Association between deep vein thrombosis and the temperature at the popliteal fossa during cement curing in total knee arthroplasty.

The temperature at the popliteal fossa during cement curing and its relationship with deep vein thrombosis (DVT) in total knee arthroplasty (TKA) has not been investigated. Fifty-six consecutive patients who underwent primary TKA were recruited. The temperatures at the popliteal fossa were measured during bone cement exothermic polymerization. Postoperative operated leg ascending venographies were performed 5 days after TKA for screening of DVT. The maximum temperatures were 32.5°C ± 1.0°C at the popliteal fossa during cement curing. No significant difference was found of the maximum temperatures in the popliteal fossa between the non-DVT and DVT groups. The present study indicated that the heat resulting from polymerization of the cement may not be a possible cause of damage to the veins surrounding the knee, and it may have no relationship with DVT.

A new species of Aleuromarginatus Corbett, 1935 with a key and checklist of Chinese species (Hemiptera, Aleyrodidae).

A new whitefly species, Aleuromarginatus dielsianae Wang & Xu, sp. n. collected from Millettia dielsiana Harms (Rosales: Fabaceae) in Jiangshan (28°40'N, 118°40'E, 512 m) and Xinchang (29°22'N, 120°46'E, 308 m), Zhejiang, China, is described and illustrated. This new species is characterized by the dark brown lateral margin area and a pair of longitudinal furrows extending from the cephalothorax to the vasiform orifice. The submargin has an elongate-oval fold at the base of each marginal tooth and with 3-4 rows of irregular shaped papillae, nine pairs submedian setae and 13 pairs submarginal setae. Thoracic and caudal tracheal folds and pores discernible. An identification key and checklist of species of Aleuromarginatus known from China are provided.

[Clinical analysis and prevention from coating shedding of uncemented hip prosthesis].

OBJECTIVE: The long-term biological effects of HA-coated prostheses remain uncertain. The purpose of the study is to analyze the reasons of coating shedding of uncemented hip prothesis, so as to provide evidences for the preventions and treatment. METHODS: From 2002.10 to 2009.2, 5 patients with coating shedding of uncemented hip prosthesis were treated with kip revision operation. Among the patients, 3 patients were male and 2 patients were female, ranging in age from 55 to 68 years. The hip prosthesis were taken out in the operation and the cause of coating shedding was analyzed. Another ten normal prosthesis taken out from the revision operation were used as the control group. The histomorphology and microarchitecture of hip prosthesis were observed. The micrometer caliper and vickers hardness test were used to measure the thickness and hardness. The interface shearing force was measured by push-out test. The function of hip joint was evaluated by Harris score. RESULTS: There were difference between control and experience groups in his tomorphology observation. In the 2 patients with HA-coated shedding, the thickness of coating were 112 microm and 138 microm respectively; Vickers hardness were 5,843 Hv and 4,524 Hv respectively; and the shear strength were 12.4 MPa and 11.6 MPa respectively. In the 3 patients with Ti-coated shedding, the Harris scores were 82, 88 and 87 respectively. CONCLUSION: There are many reasons of coating shedding of uncemented hip prosthesis. But most reasons have relationship with the quality of hip prosthesis. Nowadays, there are many methods to enhance the binding strength between the coating and prosthesis, and to prevent the early coating shedding.

[Study on how much sterile saline should be used for efficient lavage during total knee arthroplasty].

OBJECTIVE: To investigate the volume of pulse lavage sufficient for removal of intraoperative bone and polymethyl methacrylate (PMMA) particles. METHODS: From 2007.11 to 2008.11, 18 patients with osteoarthritis underwent cemented TKA. Among the patients, 6 patients were male and 12 patients were female, ranging in age from 54 to 77 years, with an average of 61.5 years. The course of disease ranged from 3 to 9 years, mean 6.7 years. Pulse lavage with 1 L of sterile saline was performed for 8 times using a pulsatile irrigator after prothesis fixed. During pulse lavage, aspirated fluid was collected in a 1 L aliquot, and the weight of bone and PMMA particles in each fluid were measured. RESULTS: The weight of particles peaked in the first 1 L lavage fluid and gradually decreased until the 8th lavage fluid. Significant differences were found between the first vs second, second vs third, and third vs fourth lavage. However, no significant differences were found beyond the fourth lavage. CONCLUSION: The results of this study indicates that 4 L of pulse lavage is effective for removing the bone and PMMA particles during cemented TKA.