Rift-induced disruption of cratonic keels drives kimberlite volcanism.

Kimberlites are volatile-rich, occasionally diamond-bearing magmas that have erupted explosively at Earth's surface in the geologic past1-3. These enigmatic magmas, originating from depths exceeding 150 km in Earth's mantle1, occur in stable cratons and in pulses broadly synchronous with supercontinent cyclicity4. Whether their mobilization is driven by mantle plumes5 or by mechanical weakening of cratonic lithosphere4,6 remains unclear. Here we show that most kimberlites spanning the past billion years erupted about 30 million years (Myr) after continental breakup, suggesting an association with rifting processes. Our dynamical and analytical models show that physically steep lithosphere-asthenosphere boundaries (LABs) formed during rifting generate convective instabilities in the asthenosphere that slowly migrate many hundreds to thousands of kilometres inboard of rift zones. These instabilities endure many tens of millions of years after continental breakup and destabilize the basal tens of kilometres of the cratonic lithosphere, or keel. Displaced keel is replaced by a hot, upwelling mixture of asthenosphere and recycled volatile-rich keel in the return flow, causing decompressional partial melting. Our calculations show that this process can generate small-volume, low-degree, volatile-rich melts, closely matching the characteristics expected of kimberlites1-3. Together, these results provide a quantitative and mechanistic link between kimberlite episodicity and supercontinent cycles through progressive disruption of cratonic keels.

High-Dose Antibiotic Cement Spacers Independently Increase the Risk of Acute Kidney Injury in Revision for Periprosthetic Joint Infection: A Prospective Randomized Controlled Clinical Trial.

BACKGROUND: Standard treatment for periprosthetic joint infection (PJI) involves 2-stage exchange with placement of an antibiotic-impregnated cement spacer (ACS). Conflicting evidence exists on the role of ACS in development of acute kidney injury (AKI) after first-stage surgery. In this randomized clinical trial, we aimed to compare the incidence of AKI between the first-stage of a planned 2-stage exchange vs 1-stage exchange. This study design isolates the effect of the ACS in otherwise identical treatment groups. METHODS: The primary outcome variable was AKI, defined as a creatinine ≥1.5 times baseline or an increase of ≥0.3 mg/dL. Risk factors for AKI were evaluated using bivariate statistical tests and multivariable logistic regression. RESULTS: Patients who underwent the first stage of a planned 2-stage exchange were significantly more likely to develop AKI compared with the 1-stage exchange group (15 [22.7%] vs 4 [6.6%], P = .011). On multivariable regression analysis, ACS placement (odds ratio 7.48, 95% confidence limit 1.77-31.56) and chronic kidney disease (odds ratio 3.84, 95% confidence limit 1.22-12.08) were independent risk factors for AKI. CONCLUSION: Our study provides evidence that high-dose antibiotic cement spacers for treatment of PJI are an independent risk factor for AKI. Therefore, efforts to minimize nephrotoxicity should be employed in revision for PJI when possible.

Kinematic Performance of Gradually Variable Radius Posterior-Stabilized Primary TKA During Various Activities: An In Vivo Study Using Fluoroscopy.

BACKGROUND: Posterior-stabilized total knee arthroplasty (TKA) with gradually variable radii (G-curve) femoral condylar geometry is now available. It is believed that a G-curve design would lead to more mid-flexion stability leading to reduced incidence of paradoxical anterior slide. The objective of this study was to assess the in vivo kinematics for subjects implanted with this type of TKA under various conditions of daily living. METHODS: Tibiofemoral kinematics of 35 patients having posterior-stabilized TKA with G-curve design were analyzed using fluoroscopy while performing three activities: weight-bearing deep knee bend, gait, and walking down a ramp. The subjects were assessed for range of motion, condylar translation, axial rotation, cam-spine engagement, and condylar lift-off. RESULTS: The average weight-bearing flexion during deep knee bend was 111.4°. On average, the subjects exhibited 5.4 mm of posterior rollback of the lateral condyle and 2.0 mm of the medial condyle from full extension to maximum knee flexion. The femur consistently rotated externally with flexion, and the average axial rotation was 5.2°. Overall movement of the condyles during gait and ramp-down activity was small. No incidence of condylar lift-off was observed. CONCLUSION: Subjects in this study experienced consistent magnitudes of posterior femoral rollback and external rotation of the femur with weight-bearing flexion. The variation is similar to that previously reported for normal knee where the lateral condyle moves consistently posterior compared to the medial condyle. Subjects experienced low overall mid-flexion paradoxical anterior sliding and no incidence of condylar lift-off leading to mid-flexion stability.

