Arthroscopic Linear Chain Fixation for the Treatment of Medial Meniscus Posterior Root Tear: A Case Study.

BACKGROUND: The repair and reconstruction of medial meniscus posterior root tears (MMPRTs) is an important issue in the field of orthopedic sports medicine. This study reports the first application of arthroscopic linear chain fixation for the treatment of MMPRTs. CASE PRESENTATION: A 78-year-old female patient presented with a 1.5-month history of right knee pain accompanied by a locked facet joint. The patient underwent surgery with the new linear chain fixation method. In this method, the suture and the loop part of the buckle-strap titanium plate were combined into a linear chain mechanical complex, and the tension of the posterior root stump was gradually increased by pulling on the two attachment lines at the external mouth of the tibial tunnel. The postoperative Lysholm score was 89, and the visual analogue scale score was 0.9, indicating a significant improvement in knee joint function. At the 7-month and 1-year post-surgery follow-up, physical and MRI examinations confirmed satisfactory healing of the MMPRTs. CONCLUSION: This surgical approach offers several benefits, including a simplified instrumentation setup, preservation of natural anatomical structures, and reliable residual stump fixation. It has the potential for clinical implementation.

[Effects of tillage rotation and fertilization on soil aggregates and organic carbon content in corn field in Weibei Highland].

A field experiment on effects of tillage rotation and fertilization on corn continuous cropping-practiced lands was carried out in Heyang of Shaanxi in 2007-2012. The tillage types included annual rotation of no-tillage and subsoiling (NT-ST), subsoiling and conventional tillage (ST-CT), or conventional tillage and no-tillage (CT-NT), and yearly practice of no tillage (NT-NT), subsoiling (ST-ST) or conventional tillage (CT-CT). The fertilization treatments included balanced fertilization, low-rate fertilization and conventional fertilization, which were separately practiced against the different tillage types. The experiment investigated compositions, mean mass diameters (MWD), geometrical mean diameters (GMD) and fraction dimension numbers (D) of soil aggregates in 0-40 cm soil and contents of organic carbon in 0-60 cm soil. The results indicated that: 1) The increased tillage intensity caused the reduced mechanical stability and content of soil aggregates and increased soil organic carbon loss. No-tillage or tillage rotation increased the MWD, GMD and contents of soil organic carbon and soil aggregates with diameters of more than 0.25 mm, but decreased D. Under the same fertilization treatment, the contents of soil aggregates with diameters of more than 0.25 mm were ranked in the order of NT-NT>NT-ST>NT-CT>ST-ST>CT-ST>CT-CT, and under the same tillage rotations, the soil aggregates were more stable with the balanced or low- rate fertilization than with the conventional fertilization. 2) Mathematical fractal dimension fitting of soil aggregates indicated that the fractal dimension numbers of soil aggregates ranged within 2.247-2.681 by dry sieving and 2.897-2.976 by wet sieving. In 0-30 cm soil, the fractal dimension numbers of soil aggregates were significantly lower under no-tillage or tillage rotation than under conventional tillage, and in 0-40 cm soil, the fractal dimensions of soil aggregates increased with soil depth, and tended to stabilize at the soil depth of 40 cm. 3) The different fertilization treatments exerted significantly different influences on the contents of soil organic carbon (P < 0.05), which tended to decline with soil depth. Compared to the conventional fertilization, the balanced fertilization increased the content of soil organic carbon by 6.9%, and the contents of soil organic carbon increased as the diameters of soil aggregates increased. The correlation analysis showed that the contents of soil aggregates with diameters of 0.25-2 mm significantly affected the content of soil organic carbon, with the coefficient of determination being 0.848 (P < 0.01).