BackgroundAlthough the modified tension band technique (eg, tension band supplemented by longitudinal Kirschner wires) has long been the mainstay for fixation of transverse fractures of the patella, it has shortcomings, such as bad reduction, loosening of implants, and skin irritation.Questions/purposesWe conducted a retrospective comparison of the modified tension band technique and the titanium cable-cannulated screw tension band technique.Patients and MethodsWe retrospectively reviewed 101 patients aged 22 to 85 years (mean, 56.6 years) with AO/OTA 34-C1 fractures (n = 68) and 34-C2 fractures (n = 33). Fifty-two patients were in the modified tension band group and 49 were in the titanium cable-cannulated screw tension band group. Followup was at least 1 year (range, 1–3 years). Comparison criteria were fracture reduction, fracture healing time, and the Iowa score for knee function.ResultsThe titanium cable-cannulated screw tension band group showed improved fracture reduction, reduced healing time, and better Iowa score, compared with the modified tension band group. In the modified tension band group, eight patients experienced wire migration, three of these requiring a second operation. There were no complications in the titanium cable-cannulated screw tension band group.ConclusionsThe titanium cable-cannulated screw tension band technique showed superior results and should be considered as an alternative method for treatment of transverse patellar fractures.Level of EvidenceLevel III, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence.

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Though evaporation‐driven electricity generation has emerged as a novel eco‐friendly energy and attracted intense interests, it is typically demonstrated in pure water or a very low salt concentration. Integrating evaporation‐driven electricity generation and solar steam desalination simultaneously should be more promising. Herein, a polyaniline coated metal‐organic frameworks (MOFs) nanorod arrays membrane is synthesized which inherits the merits of both polyaniline and MOFs, demonstrating nice stability, good interfacial solar steam desalination, and evaporation‐driven electricity generation. Moreover, an integrated system based on this hybrid membrane achieves good interfacial solar‐heating evaporation and prominently enhanced evaporation‐driven electricity generation under one sun. Notably, the realization of effective seawater desalination and efficient evaporation‐driven electricity generation simultaneously by the non‐carbon‐based materials is reported for the first time, which provides a new alternative way for cogenerating both freshwater and electricity by harvesting energy from seawater and solar light.

Microfiber yarns (MY) have been widely employed to construct tendon tissue grafts. However, suboptimal ultrastructure and inappropriate environments for cell interactions limit their clinical application. Herein, we designed a modified electrospinning device to coat poly(lactic-co-glycolic acid) PLGA nanofibers onto polylactic acid (PLA) MY to generate PLGA/PLA hybrid yarns (HY), which had a well-aligned nanofibrous structure, resembling the ultrastructure of native tendon tissues and showed enhanced failure load compared to PLA MY. PLGA/PLA HY significantly improved the growth, proliferation, and tendon-specific gene expressions of human adipose derived mesenchymal stem cells (HADMSC) compared to PLA MY. Moreover, thymosin beta-4 (Tβ4) loaded PLGA/PLA HY presented a sustained drug release manner for 28 days and showed an additive effect on promoting HADMSC migration, proliferation, and tenogenic differentiation. Collectively, the combination of Tβ4 with the nano-topography of PLGA/PLA HY might be an efficient strategy to promote tenogenesis of adult stem cells for tendon tissue engineering.

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