Long-Term Outcomes of Wrist Arthroplasty Using the ReMotion™ Implant in Non-inflammatory Wrist Pathology.

Background: Wrist arthroplasty is increasingly offered to patients with symptomatic wrist arthritis as an alternative to wrist arthrodesis. The purpose of this study was to present our outcomes with the ReMotion™ wrist arthroplasty in a consecutive series of patients with wrist arthritis from non-inflammatory conditions. Methods: Thirteen (eight women, nine dominant wrists) patients, 68 (44-85) years of age with advanced radiocarpal arthritis due to SLAC/SNAC (11) and Kienbock disease (2) had a ReMotion™ (Stryker, Michigan, USA) wrist arthroplasty implanted, and were prospectively followed for 7 (4-9) years. The outcome measures included patient-rated wrist and hand evaluation (PRWHE) score, disabilities of the arm, shoulder and hand questionnaire (QuickDASH) score, visual analogue pain score (0-10) on the radial and ulnar aspect of the wrist at rest (VASrR/VASuR) and activity (VASrA/VASuA), active wrist range of motion (AROM) including flexion, extension, ulnar and radial deviation, pronation and supination and grip and key-pinch strength measured preoperatively and at yearly follow-ups by independent hand therapists. Results: Six patients had ten re-operations during the follow-up including four revisions to a new arthroplasty. Four were considered loose at follow-up. A significant reduction in PRWHE (63 to 12), radial pain at activity (6 to 1) and increased pronation (85° v 90°) was observed. Conclusions: We found a high complication and reoperation rate, two out of 13 had no complications or reoperations. The ReMotion™ arthroplasty should be used with caution in non-inflammatory wrist patients and the patients followed closely. A high reoperation and revision rate can be expected, and surgeons familiar with revision arthroplasty procedures should perform the surgery. Level of Evidence: Level II (Therapeutic).

Long-term results and explant analysis of the ReMotion total wrist arthroplasty.

The ReMotion wrist replacement has good short- to medium-term survival with an acceptable complication profile as we previously reported in a cohort of patients with rheumatoid arthritis. We now report the long-term results of the same cohort and details of explant analysis of revisions undertaken for aseptic loosening. A total of 16 wrists were reviewed. Seven prostheses remain in situ with no obvious signs of wear or radiological loosening at a mean follow-up of 15.5 years. Three wrists had been revised: one for infection and two for aseptic loosening. Five patients (six wrists) died 2-9 years after operation from unrelated causes. Explant analysis demonstrated relatively minor wear compared with the published results of the Universal-2 prosthesis. We hypothesize that this may be explained by differences in polyethylene sterilization and prosthetic design. The ReMotion wrist replacement has favourable long-term results in patients with rheumatoid arthritis with a 16-year survival rate of 78%-86%.Level of evidence: IV.

Fourth-Generation Total Wrist Arthroplasty: A Systematic Review of Clinical Outcomes.

Background The purpose of total wrist arthroplasty is to reduce pain and maintain mobility in a painful destructed wrist. First-, second-, and third-generation total wrist arthroplasties have shown unacceptable outcomes with high failure rates. In 2004, the fourth-generation total wrist implants were introduced to address the clinical problems encountered in the previous generations of total wrist implants. Methods Outcomes and complications of fourth-generation total wrist implants were systematically reviewed in the literature (2004-present), including the Universal 2, ReMotion, Freedom, Motec, and Maestro total wrist implants. Results The literature search yielded 114 papers, of which 18 (990 implants) were included in this systematic review. The quality of evidence was low. All implants effectively reduced pain and improved functionality of the wrist. The Motec wrist implant demonstrated the highest survival rate at 10 year follow-up (86%). Conclusion This systematic review suggests a substantial improvement of quality in fourth-generation total wrist arthroplasty.

Total Wrist Arthroplasty for Posttraumatic Wrist Osteoarthritis: A Cohort Study Comparing Three Indications.

Scapholunate ligament ruptures and scaphoid nonunion with consecutive advanced collapse (SLAC and SNAC wrists) as well as intra-articular distal radius fractures (DRF) are prone to cause posttraumatic wrist osteoarthritis. The aim of this study was to compare the outcomes of these indications for total wrist arthroplasty. We included 13, 11, and 8 patients with an overall mean age of 60 ± 9 years in the SLAC, SNAC, and DRF cohort, respectively. After an average follow-up period of 6 ± 3 years, we found no difference between our groups regarding pain levels and functional scores, although these parameters significantly improved compared to preoperative parameters. Complication and revision rates revealed no significant difference. However, significantly higher extension, arc of range of motion values in the flexion-extension, as well as in radial-ulnar deviation plain were detected in the SLAC compared to the DRF group. Finally, TWA proved to show a beneficial performance in all three investigated indications.