GZ7 and GZ8 - Two Zircon Reference Materials for SIMS U-Pb Geochronology.

Here, we document a detailed characterisation of two zircon gemstones, GZ7 and GZ8. Both stones had the same mass at 19.2 carats (3.84 g) each; both came from placer deposits in the Ratnapura district, Sri Lanka. The U-Pb data are in both cases concordant within the uncertainties of decay constants and yield weighted mean 206Pb/238U ages (95% confidence uncertainty) of 530.26 Ma ± 0.05 Ma (GZ7) and 543.92 Ma ± 0.06 Ma (GZ8). Neither GZ7 nor GZ8 have been subjected to any gem enhancement by heating. Structure-related parameters correspond well with the calculated alpha doses of 1.48 × 1018 g-1 (GZ7) and 2.53 × 1018 g-1 (GZ8), respectively, and the (U-Th)/He ages of 438 Ma ± 3 Ma (2s) for GZ7 and 426 Ma ± 9 Ma (2s) for GZ8 are typical of unheated zircon from Sri Lanka. The mean U mass fractions are 680 µg g-1 (GZ7) and 1305 µg g-1 (GZ8). The two zircon samples are proposed as reference materials for SIMS (secondary ion mass spectrometry) U-Pb geochronology. In addition, GZ7 (Ti mass fractions 25.08 µg g-1 ± 0.18 µg g-1; 95% confidence uncertainty) may prove useful as reference material for Ti-in-zircon temperature estimates.

Continental crust beneath southeast Iceland.

The magmatic activity (0-16 Ma) in Iceland is linked to a deep mantle plume that has been active for the past 62 My. Icelandic and northeast Atlantic basalts contain variable proportions of two enriched components, interpreted as recycled oceanic crust supplied by the plume, and subcontinental lithospheric mantle derived from the nearby continental margins. A restricted area in southeast Iceland--and especially the Öræfajökull volcano--is characterized by a unique enriched-mantle component (EM2-like) with elevated (87)Sr/(86)Sr and (207)Pb/(204)Pb. Here, we demonstrate through modeling of Sr-Nd-Pb abundances and isotope ratios that the primitive Öræfajökull melts could have assimilated 2-6% of underlying continental crust before differentiating to more evolved melts. From inversion of gravity anomaly data (crustal thickness), analysis of regional magnetic data, and plate reconstructions, we propose that continental crust beneath southeast Iceland is part of ∼350-km-long and 70-km-wide extension of the Jan Mayen Microcontinent (JMM). The extended JMM was marginal to East Greenland but detached in the Early Eocene (between 52 and 47 Mya); by the Oligocene (27 Mya), all parts of the JMM permanently became part of the Eurasian plate following a westward ridge jump in the direction of the Iceland plume.

Inferomedial Hip Center Decreases Failure Rates in Cementless Total Hip Arthroplasty for Crowe II and III Hip Dysplasia.

BACKGROUND: We sought to evaluate the outcomes of cementless acetabular components used in patients with Crowe II and III dysplasia, and to compare outcomes between cups placed within vs outside of an "anatomic" zone. Our specific aims were to (1) plot hip centers in these patients at our institution to characterize "anatomic" vs "nonanatomic" positions, (2) evaluate the association between hip center and radiographic loosening, (3) determine whether hip center was associated with acetabular component revision, and (4) compare patient-reported outcome scores between groups. METHODS: We retrospectively reviewed 88 primary cementless total hip arthroplasties at a mean follow-up of 10 years (range 2-26 years). Patients were 85% female, with a mean age of 44 years (range 28-61 years) and a body mass index of 27 kg/m2 (range 19-42 kg/m2). Medical records and radiographs were reviewed, and a survey was conducted for all patients. Anatomic hip center was defined using the 4-zone system, wherein centers are "anatomic" if they are <1 cm superior and <1 cm lateral to the approximate femoral head center. Cox proportional analyses were used to compare outcomes between groups. RESULTS: Seventy hips (80%) had an anatomic hip center. Anatomic hips had a lower incidence of radiographic acetabular loosening (0% vs 17%, P = .007) and cup revision (0% vs 28%, P = .0002). There were no differences in Hip Disability and Osteoarthritis Outcome and Joint Replacement Scores (96.2 ± 5 vs 91.9 ± 12, P = .7). CONCLUSION: The incidence of aseptic loosening and cup revision were lower when hip center was <1 cm superior and 1 cm lateral to the approximate femoral head center.

