The width and height of the atlas lateral mass were larger than that of the C2 pedicle, and there was enough space to insert a 3.5-mm diameter screw in the atlas lateral mass over the C2 nerve. The pullout force of the screw on the lateral mass of the atlas was the same as that of the C2 pedicle screw. It is possible toinsert a 3.5-mm screw in the lateral mass of the atlas. The direction of the screw should be about 20 degrees anterosuperior in the vertical plane and 15 degrees inward in the horizontal plane. The suitable length of the screw should be approximately 22 mm inside the lateral mass.

Total knee arthroplasty (TKA) often causes a significant amount of blood loss with an accompanying decline in hemoglobin and may increase the frequency of allogeneic blood transfusion rates. Unfortunately, allogeneic blood transfusions have associated risks including postoperative confusion, infection, cardiac arrhythmia, fluid overload, increased length of hospital stay, and increased mortality. Other than reducing the need for blood transfusions, reducing perioperative blood loss in TKA may also minimize intra-articular hemorrhage, limb swelling, and postoperative pain, and increase the range of motion during the early postoperative period. These benefits improve rehabilitation success and increase patients' postoperative satisfaction. Preoperative anemia, coupled with intraoperative and postoperative blood loss, is a major factor associated with higher rates of blood transfusion in TKA. Thus, treatment of preoperative anemia and prevention of perioperative blood loss are the primary strategies for perioperative blood management in TKA. This review, combined with current evidence, analyzes various methods of blood conservation, including preoperative, intraoperative, and postoperative methods, in terms of their effectiveness, safety, and cost. Because many factors can be controlled to reduce blood loss and transfusion rates in TKA, a highly efficient, safe, and cost-effective blood management strategy can be constructed to eliminate the need for transfusions associated with TKA.

A series of multi-heterostructured metal chalcogenides (CdS-Te, NiS/CdS-Te, and MoS2/CdS-Te) with a surprising shish-kebab-like structure have been synthesized via a one-step microwave-assisted pyrolysis of dithiocarbamate precursors in ethylene glycol. Subsequently, CdS-Te composites were exploited as a self-sacrificial template to craft various CdS-Te@(Pt, Pd) multi-heterostructures. Highly uniform dispersion and intimate interactions between CdS and multicomponent cocatalysts, together with improved separation of photogenerated carriers due to the presence of Te nanotubes (NTs) and trace CdTe, enable CdS-based heterostructured photocatalysts to exhibit greatly enhanced efficiency and stability in the photocatalytic production of H2. Thorough morphological characterizations revealed that the growth of metal sulfide/Te heterostructures originates from the growth of Te tubes, which is likely governed by diffusion-limited depletion of the Te precursor and the dissolution-crystallization process of Te seeds followed by the formation of metal sulfide kebabs.

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Antibacterial Fe-xCu biomedical alloys are designed to have a satisfactory biodegradation rate compared with pure iron. Fe-xCu (x ¼ 0, 1.5, 2.3, 7.8, and 10.1 wt%) alloys are produced by selective laser melting (SLM). Alloying with Cu has a significant influence on the grain size, hardness, biodegradation rate, and antibacterial performance of SLMed Fe-xCu alloys. Increasing Cu content decreases the grain size and increases the hardness. SLMed Fe-1.5Cu, Fe-2.3Cu, and Fe-10.1Cu have degradation rates similar to that of pure iron, while the degradation rate of SLMed Fe-7.8Cu is almost 2.5 times faster. The SLMed Fe-2.3Cu, Fe-7.8Cu, and Fe-10.1Cu produce strong antibacterial performance. The mechanisms of degradation behavior and antibacterial performance are clarified. SLMed Fe-7.8Cu had appropriate mechanical properties, satisfactory degradation rates, strong antibacterial performance, and good cytocompatibility, and therefore is a novel type of antibacterial biomedical alloy with good potential for clinical application.