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1.
Plant Physiol Biochem ; 210: 108658, 2024 May.
Artículo en Inglés | MEDLINE | ID: mdl-38677188

RESUMEN

In gramineae-soybean intercropping systems, shade stress caused by taller plants impacts soybean growth specifically during the reproductive stage. However, the effects of shade stress on soybean senescence remain largely unexplored. In this research, we applied artificial shade treatments with intensities of 75% (S75) and 50% (S50) to soybean plants at the onset of flowering to simulate the shade stress experienced by soybeans in the traditional and optimized maize-soybean intercropping systems, respectively. Compared to the normal light control, both shade treatments led to a rapid decline in the dry matter content of soybean vegetative organs and accelerated their abscission. Moreover, shade treatments triggered the degradation of chlorophyll and soluble proteins in leaves and increased the expression of genes associated with leaf senescence. Metabolic profiling further revealed that ethylene biosynthesis and signal transduction were induced by shade treatment. In addition, the examination of nitrogen content demonstrated that shade treatments impeded the remobilization of nitrogen in vegetative tissues, consequently reducing the seed nitrogen harvest. It's worth noting that these negative effects were less pronounced under the S50 treatment compared to the S75 treatment. Taken together, this research demonstrates that shade stress during the reproductive stage accelerates soybean senescence and impedes nitrogen remobilization, while optimizing the field layout to improve soybean growth light conditions could mitigate these challenges in the maize-soybean intercropping system.


Asunto(s)
Etilenos , Glycine max , Nitrógeno , Estrés Fisiológico , Glycine max/metabolismo , Glycine max/efectos de la radiación , Glycine max/crecimiento & desarrollo , Nitrógeno/metabolismo , Etilenos/metabolismo , Etilenos/biosíntesis , Senescencia de la Planta , Hojas de la Planta/metabolismo , Hojas de la Planta/efectos de la radiación , Regulación de la Expresión Génica de las Plantas , Luz , Clorofila/metabolismo
2.
World Neurosurg ; 165: e22-e29, 2022 09.
Artículo en Inglés | MEDLINE | ID: mdl-35436581

RESUMEN

BACKGROUND: Our study aims to investigate the clinical outcome of 1-stage posterior vertebral column resection (PVCR) for adolescent thoracic and lumbar tuberculosis with severe kyphotic deformity (Cobb angle≥60°). METHODS: Between January 2008 and January 2016, we recorded 16 (9 male, 7 female) adolescent cases of thoracic and lumbar tuberculosis complicated with severe kyphotic deformity treated by 1-stage PVCR (average age: 15.38 ± 1.54 years; range: 13-18 years). The Cobb angle of kyphosis was 64.56° ± 3.41°. According to the American Spinal Injury Association (ASIA) classification, all patients were classified preoperatively. The lesions involved T4-T11 in 10 cases and T12-L2 in 6 cases. RESULTS: The mean follow-up time was 19.06 ± 11.42 months (range: 12-48 months). Based on ASIA classification, postoperative grades were significantly increased compared with preoperative grades (P < 0.05), The mean Cobb angle was significantly corrected to 20.25° ± 13.83° at 1 week after surgery, when compared with preoperative Cobb angle (P < 0.05). There was no significant difference in Cobb angle between 1-week after operation and the last follow-up (20.69° ± 13.83°) (P > 0.05). All the patients achieved bony fusion at a mean time of 14 months (range: 10-20 months) postoperatively. No fixation loosening, displacement, or fracture was observed during follow-up. CONCLUSIONS: One-stage PVCR is an effective surgical method for the treatment of adolescent thoracic and lumbar spinal tuberculosis with severe kyphotic deformity, which can completely remove the lesion, effectively correct the kyphosis deformity, and prevent related complications.


