparative study.

BACKGROUND: The purpose was to evaluate the clinical effect of a custom-made Y-shaped fracture fragment reduction device and to assist in posterior unilateral small fenestration of lamina to reduce the fracture fragments. METHODS: In this study, 40 patients were assigned to one of two groups: the traditional reduction device group (TRG) or the Y-shaped reduction device group (YRG). All patients underwent posterior unilateral small fenestration of the lamina and direct decompression through the spinal canal. And the operation time (OT), intraoperative bleeding (IB), preoperative, postoperative, and final follow-up data on the spinal stenosis rate (SSR), Cobb angle, the anterior compression ratio of injured vertebrae (ACRIV), and ASIA neurological function grade were compared between the two groups. RESULT: There were no complications, including vascular and nerve injury, serious postoperative infection, internal fixation fracture, or loosening, for any of the patients. And the average follow-up time of the two groups was 14.2 months, the average operation time of the TRG was 236.6 min, and the average intraoperative blood loss was 357.20 ml. Moreover, the average operation time of the YRG was 190.6 min, and the average intraoperative blood loss was 241.5 ml. There were significant differences between the two groups in terms of operation duration and intraoperative blood loss. The YRG's was lower than that of the TRG. Besides, there was no difference in SSR, Cobb angle, ACRIV, or neurological recovery between the two groups before or immediately after the operation or at the last follow-up. CONCLUSION: The Y-shaped fracture reduction device can reduce the fracture fragments and the OT and IB stably; it also has satisfactory postoperative curative effects and clinical utility.

Preliminary application of a novel distraction reductor in the surgical treatment of unstable distal radius fractures with metaphyseal volar comminution / 中华创伤骨科杂志

Objective:To evaluate a novel distraction reductor in the surgical treatment of unstable distal radius fractures with metaphyseal volar comminution.Methods:From January 2019 to December 2020, 27 patients with unstable distal radius fracture complicated with metaphyseal volar comminution were treated at Department of Orthopaedics, Zhoupu Hospital Affiliated to Shanghai University of Medicine & Health Sciences. They were 6 males and 21 females, with an age of (69.4±9.4) years. All fractures were unilateral and closed, involving the right side in 17 cases and the left side in 10 cases. All patients were treated by internal fixation with an anatomical locking plate through the volar approach and the novel distraction reductor was used to reduce the fracture ends. Regular imaging examinations were performed to evaluate the reduction, maintenance and union of fractures after surgery. One year after operation, the curative efficacy was assessed by evaluation of the range of wrist motion, Disabilities of the Arm, Shoulder and Hand (DASH) score, Gartland-Werley score and Bartra radiology score.Results:All the operations went on successfully with a duration of (92.3±8.9) min. All the incisions healed primarily. The follow-up time was (15.9±2.9) months. The radial height, palmar tilt, ulnar inclination and articular surface step-off immediately after operation [(11.23±1.51) mm, 12.10°±3.44°, 20.54°±3.44°, and (0.95±0.42) mm] were not significantly lost compared with those one year after operation [(11.22±1.55) mm, 12.07°±3.44°, 20.51°±3.33°, and (0.93±0.40) mm] (all P>0.05). One year after operation, the range of wrist motion was good with dorsiflexion of 59.7°±5.5°, palm flexion of 63.0°±9.1°, pronation of 66.5°±5.5°, supination of 61.2°±5.6°, radial deviation of 22.7°±4.8°, and ulnar deviation of 30.3°±6.1°; DASH score was 13.5±5.5; Bartra radiology score was 88.6±6.5, giving an excellent and good rate of 88.9% (24/27);Gartland-Werley score was 2.7±2.1, giving an excellent and good rate of 92.6% (25/27). Follow-ups observed no poor fracture healing, internal fixation failure, tendon or nerve injury or traumatic arthritis. Conclusion:In the surgical treatment of unstable distal radius fractures with metaphyseal volar comminution, the novel distraction reductor can lead to ideal reduction of displaced fractures and effectively correct the shortening caused by volar cortex comminution to achieve satisfactory functional effects in clinic.