Survivorship After Periprosthetic Femur Fracture: Factors Affecting Outcome.

BACKGROUND: Data addressing risk factors predictive of mortality and reoperation after periprosthetic femur fractures (PPFxs) are lacking. This study examined survivorship and risk ratios for mortality and reoperation after surgical treatment for PPFx and associated clinical risk factors. METHODS: A retrospective review was performed for 291 patients treated surgically for PPFx between 2004 and 2013. Primary outcomes were death and reoperation. RESULTS: Mortality at 1 year was 13%, whereas the rate of reoperation was 12%. Greater span of fixation and revision arthroplasty (vs open reduction internal fixation) trended toward a lower likelihood of reoperation. CONCLUSION: After PPFx, patients have a 24% risk of either death or reoperation at 1 year. Factors contributing to increased mortality are nonmodifiable. Risk of reoperation is minimized with greater span of fixation and performance of revision arthroplasty.

Cobalt to Chromium Ratio is Not a Key Marker for Adverse Local Tissue Reaction (ALTR) in Metal on Metal Hips.

The diagnosis of adverse local tissue reaction (ALTR) after metal-on-metal total hip arthroplasty (MoMTHA) presents a significant challenge. No single biomarker is specific for ALTR. The purpose of this study was to determine if the ratio of cobalt to chromium ions is useful for diagnosing ALTR in MoMTHA. In 89 bearing-related revision THAs, preoperative cobalt and chromium ion levels were compared to an intraoperative soft tissue damage grading scale. The average cobalt to chromium ratio was 2.96 (0-20). There was no correlation between the tissue scale and the cobalt to chromium ratio (R=0.095; P=0.41). Many variables affecting ion production/excretion mitigate the use of the ion ratio. The cobalt to chromium ratio is not a predictive biomarker for ALTR in MoMTHA.

Metal ion levels: how can they help us?

Ion levels have been shown to reliably predict abnormal function of the bearing surface with increased wear, but ion levels should not be used alone as a trigger for when to proceed with revision surgery with metal-metal articulations. Risk stratification strategies help determine which patients should be monitored more closely with serial ion levels, cross-sectional imaging with a MARS MRI, or proceed on to revision. Based on the current data available, an ion level greater than 4.5 ppb (Cr or Co) may serve as a threshold for when abnormal wear is occurring, and is suggested as a trigger for a MARS MRI scan.

New Minerals from Inclusions in Corundum Xenocrysts from Mt. Carmel, Israel: Magnéliite, Ziroite, Sassite, Mizraite-(Ce) and Yeite.

Our nanomineralogical investigation of melt inclusions in corundum xenocrysts from the Mt. Carmel area, Israel has revealed seven IMA-approved new minerals since 2021. We report here four new oxide minerals and one new alloy mineral. Magnéliite (Ti3+2Ti4+2O7; IMA 2021-111) occurs as subhedral crystals, ~4 µm in size, with alabandite, zirconolite, Ti,Al,Zr-oxide, and hibonite in corundum Grain 767-1. Magnéliite has an empirical formula (Ti3+1.66Al0.13Ti4+0.15Mg0.10Ca0.01Sc0.01)Σ2.06 (Ti4+1.93Zr0.08)Σ2.01O7 and the triclinic P1¯ Ti4O7-type structure with the cell parameters: a = 5.60(1) Å, b = 7.13(1) Å, c = 12.47(1) Å, α = 95.1(1)°, ß = 95.2(1)°, γ = 108.7(1)°, V = 466(2) Å3, Z = 4. Ziroite (ZrO2; IMA 2022-013) occurs as irregular crystals, ~1-4 µm in size, with baddeleyite, hibonite, and Ti,Al,Zr-oxide in corundum Grain 479-1a. Ziroite has an empirical formula (Zr0.72Ti4+0.26Mg0.02Al0.02Hf0.01)Σ1.03O2 and the tetragonal P42/nmc zirconia(HT)-type structure with the cell parameters: a = 3.60(1) Å, c = 5.18(1) Å, V = 67.1(3) Å3, Z = 2. Sassite (Ti3+2Ti4+O5; IMA 2022-014) occurs as subhedral-euhedral crystals, ~4-16 µm in size, with Ti,Al,Zr-oxide, mullite, osbornite, baddeleyite, alabandite, and glass in corundum Grain 1125C1. Sassite has an empirical formula (Ti3+1.35Al0.49Ti4+0.08Mg0.07)Σ1.99(Ti4+0.93Zr0.06Si0.01)Σ1.00O5 and the orthorhombic Cmcm pseudobrookite-type structure with the cell parameters: a = 3.80(1) Å, b = 9.85(1) Å, c = 9.99(1) Å, V = 374(1) Å3, Z = 4. Mizraite-(Ce) (Ce(Al11Mg)O19; IMA 2022-027) occurs as euhedral crystals, <1-14 µm in size, with Ce-silicate, Ti-sulfide, Ti,Al,Zr-oxide, ziroite, and thorianite in corundum Grain 198-8. Mizraite-(Ce) has an empirical formula (Ce0.76Ca0.10La0.07Nd0.01)Σ0.94(Al10.43Mg0.84Ti3+0.60Si0.09Zr0.04)Σ12.00O19 and the hexagonal P63/mmc magnetoplumbite-type structure with the cell parameters: a = 5.61(1) Å, c = 22.29(1) Å, V = 608(2) Å3, Z = 2. Yeite (TiSi; IMA 2022-079) occurs as irregular-subhedral crystals, 1.2-3.5 µm in size, along with wenjiite (Ti5Si3) and zhiqinite (TiSi2) in Ti-Si alloy inclusions in corundum Grain 198c. Yeite has an empirical formula (Ti0.995Mn0.003V0.001Cr0.001)(Si0.996P0.004) and the orthorhombic Pnma FeB-type structure with the cell parameters: a = 6.55(1) Å, b = 3.64(1) Å, c = 4.99(1) Å, V = 119.0(4) Å3, Z = 4. The five minerals are high-temperature oxide or alloy phases, formed in melt pockets in corundum xenocrysts derived from the upper mantle beneath Mt. Carmel.