Lowering the density: ants associated with the myrmecophyte Tillandsia caput-medusae diminish the establishment of epiphytes.

Ants benefit myrmecophytic plants by two main activities defending them from herbivores and offering nutrients. Ants' territorial defence behaviour also benefits their myrmecophytic plants; in the case of trees, this behaviour includes eliminating structural parasites (epiphytes and lianas). These benefits could also occur with myrmecophytic epiphytes by decreasing the abundance of competing epiphytes. In two subunits of a tropical dry forest in the centre of Mexico, we (i) recorded the diversity of ants associated with the myrmecophyte Tillandsia caput-medusae, and experimentally tested: (ii) the effect of the ants associated with the myrmecophyte in the removal of its seeds and the seeds of other sympatric non-myrmecophyte species of Tillandsia; and (iii) if seed remotion by ants corresponds with epiphyte load in the preferred (Bursera copallifera) and limiting phorophyte species (B. fagaroides, Ipomoea pauciflora and Sapium macrocarpum). In five trees per species, we tied seed batches of T. caput-medusae, T. hubertiana, T. schiedeana and T. recurvata. One seed batch was close, and the other far away from a T. caput-medusae with active ants. Between forest subunits, ant richness was similar, but diversity and evenness differed. Ants diminish seed establishment of all the Tillandsia species; this effect is stronger in the forest subunit with a large ant diversity, maybe because of ant competition. Seed remotion by ants is independent of phorophyte species identity. Although ants can provide benefits to T. caput-medusae, they also could be lowering their abundance.

Proximal Row Carpectomy with Total Scapoidectomy vs. Conventional Carpal Resection for ReMotion Total Wrist Arthroplasty.

High complication rates in total wrist arthroplasty (TWA) still lead to controversy in the medical literature, and novel methods for complication reduction are warranted. In the present retrospective cohort study, we compare the outcomes of the proximal row carpectomy (PRC) method including total scaphoidectomy (n = 22) to the manufacturer's conventional carpal resection (CCR) technique, which retains the distal pole of the scaphoid (n = 25), for ReMotion prosthesis implantation in non-rheumatoid patients. Mean follow-up was 65.8 ± 19.8 and 80.0 ± 28.7 months, respectively. Pre- and postoperative clinical assessment included wrist flexion-extension and radial-ulnar deviation; Disability of Arm, Shoulder, and Hand scores; and pain via visual analogue scale. At final follow-up, grip strength and satisfaction were evaluated. All complications, re-operations, and revision surgeries were noted. Clinical complications were significantly lower in the PRC group (p = 0.010). Radial impaction was detected as the most frequent complication in the CCR group (n = 10), while no PRC patients suffered from this complication (p = 0.0008). Clinical assessment, grip strength measurements, and the log rank test evaluating the re-operation as well as revision function showed no significant difference. All functional parameters significantly improved compared to preoperative values in both cohorts. In conclusion, we strongly recommend PRC for ReMotion prosthesis implantation.

Re-motion total wrist arthroplasty: 39 non-rheumatoid cases with a mean follow-up of 7 years.

We evaluated the outcomes of the Re-motion total wrist arthroplasty in 39 non-rheumatoid patients. The mean follow-up was 7 years (range 3-12). Postoperative wrist flexion-extension and radial-ulnar deviation as well as the scores of the Disability of Arm Shoulder and Hand questionnaire and the visual analogue scale pain scores improved significantly. Complications occurred in 13 wrists, five of which required further surgery. The most frequent complication was impingement between the scaphoid and the radial implant (n = 5), which can be avoided by complete or almost complete scaphoid resection. Periprosthetic radiolucency developed around the radial component in three cases and three radial screws loosened. Despite the incidence of high implant survival in 38 of 39 wrists over 7 years (97%), the complication rate is not satisfying. Knowledge of the risk of complications and patient selection are essential when making the decision to choose wrist arthroplasty over arthrodesis. Level of evidence: IV.

Dataset for effect of pH on caffeine and diclofenac adsorption from aqueous solution onto fique bagasse biochars.

Products of common use such as caffeine and diclofenac have been detected in surface water and groundwater, these molecules even at low concentrations have serious negative effects on animals and the environment, so they are becoming emerging contaminants. To remove pollutants from aqueous systems diverse adsorbents have been used, however materials obtained from agrochemical waste are a good alternative. This dataset present the adsorption of caffeine and diclofenac onto six fique bagasse biochars at different pH's, in addition information about textural, morphological and chemical properties of six samples of fique bagasse biochar using TGA, SEM, FTIR, PZC and Boehm's titration are provided.