Potencial antioxidante del extracto de hojas de Spondias mombin L. en etanol al 70 % / Antioxidant potential of Spondias mombin L. leaf extract in 70% ethanol / Potencial antioxidante do extrato da folha de Spondias mombin L. em etanol 70%

RESUMEN Introducción: La especie Spondias mombin L. es una planta que crece en Cuba y a la que se le reporta un número considerables de aplicaciones etnofarmacológicas y elevado poder antioxidante. Sin embargo, la mayor parte de estos reportes está orientada al fruto, el cual resalta por su valor nutricional. Objetivo: Evaluar la actividad antioxidante de un extracto de hojas de Spondias mombin L. en etanol al 70 %. Método: La actividad antioxidante fue evaluada por seis métodos diferentes: determinación del índice de oxidación, poder reductor, inhibición de los radicales DPPH y ABTS, capacidad reductora del peróxido de hidrógeno y capacidad de neutralización del radical oxígeno. Se evaluaron concentraciones desde los 1 000 hasta los 62,5 µg/mL preparadas a partir del valor de sólidos totales determinados. Resultados: Para el índice de oxidación, concentraciones de 250 µg/mL resultaron suficientes para decolorar la solución de permanganato en igual período de tiempo que el patrón de quercetina. Sin embargo, los IC50 calculados para el poder reductor, la inhibición del radical DPPH y del ABTS resultaron mayores que el estándar de ácido ascórbico con valores de 362,33; 190,34 y 241,88 µg/mL, respectivamente. Conclusiones: El extracto de hojas de Spondias mombin L. en etanol al 70 % presenta una elevada acción antioxidante en los seis modelos experimentales ensayados, aun cuando en la mayor parte de casos, con valores inferiores al de la sustancia de referencia empleada. Estos resultados conjuntamente con la diversidad estructural de metabolitos presentes en el mismo resaltan su valor como potencial antioxidante natural.

ABSTRACT Introduction: The species Spondias mombin L. is a plant that grows in Cuba, and to which a considerable number of ethnopharmacological applications and high antioxidant power are reported. However, most of these reports are oriented to the fruit, which stands out for its nutritional value. Objective: To evaluate the antioxidant activity of an extract of Spondias mombin L. leaves in 70% ethanol. Method: The antioxidant activity was evaluated by six different methods: determination of the oxidation index, reducing power, inhibition of DPPH and ABTS radicals, hydrogen peroxide reducing capacity and oxygen radical neutralization capacity. Concentrations from 1000 to 62.5 µg/mL were evaluated, prepared from the value of total solids determined. Results: For the oxidation index, concentrations of 250 µg/mL were sufficient to decolorize the permanganate solution in the same period of time as the quercetin standard. However, the IC50 calculated for the reducing power, the inhibition of the DPPH radical and ABTS were higher than the ascorbic acid standard with values of 362.33; 190.34 and 241.88 µg/mL, respectively. Conclusions: The extract of leaves of Spondias mombin L. in 70% ethanol presents a high antioxidant action in the six experimental models tested, even though in most cases, with lower values than the reference substance used. These results, together with the structural diversity of metabolites present in it, highlight its value as a potential natural antioxidant.

RESUMO Introdução: A espécie Spondias mombin L. é uma planta que cresce em Cuba e à qual são relatados um número considerável de aplicações etnofarmacológicas e alto poder antioxidante. No entanto, a maioria desses relatos é voltada para o fruto, que se destaca pelo seu valor nutricional. Objetivo: Avaliar a atividade antioxidante de um extrato de folhas de Spondias mombin L. em etanol 70%. Método: A atividade antioxidante foi avaliada por seis diferentes métodos: determinação do índice de oxidação, poder redutor, inibição dos radicais DPPH e ABTS, capacidade redutora do peróxido de hidrogênio e capacidade de neutralização do radical oxigênio. Foram avaliadas concentrações de 1000 a 62,5 µg/mL, preparadas a partir do valor de sólidos totais determinado. Resultados: Para o índice de oxidação, concentrações de 250 µg/mL foram suficientes para descolorir a solução de permanganato no mesmo período de tempo do padrão de quercetina. No entanto, o IC50 calculado para o poder redutor, a inibição do radical DPPH e ABTS foram superiores ao padrão de ácido ascórbico com valores de 362,33; 190,34 e 241,88 µg/mL, respectivamente. Conclusões: O extrato de folhas de Spondias mombin L. em etanol 70% apresenta alta ação antioxidante nos seis modelos experimentais testados, embora na maioria dos casos com valores inferiores à substância de referência utilizada. Esses resultados, juntamente com a diversidade estrutural de metabólitos presentes nele, destacam seu valor como potencial antioxidante natural.