Deformation of 1-piece metal acetabular components.

The success of metal bearings is dependent on several parameters. The effects of in vivo forces on the deformation of monoblock acetabular components have yet to be determined. The purpose of our study was to assess the amount of deformation with press-fit fixation of 1-piece metal acetabular components. Four manufacturers provided 1-piece metal acetabular components in each size (30 cups). Testing was conducted using a custom vise to simulate press-fit fixation, and measurements were performed with a Mitutoyo Test device (Aurora, Ill). Previously determined in vivo forces were used in the press-fit simulation. All components deformed under simulated in vivo applied loads. Component deformation ranged from 15 to 300 µm. Larger cups with thinner walls to accommodate larger heads had the greatest deformation and often exceeded the range of reported clearances from the manufacturers (76-227 µm).

Are metal ion levels a useful trigger for surgical intervention?

The purpose of this study was to determine if cobalt and chromium ion levels can predict soft tissue damage at total hip revision. This study included 90 metal-on-metal total hip patients with preoperative cobalt and chromium ion levels. Tissue damage noted at revision surgery was graded on a 4-point scale. Sensitivity, specificity, and predictive values were calculated for various threshold values. Receiver operating characteristic analysis was conducted. Using 7 ppb as a threshold, cobalt and chromium ion levels had poor sensitivity and specificity (Co, 65% and 56%; Cr, 29% and 75%). Positive predictive values for cobalt and chromium were only 48% and 26% respectively. The area under the curve was 0.37 for cobalt and 0.44 for chromium. The length of time to revision significantly correlated with tissue damage (P = .001). Ion levels are unreliable predictors of periarticular soft tissue damage and should not be used in isolation as surgical intervention triggers.

Poor Patient Follow-up After Metal-on-Metal Total Hip Arthroplasty.

Routine follow-up approximately every 2 to 5 years after total hip arthroplasty (THA) is a common practice. However, although patients are informed of the importance of follow-up, our mean follow-up rate for patients after standard non-metal-on-metal (MOM) THA is only 19%. The US Food and Drug Administration has released several statements on the importance of follow-up every 2 years after MOM THA. With the potential risks of MOM THA apparently widely known, we report on our ability to obtain timely follow-up at 2 separate centers. Two separate centers performed 570 MOM THA procedures between 2002 and 2010. An attempt was made to reach every patient by either telephone or letter to obtain ion levels, radiographs, and examinations. Repeat telephone calls and/or letters to those not reached were made annually. Patients were told of the unique importance of follow-up at each contact. Of the patients, 43% had not been seen within the past 5 years, and only 26% had been seen within the past 2 years. Only 61% had their first measurement of ion levels, and only 30% of patients had a second set of measurement of ion levels. A total of 48 revisions occurred in this group, and 36 patients died. Despite the apparent widespread dissemination of information regarding the potential risks of MOM THA and concerted efforts to contact patients for follow-up, we have been able to achieve a follow-up rate of only 26%. This rate is only marginally better than the mean follow-up for non-MOM THA in our practices. The implications of this poor follow-up are unknown. [Orthopedics. 2022;45(4):e196-e200.].