Asunto(s)
Cifosis , Fusión Vertebral , Tuberculosis de la Columna Vertebral , Adolescente , Femenino , Humanos , Cifosis/complicaciones , Cifosis/diagnóstico por imagen , Cifosis/cirugía , Vértebras Lumbares/diagnóstico por imagen , Vértebras Lumbares/cirugía , Masculino , Estudios Retrospectivos , Fusión Vertebral/métodos , Vértebras Torácicas/diagnóstico por imagen , Vértebras Torácicas/cirugía , Resultado del Tratamiento , Tuberculosis de la Columna Vertebral/complicaciones , Tuberculosis de la Columna Vertebral/diagnóstico por imagen , Tuberculosis de la Columna Vertebral/cirugía
4.
Plant Cell Environ ; 44(8): 2536-2550, 2021 08.
Artículo en Inglés | MEDLINE | ID: mdl-34118074

RESUMEN

Mildew severely reduces soybean yield and quality, and pods are the first line of defence against pathogens. Maize-soybean intercropping (MSI) reduces mildew incidence on soybean pods; however, the mechanism remains unclear. Changing light (CL) from maize shading is the most important environmental feature in MSI. We hypothesized that CL affects isoflavone accumulation in soybean pods, affecting their disease resistance. In the present study, shading treatments were applied to soybean plants during different developmental stages according to various CL environments under MSI. Chlorophyll fluorescence imaging (CFI) and classical evaluation methods confirmed that CL, especially vegetative stage shading (VS), enhanced pod resistance to mildew. Further metabolomic analyses and exogenous jasmonic acid (JA) and biosynthesis inhibitor experiments revealed the important relationship between JA and isoflavone biosynthesis, which had a synergistic effect on the enhanced resistance of CL-treated pods to mildew. VS promoted the biosynthesis and accumulation of constitutive isoflavones upstream of the isoflavone pathway, such as aglycones and glycosides, in soybean pods. When mildew infects pods, endogenous JA signalling stimulated the biosynthesis of downstream inducible malonyl isoflavone (MIF) and glyceollin to improve pod resistance.


Asunto(s)
Glycine max/metabolismo , Glycine max/microbiología , Isoflavonas/biosíntesis , Enfermedades de las Plantas/microbiología , Acetatos/farmacología , Cromatografía Líquida de Alta Presión , Ciclopentanos/metabolismo , Ciclopentanos/farmacología , Resistencia a la Enfermedad/efectos de los fármacos , Resistencia a la Enfermedad/fisiología , Fusarium/patogenicidad , Regulación de la Expresión Génica de las Plantas , Isoflavonas/análisis , Luz , Inhibidores de la Lipooxigenasa/farmacología , Metabolómica/métodos , Oxilipinas/metabolismo , Oxilipinas/farmacología , Pirazoles/farmacología , Reacción en Cadena en Tiempo Real de la Polimerasa , Proteínas de Soja/genética , Glycine max/efectos de los fármacos , Glycine max/genética , Espectrometría de Masas en Tándem
5.
PLoS One ; 12(12): e0190202, 2017.
Artículo en Inglés | MEDLINE | ID: mdl-29267349

RESUMEN

In this study, the extraction of water-soluble polysaccharides from the seed coat of black soybean (BSCP) was investigated and optimized. A response surface methodology based on a Box-Behnken design (BBD) was used to optimize the extraction conditions as follows: extraction temperature, 100°C; ratio of water to material, 22.3 mL/g; and extraction time, 133.2 min. Under these conditions, the experimental yield of polysaccharides was 10.56%, which was consistent with the predictive yield. A novel galactomannan, BSCP-1, with a molecular weight of 7.55 × 105 Da determined by high-performance gel permeation chromatography, was isolated from the black soybean seed coat. Through gas chromatography-mass spectrometry analysis, BSCP-1 was identified as a galactomannan consisting of galactose, mannose and rhamnose in a molar ratio of 6.01:3.56:1.00. Cytotoxicity against the human gastric carcinoma cancer cell line was also determined.


