Intraoperative avulsion fracture of the intercondylar eminence in Oxford mobile-bearing unicompartmental knee arthroplasty: Case report.

Background: Unicompartmental knee arthroplasty (UKA) can provide good postoperative results and long term survival, but there may be complications. We present a rare case of avulsion fracture of the intercondylar eminence during UKA surgery.

Case Presentation: An 88-year-old man had right-knee pain with anteromedial osteoarthritis.

Current concept of kinematic alignment total knee arthroplasty and its derivatives.

The kinematic alignment (KA) approach to total knee arthroplasty (TKA) has recently increased in popularity. Accordingly, a number of derivatives have arisen and have caused confusion. Clarification is therefore needed for a better understanding of KA-TKA.

Approximately 80% of Japanese osteoarthritic patients fall out of the safety range in restricted kinematically-aligned total knee arthroplasty in an analysis of preoperative long-leg radiograms.

Background: Restricted kinematically-aligned total knee arthroplasty (KA-TKA) is a reasonable modification to avoid the alignment outlier that may cause implant failure. However, despite a noted high incidence of constitutional varus in Japanese individuals, there has been no investigation into how many knees require the restriction in restricted KA-TKA (RKA-TKA) among Japanese patients. Therefore, we conducted a study using preoperative long-leg radiograms.

Bearing Separation From the Lateral Wall of the Tibial Component Is a Risk of Anterior Dislocation of the Mobile Bearing in Oxford Unicompartmental Knee Arthroplasty.

Background: Bearing dislocation is a serious complication after Oxford unicompartmental knee arthroplasty. Bearing separation from the lateral wall can cause it to spin (90° horizontal rotation) and eventually dislocate because there is just a 2 mm difference in height in both the lateral and medial sides from the bottom of the bearing, compared with the anterior (5 mm) and posterior (3 mm) sides. The details of this problem have not been previously examined.

Low photoelastic and optical properties in RO-SnO-P2O5 (R = Zn, Ba, Sr) glasses.

We report transparent RO-SnO-P2O5 (R=Zn, Ba, Sr) glasses with low photoelastic constant less than ∼1  B (1×10(-12)  Pa(-1)) and high refractive index more than ∼1.65. The BaO or SrO substitution effect of SnO on optical properties is nearly the same as ZnO substitution of the ternary zinc tin-phosphate glass without hazardous oxide.

Zero photoelastic zinc tin phosphate glass without lead oxide.

The photoelastic constant (PEC) is evaluated for 15 zinc tin phosphate glasses in a series of xZnO-(67-x)SnO-33P(2)O(5) where x is 0-30 mol. % at 0.5-7 mol.

Elucidation of codoping effects on the solubility enhancement of Er3+ in SiO2 glass: striking difference between Al and P codoping.

The codoping effect mechanism of Al and P on the solubility enhancement of Er(3+) ion in SiO(2) glass was clarified by electron spin-echo envelope modulation spectroscopy. It turned out that doped P ions preferentially coordinate to the Er(3+) ion to form a "solvation shell structure", and the environment is similar to that in phosphate glass, while doped Al ions do not form such a selective solvation structure, taking octahedral coordination. This striking difference indicates that the primary roles of the P-doping and the Al-doping are attributed to "enthalpy of mixing" and to "entropy of mixing", respectively.

Comparative study of harvest-site complications following coronary artery bypass grafting between the radial artery and the saphenous vein in identical patients.

Purpose: The aim of this study was to assess the early outcome for complications associated with the radial artery harvest site, in comparison to using the saphenous vein, in patients harvested for both vessels.

Methods: During the last 2 years, 134 radial arteries were used in 133 patients, and the saphenous vein was also concomitantly used in 94 patients. We assessed the post-harvest forearm perception using a questionnaire that contained two statements regarding pain and numbness in those 94 patients.

Determining the best procedure for radial artery harvest: prospective randomized trial for early postharvest complications.

Objective: Although useful procedures for radial artery harvest have been reported, forearm circulation and collateral perfusion after radial artery harvesting remain unknown. To assess an optimal radial artery harvest technique for forearm circulation, we designed a prospective randomized trial.

Methods: Ninety patients were divided into 3 groups of 30 patients.

Co-expression of parathyroid hormone and chromogranin A in secondary hyperparathyroidism: a functional marker for secretory activity of hyperplastic nodules.

The relationship between secretion of parathyroid hormone (PTH) and biologic characteristics, including cell proliferation or monoclonality, is not yet fully understood. To evaluate secretory activity of glands or nodules histopathologically, we focused on the co-expression of chromogranin A (CgA) and parathyroid hormone (PTH) in each gland or nodule. A total of 55 glands from 38 patients with normal parathyroid glands, hyperplastic glands (diffuse and nodular) and primary adenomas were compared.

[Investigation of CD68 positive monocytes/macrophage(CD68+ Mo/M phi) in urine and infiltrated tissue of various kidney diseases in children].

In order to investigate the participation of monocytes/macrophages(Mo/M phi) in the progression of various kidney diseases of children, Mo/M phi in urine and that infiltrating renal tissue were both measured as the number of CD68 positive Mo/M phi (CD68+ Mo/M phi), using anti-CD68 antibody. The number of CD68+ Mo/M phi infiltrating in one glomerulus was significantly higher in Henoch-Schönlein purpura nephritis(HSPN) (p < 0.01) in comparison with that in minimal change nephrotic syndrome(MCNS) (p < 0.