Functional Magnetic Mesoporous Silica Microparticles Capped with an Azo-Derivative: A Promising Colon Drug Delivery Device.

Magnetic micro-sized mesoporous silica particles were used for the preparation of a gated material able to release an entrapped cargo in the presence of an azo-reducing agent and, to some extent, at acidic pH. The magnetic mesoporous microparticles were loaded with safranin O and the external surface was functionalized with an azo derivative 1 (bearing a carbamate linkage) yielding solid S1. Aqueous suspensions of S1 at pH 7.4 showed negligible safranin O release due to the presence of the bulky azo derivative attached onto the external surface of the inorganic scaffold. However, in the presence of sodium dithionite (azoreductive agent), a remarkable safranin O delivery was observed. At acidic pH, a certain safranin O release from S1 was also found. The pH-triggered safranin O delivery was ascribed to the acid-induced hydrolysis of the carbamate moiety that linked the bulky azo derivatives onto the mesoporous inorganic magnetic support. The controlled release behavior of S1 was also tested using a model that simulated the gastro intestinal tract.

Minimally invasive plate osteosynthesis technique for displaced midshaft clavicular fracture using the clavicle reductor.

OBJECTIVE: This study aims to introduce a self-designed clavicle reductor and to test the effectivity of a alternative minimally invasive plate osteosynthesis technique (MIPO) for displaced midshaft clavicular fractures (DMCFs) with the application of our self-designed clavicle reductor. METHOD: From October 2012 to February 2013, 27 male patients who suffered with unilateral displaced midshaft clavicular fracture (DMCFs) were included into our study. Patients were treated by minimally invasive plate osteosynthesis (MIPO) technique with the application of our self-designed clavicle reductor and followed up regularly. Constant-Murley score was employed to test the functional outcomes at one year's follow up. RESULT: The average follow-up time for the 27 patients was 15.8 months (range, 13-18 months). The average age of all patients was 32.6 (range, 21 to 48). According to OTC system, 12 cases were simple fractures (15-B1), ten cases were wedge fractures (15-B2) and five cases were comminuted fractures (15-B3). With the application of the clavicle reductor, minimally invasive plate osteosynthesis technique can be performed without any barrier in all of the 27 cases. Operative duration was 48.1 minutes (range, 35-65 minutes) and average fluoroscopy time was 12.8 seconds (range, from 7 to 22 seconds). All of the 27 cases healed from four to six months post-operatively. The average Constant-Murley-score of the 27 patients was 92.7 ± 5.88 (range, 80 to 100). No complications were noted. CONCLUSION: The self-designed clavicle reductor can effectively pave the way for the application of MIPO technique in the treatment of DMCFs. MIPO technique with locking reconstruction plate is a feasible and worthwhile alternative for displaced midshaft clavicular fractures (DMCFs).

Comparison of traditional open reduction and internal fixation versus minimally invasive reduction by a rapid reductor and percutaneous plate fixation for tibial plateau fractures / 中华创伤骨科杂志