Asunto(s)
Glycine max/embriología , Polisacáridos/aislamiento & purificación , Semillas/química , Línea Celular , Cromatografía en Gel , Cromatografía Líquida de Alta Presión , Cromatografía de Gases y Espectrometría de Masas , Humanos , Polisacáridos/química
6.
Front Microbiol ; 8: 779, 2017.
Artículo en Inglés | MEDLINE | ID: mdl-28515718

RESUMEN

Continuous rain and an abnormally wet climate during harvest can easily lead to soybean plants being damaged by field mold (FM), which can reduce seed yield and quality. However, to date, the underlying pathogen and its resistance mechanism have remained unclear. The objective of the present study was to investigate the fungal diversity of various soybean varieties and to identify and confirm the FM pathogenic fungi. A total of 62,382 fungal ITS1 sequences clustered into 164 operational taxonomic units (OTUs) with 97% sequence similarity; 69 taxa were recovered from the samples by internal transcribed spacer (ITS) region sequencing. The fungal community compositions differed among the tested soybeans, with 42 OTUs being amplified from all varieties. The quadratic relationships between fungal diversity and organ-specific mildew indexes were analyzed, confirming that mildew on soybean pods can mitigate FM damage to the seeds. In addition, four potentially pathogenic fungi were isolated from FM-damaged soybean fruits; morphological and molecular identification confirmed these fungi as Aspergillus flavus, A. niger, Fusarium moniliforme, and Penicillium chrysogenum. Further re-inoculation experiments demonstrated that F. moniliforme is dominant among these FM pathogenic fungi. These results lay the foundation for future studies on mitigating or preventing FM damage to soybean.

7.
Front Plant Sci ; 8: 508, 2017.
Artículo en Inglés | MEDLINE | ID: mdl-28487702

RESUMEN

Prolonged, continuous rainfall is the main climatic characteristic of autumn in Southwest China, and it has been found to cause mildew outbreaks in pre-harvest soybean fields. Low temperature and humidity (LTH) stress during soybean maturation in the field promotes pre-harvest mildew, resulting in damage to different organs of soybean fruits to different extents, but relatively little information on the resistance mechanisms in these fruits is available. Therefore, to understand the metabolic responses of soybean fruits to field mold (FM), the metabonomic variations induced by LTH were characterized using proton nuclear magnetic resonance spectroscopy (1H-NMR), and the primary metabolites from the pod, seed coat and cotyledon of pre-harvest soybean were quantified. Analysis of FM-damaged soybean germplasms with different degrees of resistance to FM showed that extracts were dominated by 66 primary metabolites, including amino acids, organic acids and sugars. Each tissue had a characteristic metabolic profile, indicating that the metabolism of proline in the cotyledon, lysine in the seed coat, and sulfur in the pod play important roles in FM resistance. The primary-secondary metabolism interface and its potential contribution to FM resistance was investigated by targeted analyses of secondary metabolites. Both the seed coat and the pod have distinct but nonexclusive metabolic responses to FM, and these are functionally integrated into FM resistance mechanisms.

8.
Sci Rep ; 7: 42478, 2017 02 13.
Artículo en Inglés | MEDLINE | ID: mdl-28211897

RESUMEN

The isoflavone profiles of seeds of various soybean genotypes with different levels of shade tolerance at the seedling stage were investigated. High-performance liquid chromatography (HPLC) was used to quantify 12 isoflavones, and the data were analyzed using a multivariate statistical analysis. Combined with field experimental data and an orthogonal partial least-squares discriminant analysis (OPLS-DA), several aglycones (genistein (GE), daidzein (DE), and glycitein (GLE)) were selected and identified as key compounds involved in the shade tolerance of soybean seedlings. Additional correlation analysis and laboratory shading stress experiments with soybean seedlings also confirmed the function of these selected isoflavones, especially GE, in the discrimination of soybean seedlings with different levels of shade tolerance. Furthermore, the structure-antioxidant activity relationships between a range of isoflavones and the plant shade-tolerance mechanism are discussed. Targeted metabolomic analyses of isoflavones could reveal the diversity of shade tolerance in soybean seedlings, thus contributing to the breeding of excellent soybean varieties.


