Background:Multiple ligament injured knee is generally described for a scenario when at least 2 of the 4 major ligaments are ruptured. The most effective treatment for these injuries remains controversial. This study presents the clinical outcome of 3 surgical strategies based on personalized treatment.Materials and Methods:Thirty two patients with multiple ligament injured knee were treated by 3 surgical strategies in the acute phase. (1) One-stage: Twelve patients treated by repair and reconstruction of all ruptured ligaments in a single operation. (2) Staged: Eleven patients treated by repair or reconstruction of the extraarticular (EA) ligaments and then intraarticular ligaments in 2nd stage. (3) EA ligament repair: Nine patients underwent only EA ligaments repair.Results:The patients were followed up for an average of 34.7 ± 12.1 months. Significant improvements in knee stabilities (P < 0.01), Lysholm score (P < 0.01) and International Knee Documentation Committee grade (P < 0.01) were noticed in all groups. Of the 32 patients, none had gross mal alignment or gait abnormalities at the latest followup. Comparing the 3 groups, a significant difference in Lysholm score was shown between the one stage group and the EA repair group (P = 0.040); additionally, significant differences were found in 2 subscales of knee injury and osteoarthritis outcome score (P < 0.05).Conclusion:Satisfactory clinical and functional outcomes could be achieved adopting the 3 surgical strategies based on personalized treatment. However, a combination of EA repair and intraarticular repair or reconstruction might be more reasonable options for the young and active patients.
Drought is one of the major abiotic stresses affecting the morphological, physiological, and metabolic processes of plants, and hence their growth and production on a global scale. Lucerne (Medicago sativa L.) is one of the most popular pasture species in semi-arid regions and plays a critical role in sustaining agricultural systems in many areas of the world. In order to evaluate the effect of water deficits on the growth and biomass distribution in different tissues of lucerne, plant height, leaf dry weight, leaf number and area, root dry weight, taproot length and lateral root number, and stem dry weight were measured at four stages from the seedling to flowering stages under three water regimes: (i) adequate water supply (minimum soil water content 85% pot capacity (PC)), (ii) moderate water stress (65% PC), and (iii) severe water stress (45% PC), imposed under a rainout shelter. With limited water supply, plant height, leaf number, leaf area and dry weight, taproot length, and total biomass were reduced, while lateral root numbers increased. The number of smaller leaves and root dry weight increased under moderate water stress, whereas severe water stress reduced them. Leaf, stem, and total dry weight were all reduced by the water deficits, but leaf dry weight was reduced the most and root dry weight the least, so there was a redistribution of biomass towards the roots, increasing the root–shoot ratio. These results help us to understand the response of lucerce to water stress and assist in developing a foundation for the sustainable use of lucerne in semi-arid agricultural systems.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
customersupport@researchsolutions.com
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.