Gremios y diversidad de hormigas (Hymenoptera: Formicidae) en tres usos del suelo de un paisaje cafetero del Cauca-Colombia / Guilds and diversity of ants in three land uses from a coffee landscape at Cauca -Colombia

Resumen En los últimos 50 años, la producción cafetera colombiana ha sufrido una gran transformación de los cultivos tradicionales crecidos a la sombra de los bosques, para derivarlos en vastas extensiones de cafetales de libre exposición al sol. Estos sistemas reducen la biodiversidad nativa y sus servicios ecosistémicos asociados. A su vez, los cafetales de sombrío operan como potenciales refugios de dicha biodiversidad, favoreciendo su dispersión en el paisaje dado que ofrecen hábitat de alta calidad para que los organismos silvestres se muevan a través de los relictos de vegetación natural, es por tanto importante documentar su valor biológico. En Colombia, el departamento del Cauca es el cuarto productor de café y aunque sus cosechas estaban principalmente basadas en el modelo de uso de sombra de árboles sobre cafetos, en los últimos 10 años los cafetales de sol han doblado su extensión en este departamento y casi han equiparado la extensión de los cafetales de sombra. Por lo tanto, es necesario documentar si estos cambios de uso de suelo a escala de paisaje pueden derivar en consecuencias para la biota silvestre que habita estos sistemas productivos. Dadas las anteriores consideraciones, y para probar la importancia biológica de las plantaciones de café, el presente estudio compara el efecto de tres usos del suelo (cafetales de sol, cafetales de sombra y parches de vegetación natural) en términos de la riqueza de especies de hormigas y la abundancia de sus gremios tróficos en el municipio de Caldono entre agosto de 2015 y enero de 2016. Las capturas fueron realizadas con trampas de caída, sacos mini-Winkler y colecta directa. Encontramos que la riqueza de hormigas fue mayor en parches de vegetación natural, seguidos de cafetales de sombra y cafetales de sol. En estos últimos, las hormigas omnívoras generalistas fueron más abundantes, y las hormigas arbóreas que forrajean en el suelo fueron menos abundantes. Por su parte, los cafetales de sombra, pese a pertenecer a un uso del suelo transformado, guardan similitud con algunos parches de vegetación natural. Usando sólo hormigas del estrato más bajo (suelo y sotobosque), nuestros hallazgos confirman que los cafetales de sombra mantienen una parte importante de la diversidad de hormigas de la localidad, mientras que los cafetales de sol ofrecen menor calidad de hábitat para la misma. Por otro lado, pese a que los parches de vegetación natural son tan pequeños y degradados, su conservación representa un valioso patrimonio para la protección de la fauna de hormigas local, albergando una gran cantidad de especies exclusivas.

Abstract In the last 50 years, Colombian coffee production has undergone a great transformation from traditional plantations grown below the forest's shade, to vast extensions of coffee plantations consisting of free exposition to sun. These systems reduce native biodiversity and its associated ecosystem services. Simultaneously, shaded coffee plantations operate as potential shelter of such biodiversity, favoring its dispersal in the landscape, because they offer high-quality habitat for the movement of wild organisms through natural vegetation relicts. Therefore, it is important to document its biological value. In Colombia, Cauca department is the fourth coffee producer and although its cultures were mainly based on the model of using trees' shade on coffee shrubs, in last 10 years, sun coffee plantations have doubled their extension in this department and have almost equated the shaded coffee extension. Thus, it is necessary to document if these land use changes at landscape scale may derivate in consequences for the wild biota dwelling these productive systems. Given the above considerations, and in order to test for the biological importance of coffee plantations, the present study compares the effect of three land uses (sun coffee, shaded coffee and natural vegetation patches; eight of each one) in terms of ants' species richness and the abundance of their trophic guilds at Caldono municipality, between August 2015 and January 2016. Captures were carried out with pitfall traps, mini-Winkler sacs and direct capture. We found that ants' richness was higher in natural vegetation patches, followed by shaded coffee plantations and sun coffee plantations, in these last ones, the omnivore-generalist ants were more abundant, and ground-foraging arboreal ants were less abundant. We found that shaded coffee plantations, despite belonging to a transformed land use, have greater similarity with some natural vegetation patches. Using only ants from the lowest stratum (soil and understory), our findings confirm that shaded coffee plantations maintain an important part of the ant diversity of the locality, while sun coffee plantations offer less habitat quality to it. On the other hand, although natural vegetation patches are so small and degraded, their conservation represent a valuable heritage for the protection of local ants' fauna, harboring a largenumber of exclusive species. Rev. Biol. Trop. 66(1): 48-57. Epub 2018 March 01.