Vertical depletion of ophiolitic mantle reflects melt focusing and interaction in sub-spreading-center asthenosphere.

Decompressional melting of asthenosphere under spreading centers has been accepted to produce oceanic lithospheric mantle with vertical compositional variations, but these gradients are much smaller than those observed from ophiolites, which clearly require additional causes. Here we conduct high-density sampling and whole-rock and mineral analyses of peridotites across a Tibetan ophiolitic mantle section (~2 km thick), which shows a primary upward depletion (~12% difference) and local more-depleted anomalies. Thermodynamic modeling demonstrates that these features cannot be produced by decompressional melting or proportional compression of residual mantle, but can be explained by melt-peridotite reaction with lateral melt/rock ratio variations in an upwelling asthenospheric column, producing stronger depletion in the melt-focusing center and local zones. This column splits symmetrically and flows to become the horizontal uppermost lithospheric mantle, characterized by upward depletion and local anomalies. This model provides insights into melt extraction and uppermost-mantle origin beneath spreading centers with high melt fluxes.

Perturbation of the deep-Earth carbon cycle in response to the Cambrian Explosion.

Earth's carbon cycle is strongly influenced by subduction of sedimentary material into the mantle. The composition of the sedimentary subduction flux has changed considerably over Earth's history, but the impact of these changes on the mantle carbon cycle is unclear. Here, we show that the carbon isotopes of kimberlite magmas record a fundamental change in their deep-mantle source compositions during the Phanerozoic Eon. The 13C/12C of kimberlites before ~250 Ma preserves typical mantle values, whereas younger kimberlites exhibit lower and more variable ratios-a switch coincident with a recognized surge in kimberlite magmatism. We attribute these changes to increased deep subduction of organic carbon with low 13C/12C following the Cambrian Explosion when organic carbon deposition in marine sediments increased significantly. These observations demonstrate that biogeochemical processes at Earth's surface have a profound influence on the deep mantle, revealing an integral link between the deep and shallow carbon cycles.

In situ Os isotopes in abyssal peridotites bridge the isotopic gap between MORBs and their source mantle.

Abyssal peridotites are assumed to represent the mantle residue of mid-ocean-ridge basalts (MORBs). However, the osmium isotopic compositions of abyssal peridotites and MORB do not appear to be in equilibrium, raising questions about the cogenetic relationship between those two reservoirs. However, the cause of this isotopic mismatch is mainly due to a drastic filtering of the data based on the possibility of osmium contamination by sea water. Here we present a detailed study of magmatic sulphides (the main carrier of osmium) in abyssal peridotites and show that the 187Os/188Os ratio of these sulphides is of primary mantle origin and can reach radiogenic values suggesting equilibrium with MORB. Thus, the effect of sea water on the osmium systematics of abyssal peridotites has been overestimated and consequently there is no true osmium isotopic gap between MORBs and abyssal peridotites.

Light oxygen isotopes in mantle-derived magmas reflect assimilation of sub-continental lithospheric mantle material.

Oxygen isotope ratios in mantle-derived magmas that differ from typical mantle values are generally attributed to crustal contamination, deeply subducted crustal material in the mantle source or primordial heterogeneities. Here we provide an alternative view for the origin of light oxygen-isotope signatures in mantle-derived magmas using kimberlites, carbonate-rich magmas that assimilate mantle debris during ascent. Olivine grains in kimberlites are commonly zoned between a mantle-derived core and a magmatic rim, thus constraining the compositions of both mantle wall-rocks and melt phase. Secondary ion mass spectrometry (SIMS) analyses of olivine in worldwide kimberlites show a remarkable correlation between mean oxygen-isotope compositions of cores and rims from mantle-like 18O/16O to lower 'crustal' values. This observation indicates that kimberlites entraining low-18O/16O olivine xenocrysts are modified by assimilation of low-18O/16O sub-continental lithospheric mantle material. Interaction with geochemically-enriched domains of the sub-continental lithospheric mantle can therefore be an important source of apparently 'crustal' signatures in mantle-derived magmas.