In the River Saar, the distribution of methane-oxidizing bacteria and their metabolic activity were determined in vertical and longitudinal profiles. At the sediment surface about two orders of magnitude more methane oxidizers were detected than in the overlying water. In the river as well as in laboratory experiments, the rate of methane oxidation was closely related to the concentration of methane. Most of the methane produced by methanogenic bacteria in the the sediment escaped into the atmosphere. On the average only 1.2% of the produced methane was oxidized in the water phase.
I n the River Saar, the distribution of methane-oxidizing bacteria and their metabolic activity were determined in vertical and longitudinal profiles. At the sediment surface about two orders of magnitude more methane oxidizers were detected than in the overlying water. In the river as well as in laboratory experiments, the rate of methane oxidation was closely related t o the concentration of methane. Most of the methane produced by methanogenic bacteria in the sediment escaped into the atmosphere. On the average only 1.2% of the produced methane was oxidized in the water phase.
PURPOSE OF THE STUDYFacing the increasing number of priary and revision hip arthroplasties, the therapy of complex osseus defects becomes a crucial issue. Large acetabular defects cannot be treated with standard implant. Individual, customized implants based on 3D computed tomography (CT) scans are used for reconstruction. However, high complication and revision rates come along with final favorable outcomes. MATERIAL AND METHODSEight patients underwent primary or revision total hip arthroplasty by an anterolateral surgical approach using patient matched implants based on 3D CT scans. Six patients with a Paprosky type IIIB acetabular defect, one patient with a nonunion acetabular and femoral neck fracture and one patient with a severe hip dysplasia were included. The clinical data and the Merle d'Aubigné score assessing the clinical outcome pre-and postoperatively were analyzed retrospectively. RESULTSPatient matched implants were used for eight patients (four male and four female). The mean Merle d'Aubigné score improved from 8.1 (range 2-11) pre-operatively to 13 (range 9-17) at the final follow-up (p < 0.01). Postoperative complications were recorded in 3 cases. CONCLUSIONSCustomized implants of severe acetabular defects provide a solution with a favorable outcome. Nevertheless, dislocation presents a significant complication. A reduction of complications in order to achieve the optimal custome-made implant is desirable.
IntroductionArthroplasty is the final treatment option for maintaining mobility and quality of life in many primary degenerative and (post-) traumatic joint diseases. Identification of research output and potential deficits for specific subspecialties may be an important measure to achieve long-term improvement of patient care in this field.MethodsUsing specific search terms and Boolean operators, all studies published since 1945 to the subgroups of arthroplasty listed in the Web of Science Core Collection were included. All identified publications were analysed according to bibliometric standards, and comparative conclusions were drawn regarding the scientific merit of each subgroup.ResultsMost publications investigated the subgroups of septic surgery and materials followed by approach, navigation, aseptic loosening, robotic and enhanced recovery after surgery (ERAS). In the last 5 years, research in the fields of robotic and ERAS achieved the highest relative increase in publications In contrast, research on aseptic loosening has continued to lose interest over the last 5 years. Publications on robotics and materials received the most funding on average while those on aseptic loosening received the least. Most publications originated from USA, Germany, and England, except for research on ERAS in which Denmark stood out. Relatively, publications on aseptic loosening received the most citations, whereas the absolute scientific interest was highest for the topic infection.DiscussionIn this bibliometric subgroup analysis, the primary scientific outputs focused on septic complications and materials research in the field of arthroplasty. With decreasing publication output and the least financial support, intensification of research on aseptic loosening is urgently recommended.
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