Identification of key areas for ecological restoration of territorial space based on ecological security pattern analysis: A case study of the Taihu Lake city cluster.

The identification of key areas for ecological restoration of national land space based on the ecological security pattern is an important way to balance environmental protection and social development in the new era. With the Taihu Lake city cluster as the study area, we identified the ecological source from both structural and functional aspects, and used the minimum cumulative resistance model to identify the ecological corridors on the basis of constructing the resistance surface. Coupled the landscape ecological risk evaluation, we determined the appropriate width of each ecological corridor in the study area, identified the key restoration zones through the circuit theory.

Intraperitoneal Loss of Pelvic Array Pin During Navigated Total Hip Arthroplasty.

Pelvic array pin placement during navigated total hip arthroplasty has been known to cause complications; however, most of them are minor. We report a 78-year-old female who underwent a routine computer-navigated total hip replacement which was subsequently complicated by complete loss of the pelvic array pin requiring retrieval via laparotomy. No structures were injured despite the surrounding urological, vascular, and visceral anatomy.

Intraosseous Regional Prophylactic Antibiotics Decrease the Risk of Prosthetic Joint Infection in Primary TKA: A Multicenter Study.

Background: Recent studies have demonstrated that the administration of regional prophylactic antibiotics by intraosseous (IO) injection achieves tissue concentrations around the knee that are 10- to 15-fold higher than intravenous (IV) delivery of prophylactic antibiotics. It is currently unknown whether the use of regional prophylactic antibiotics for primary TKA would result in a lower risk of prosthetic joint infection (PJI).

Questions/purposes: (1) Is IO injection of prophylactic antibiotics associated with a decreased risk of early (< 12 months) deep PJI compared with traditional IV prophylactic antibiotics? (2) What other patient factors are associated with an increased risk of early PJI after TKA, and do regional prophylactic antibiotics influence these risk factors? (3) Can IO antibiotics be administered to all patients, and what complications occurred from the delivery of IO prophylactic antibiotics?

Methods: A retrospective comparative study of all primary TKAs (1909 TKAs) over a 5-year period (January 2013 to December 2017) was performed to determine the risk of early PJI.

Totally cystic schwannoma of the lumbar spine.

A schwannoma is a benign tumor arising from a schwann cell and occurs mainly in the nerve sheath in the intradural extramedullary region. Schwannomas have been well described as occurring in the lumbar spine, but total cystic degeneration of schwannomas is rarely reported. The authors describe the clinical and radiographic evaluations and treatment of a rare case of an intraextradural totally cystic schwannoma on the lumbar spine.

MRI study of the position of the conus medullaris in patients with lumbar spinal stenosis.

Substantial data exist from cadaveric and magnetic resonance imaging studies regarding the position of the conus medullaris in normally developed adults. However, no large studies have documented the position of the conus medullaris in patients with diagnosed lumbar spinal stenosis. To goal of the current study was to determine the position of the conus medullaris within a living adult population with existing pathology of lumbar spinal stenosis.