Objective To compare traditional open reduction and internal fixation versus minimally invasive reduction by a rapid redactor and percutaneous plate fixation for tibial plateau fractures.Methods From October 2015 to January 2017,we treated 40 patients with tibial plateau fracture.They were 27 males and 13 females,aged from 17 to 73 years.There were 15 cases of type [[,2 of type Ⅲ,6 of type Ⅳ,10 of type Ⅴ and 7 of type Ⅵ according to the Schatzker classification.Of them,20 were treated by traditional open reduction and internal fixation and the other 20 by minimally invasive reduction by a rapid redactor and percutaneous plate fixation.The 2 groups were compared in terms of operating time,intraoperative blood loss,incision complications,and Hospital for Special Surgery (HSS) score of the knee joint at final follow-ups.Results The 2 groups were compatible because there were no significant differences in all the preoperative demographic data but the interval from injury to surgery (P ＞ 0.05).The 40 patients were followed up for an average of 9.3 months(from 3.5 to 14.5 months).There were significant differences in operating time (103.2 ±35.1 minversus 110.9 ±42.3 min),intraoperative blood loss (157.5 ± 90.7 mL versus 235.0 ± 137.6 mL),active mobility time after operation (9.5 ± 4.0 d versus 12.2 ± 5.6 d),bony union time (14.5 ± 2.7 w versus 15.4 ± 2.9 w),hospital stay (12.1 ± 3.1 d versus 14.6 ± 3.4 d),knee flexion range (125.4° ± 28.3° versus 115.3° ± 21.5°),knee extention range (12.7°±1.4° versus 9.7°±1.5°) and HSS knee score (87.8±7.0 versus 83.1±8.5) (P ＜0.05),favoring the group of minimally invasive reduction.There was no significant difference between the 2 groups in the rate of complications[15％ (3/20) versus 10％ (2/20)] (P ＞ 0.05).Conclusions Compared with traditional open reduction and internal fixation,minimally invasive reduction by a rapid reductor and percutaneous plate fixation is a better option for tibial plateau fractures,due to its advantages of decreased operating time and hospital stay,less trauma and hemorrhage,fewer complications and more rapid functional recovery of the knee.

Actividad antioxidante de extractos de diferente polaridad de Ageratum conyzoides L / Antioxidant activity of different polarity extracts from Ageratum conyzoides L

The present study aimed to investigate the antioxidant activity of extracts of different polarity of the species Ageratum conyzoides L., evaluating by different spectrophotometric methods: ABTS•+, DPPH•, FRAP and ORAC. Extracts of A. conyzoides L., showed good antioxidant activity in the methodologies evaluated. The extract was the most active of ethyl acetate (ACExtA) which showed the best evaluated values techniques with higher power as determined by the assay values of TEAC ORAC = 494048.95 +/- 29695.80 uMol Trolox/100g sample. Measurements of antioxidant activity by different techniques offer advantages in terms of predicting the in vitro antioxidant capacity of this plant, it is also recommended to explore the structural characteristics of the compounds present in the ethyl acetate extract of the plant with to explore the potential benefits and possible mechanisms of action of new antioxidants...

El presente trabajo tuvo como objetivo investigar la actividad antioxidante de extractos de diferente polaridad de la especie Ageratum conyzoides L., mediante la evaluación por diferentes métodos espectrofotométricos: ABTS•+, DPPH•, FRAP y ORAC. Los extractos de A. conyzoides L., presentaron una buena actividad antioxidante en las metodologías evaluadas. El extracto más activo fue el de acetato de etilo (ACExtA), que presentó los mejores valores por las técnicas evaluadas con la mayor potencia determinada por el ensayo ORAC con valores de TEAC = 494048,95 +/- 29695,80 uMol Trolox/100g muestra. Las mediciones de la actividad antioxidante por diferentes técnicas, ofrecen ventajas en términos de la predicción de la capacidad antioxidante in vitro de esta planta, además se recomienda explorar las características estructurales de los compuestos presentes en el extracto de acetato de etilo de esta planta con el fin de investigar los beneficios potenciales y los mecanismos de acción de posibles nuevos antioxidantes...

