Faster return to sport after robotic-assisted lateral unicompartmental knee arthroplasty: a comparative study.

INTRODUCTION: Unicompartmental knee arthroplasty (UKA) is frequently performed on active patients with symptomatic osteoarthritis who desire a quick return to sports. The aim of this study was to compare return to sport after lateral UKA performed by robotic-assisted and conventional techniques. MATERIALS AND METHODS: This retrospective study has assessed 28 lateral UKA (25 patients), 11 performed with robotic-assisted technique and 17 with conventional technique, between 2012 and 2016. The mean age was 65.5 and 59.5 years, with a mean follow-up of 34.4 months (range 15-50) and 39.3 months (range 22-68). Both groups were comparable pre-operatively. Sport habits and the details of the return to sports were assessed using University of California, Los Angeles Scale (UCLA) and direct questioning. RESULTS: Robotic-assisted surgical technique provided significantly quicker return to sports than conventional technique (4.2 ±1.8 months; range 1-6 vs 10.5 ± 6.7 months; range 3-24; p < 0.01), with a comparable rate of return to sports (100% vs 94%). The practiced sports after lateral UKA were similar to those done preoperatively, with mainly low- and mid-impact sports (hiking, cycling, swimming, and skiing). CONCLUSION: Robotic-assisted lateral UKA reduces the time to return to sports at pre-symptomatic levels when compared with conventional surgical technique. The return to sports rate after surgery is high in both groups. A long-term study would provide data on the prothesis wear in this active population. LEVEL OF EVIDENCE: Comparative retrospective study, Level III.

Sequencing batch reactor as a post-treatment of anaerobically treated dairy effluent.

Wastewater from dairy industries, characterized by its high COD content and relative high COD/TKN ratio, requires post-treatment after anaerobic treatment to complete the removal of organic matter and nutrients. Due to its simplicity, robustness and low maintenance costs, sequencing batch reactors (SBR) result in an attractive system, especially in case of small dairy industries in order to comply with the emission standards. The goal of this work was to determine the operational parameters, optimize the performance, and study the stability of the microbial population of a SBR system for the post-treatment of an anaerobic pond effluent. High and stable removal of COD and TKN was achieved in the reactor, which can easily be set up in dairy industries. An active nitrifying population was selected during reactor operation and maintained relatively stable, while the heterotrophic (total and denitrifying) communities were more unstable and susceptible to changes in the operating conditions.

Osteitis pubis: treatment by heparinisation.

Three cases of osteitis pubis following prostatectomy, herniorrhaphy and combined prostatectomy and herniorrhaphy are presented. Each case was successfully treated by intravenous heparin after other treatments had failed.