Cemented acetabular component with femoral neck autograft for acetabular reconstruction in Crowe type III dislocated hips.

AIMS: Various surgical techniques have been described for total hip arthroplasty (THA) in patients with Crowe type III dislocated hips, who have a large acetabular bone defect. The aim of this study was to evaluate the long-term clinical results of patients in whom anatomical reconstruction of the acetabulum was performed using a cemented acetabular component and autologous bone graft from the femoral neck. METHODS: A total of 22 patients with Crowe type III dislocated hips underwent 28 THAs using bone graft from the femoral neck between 1979 and 2000. A Charnley cemented acetabular component was placed at the level of the true acetabulum after preparation with bone grafting. All patients were female with a mean age at the time of surgery of 54 years (35 to 68). A total of 18 patients (21 THAs) were followed for a mean of 27.2 years (20 to 33) after the operation. RESULTS: Radiographs immediately after surgery showed a mean vertical distance from the centre of the hip to the teardrop line of 21.5 mm (SD 3.3; 14.5 to 30.7) and a mean cover of the acetabular component by bone graft of 46% (SD 6%; 32% to 60%). All bone grafts united without collapse, and only three acetabular components loosened. The rate of survival of the acetabular component with mechanical loosening or revision as the endpoint was 86.4% at 25 years after surgery. CONCLUSION: The technique of using autologous bone graft from the femoral neck and placing a cemented acetabular component in the true acetabulum can provide good long-term outcomes in patients with Crowe type III dislocated hips. Cite this article: Bone Joint J 2021;103-B(2):299-304.

Localized fluid discharge by tensile cracking during the post-seismic period in subduction zones.

It is thought that extensional structures (extensional cracks and normal faults) generated during the post-seismic period create fluid pathways that enhance the drainage of the subducting plate interface, thus reducing the pore pressure and increasing fault strength. However, it remains to be elucidated how much pore fluid pressure decreases by the extension crack formation. Here we examined (i) the pore fluid pressure decrease, and (ii) the degree fault strength recovery by the extension crack formation during the post-seismic period by analyzing extension quartz veins exposed around the Nobeoka Thrust, southwestern Japan. The Nobeoka Trust is an on-land analog of the modern splay fault at shallow depths (~ 8 km) in the Nankai Trough. The poro-elastic model of extensional quartz vein formation indicates that the formation of extensional cracks only releases up to ~ 7-8% of the total pore fluid pressure at ~ 8 km depth. The pore pressure around the Nobeoka Thrust was close to lithostatic pressure during the entire seismic cycle. The estimated effective frictional coefficient along the Nobeoka Thrust after this small fluid-loss by the extensional crack formation does not exceed 0.15. Hence, the pore fluid pressure reduction due to the post-seismic extensional cracks contributes little to increase the fault strength of the megasplay fault.

An inhomogeneous across-slab conduit controlled by intraslab stress heterogeneity in the Nankai subduction zone.

Nonvolcanic, deep low-frequency tremors and slow-slip events occur simultaneously in the transition zone from locked to continuously creeping fault in the down-dip portion of the Nankai Trough subduction zone, southwestern Japan. The occurrence of these slow earthquakes is discontinuous along the trench and attributed to the effect of high pore pressures at the plate boundary. Here, we show that spatial variations in intraslab stress may control fluid migration from the subducted Philippine Sea slab to the plate boundary. The triaxial normal faulting stress, detected by stress tensor inversion using focal mechanisms in the slab, controls anisotropically permeability that trends NNW-SSE subhorizontally from the subducted Philippine Sea slab to the plate boundary. The inhomogeneous permeability controlled by spatial stress heterogeneities in the subducted Philippine Sea slab controls the intraslab fluid pathway. This hypothesis is consistent with the spatial heterogeneity of slow earthquakes and 3He/4He ratio distributions.

Silica precipitation potentially controls earthquake recurrence in seismogenic zones.

Silica precipitation is assumed to play a significant role in post-earthquake recovery of the mechanical and hydrological properties of seismogenic zones. However, the relationship between the widespread quartz veins around seismogenic zones and earthquake recurrence is poorly understood. Here we propose a novel model of quartz vein formation associated with fluid advection from host rocks and silica precipitation in a crack, in order to quantify the timescale of crack sealing. When applied to sets of extensional quartz veins around the Nobeoka Thrust of SW Japan, an ancient seismogenic splay fault, our model indicates that a fluid pressure drop of 10-25 MPa facilitates the formation of typical extensional quartz veins over a period of 6.6 × 100-5.6 × 101 years, and that 89%-100% of porosity is recovered within ~3 × 102 years. The former and latter sealing timescales correspond to the extensional stress period (~3 × 101 years) and the recurrence interval of megaearthquakes in the Nankai Trough (~3 × 102 years), respectively. We therefore suggest that silica precipitation in the accretionary wedge controls the recurrence interval of large earthquakes in subduction zones.