Sulfate reducing bacteria as secondary and necessary pathogens in black band disease of corals / Bacterias reductoras de sulfato como patógenos secundarios y necesarios en la enfermedad de la banda negra de coral

Black band disease (BBD) is a complex, polymicrobial disease that consists of cyanobacteria, sulfide-oxidizing and sulfate-reducing bacteria (SRB), and heterotrophic bacteria. The cyanobacterium Roseofilum reptotaenium has been implicated as the primary pathogen of BBD, but other consortium members may be secondary pathogens that are necessary to the development of the disease. It is known that populations of the sulfate-reducing bacterium Desulfovibrio are present in BBD and that these populations generate sulfide within the band as a byproduct of dissimilatory sulfate reduction. It is also known that exposure of healthy corals to sulfide leads to cell lysis and coral tissue death. Previous work showed that when freshly collected BBD, which easily infects healthy corals, is exposed to sodium molybdate, a specific inhibitor of sulfate reduction, infection does not occur. In this study we examined the effect of sodium molybdate on infection of corals by a unialgal culture of R. reptotaenium. Coral fragments of Montastraea cavernosa and Siderastrea siderea were transferred into two experimental aquaria, one a control with only artificial seawater (ASW) and the second containing ASW and 2mM sodium molybdate. Small mats of cultured R. reptotaenium were inoculated onto the surface of experimental coral fragments. Both M. cavernosa (n = 6) and S. siderea (n=4) became infected and developed BBD-like infections in the control tank, while there were temporary attachments to, but no successful infection of M. cavernosa (n=3) or S. siderea (n=2) in the experimental tank containing sodium molybdate. The results of this study reveal that a secondary pathogen is essential to the infection process and development of BBD in scleractinian corals. Specifically, SRB such as Desulfovibrio are required for the development of BBD on the coral host. This is the first step in understanding the roles of secondary pathogens in a complex, polymicrobial coral disease.

La enfermedad de la Banda Negra (BBD) es una enfermedad polimicrobiana compleja, que consiste en las cianobacterias, sulfuro oxidante y bacterias reductoras de sulfato (SRB) y bacterias heterotróficas. La cianobacteria Roseofilum reptotaenium se considera como el principal patógeno de BBD, pero otros miembros del consorcio pueden ser patógenos secundarios que son necesarios para el desarrollo de la enfermedad. Se conoce que las poblaciones de la bacteria reductora de sulfato Desulfovibrio están presentes en BBD y que estas poblaciones generan sulfuro dentro de la banda como un subproducto de la reducción del sulfato. También se conoce que la exposición de los corales sanos a sulfuro conduce a la lisis celular y la muerte del tejido de coral. Trabajos previos muestran que cuando recién colectado el tejido con BBD, que infecta fácilmente corales sanos, se expone al molibdato de sodio, un inhibidor específico de la reducción del sulfato, la infección no se produce. En este estudio analizamos el efecto del molibdato de sodio sobre la infección de los corales en un cultivo unialgal de R. reptotaenium. Fragmentos de coral de Montastraea cavernosa y Siderastrea siderea se transfirieron a dos acuarios experimentales, uno control con solo agua de mar artificial (ASW) y el segundo que contenía ASW y molibdato de sodio 2mM. Pequeñas esteras de cultivo R. reptotaenium se inocularon en la superficie de fragmentos experimentales de coral. Tanto M. cavernosa (n=6) y S. siderea (n=4) se infectaron y desarrollaron infecciones BBD- como en el tanque de control, mientras que había adjuntos temporales, sin infección exitosa en M. cavernosa (n=3) o S. siderea (n=2) en el tanque experimental con molibdato de sodio. Los resultados de este estudio revelan que un patógeno secundario es esencial para el proceso de infección y el desarrollo de BBD en corales escleractíneos. Específicamente, SRB como Desulfovibrio son necesarios para el desarrollo de BBD en el coral hospedero. Este es el primer paso en la comprensión de las funciones de los patógenos secundarios en una enfermedad polimicrobiana compleja de coral.

The Clinical Observation of the Reductor of the 3-d Elastic Exteral Fixation of Calcaneal / 医学研究杂志

Objective To observe the reductov of the 3-d Elastic Exteral Fixation of Calcaneal.Methods based on the bearing capacity of foot structure,the anatomic form of Calcaneal was restored in short time by the combination of acting and reacting forces formed by the pressor effect of pressure stalk.Results The excellent and good rates of treatment result were above 97.8%.Condusion It does not shield the X-ray aswell as safe and reliable which makes it possible to investigate the positions of the fractures.