Asunto(s)
Adaptación Fisiológica , Glycine max/fisiología , Metabolómica , Plantones/crecimiento & desarrollo , Plantones/metabolismo , Semillas/metabolismo , Isoflavonas/biosíntesis , Metabolómica/métodos
9.
Food Chem ; 223: 104-113, 2017 May 15.
Artículo en Inglés | MEDLINE | ID: mdl-28069115

RESUMEN

The effects of storage duration on the seed germination and metabolite profiling of soybean seeds with five different coloured coats were studied. Their germination, constituents and transcript expressions of isoflavones and free fatty acids (FFAs) were compared using chromatographic metabolomic profiling and transcriptome sequencing. The seed water content was characterized using nuclear magnetic resonance (NMR) relaxometry. Results showed that dark-coloured seeds were less inactivated than light-coloured seeds. The aglycone and ß-glucoside concentrations of upstream constituents increased significantly, whereas the acetylglucosides and malonylglucosides of downstream constituents decreased with an increase in the storage period. FFAs increased considerably in the soybean seeds as a result of storage. These results indicate that dark-coloured soybean seeds have better storability than light-coloured seeds, and seed water content plays a role in seed inactivation. It was concluded that there are certain metabolic regularities that are associated with different coloured seed coats of soybeans under storage conditions.


Asunto(s)
Almacenamiento de Alimentos , Germinación/fisiología , Glycine max/química , Pigmentos Biológicos/análisis , Semillas/química , Almacenamiento de Alimentos/métodos , Isoflavonas/análisis , Isoflavonas/metabolismo , Pigmentos Biológicos/metabolismo , Semillas/metabolismo , Glycine max/metabolismo , Agua/análisis
10.
J Agric Food Chem ; 64(48): 9135-9142, 2016 Dec 07.
Artículo en Inglés | MEDLINE | ID: mdl-27933997

RESUMEN

Seedpods are the outermost barrier of legume plants encountered by pests and pathogens, but research on this tissue, especially regarding their chemical constituents, is limited. In the present study, a mildew-index-model-based cluster analysis was used to evaluate and identify groups of soybean genotypes with different organ-specific resistance against field mold. The constituents of soybean pods, including proteins, carbohydrates, fatty acids, and isoflavones, were analyzed. Linear regression and correlation analyses were also conducted between these main pod constituents and the organ-specific mildew indexes of seed (MIS) and pod (MIP). With increases in the contents of infection constituents, such as proteins, carbohydrates, and fatty acids, the MIP increased and the MIS decreased. The MIS decreased with increases in the contents of glycitein (GLE)-type isoflavonoids, which act as antibiotic constituents. Although the infection constituents in the soybean pods caused pod mildew, they also helped mitigate the corresponding seed mildew to a certain extent.


Asunto(s)
Hongos , Glycine max/microbiología , Enfermedades de las Plantas/microbiología , Semillas/química , Carbohidratos/química , Ácidos Grasos/química , Genotipo , Isoflavonas/química , Semillas/microbiología , Proteínas de Soja/química , Glycine max/genética
11.
Food Chem ; 207: 107-14, 2016 Sep 15.
Artículo en Inglés | MEDLINE | ID: mdl-27080886

RESUMEN

The profiles of isoflavone and fatty acids constitute important quality traits in soybean seeds, for making soy-based functional food products, due to their important contributions to the flavor and nutritional value of these products. In general, the composition of these constituents in raw soybeans is affected by cultivation factors, such as sunlight; however, the relationship of the isoflavone and fatty acid profiles with cultivation factors is not well understood. This study evaluated the isoflavone and fatty acid profiles in soybeans grown under a maize-soybean relay strip intercropping system with different row spacings, and with changes in the photosynthetic active radiation (PAR) transmittance. The effects of PAR on the isoflavone and fatty acid contents were found to be quadratic. Appropriate intercropping shading may reduce the bitterness of soybeans caused by soy aglycone and could improve their fatty acid composition.


Asunto(s)
Ácidos Grasos/química , Glycine max/química , Isoflavonas/química , Semillas/química , Ácidos Grasos/análisis , Aromatizantes , Isoflavonas/análisis , Valor Nutritivo , Luz Solar , Gusto
12.
Artículo en Chino | MEDLINE | ID: mdl-25509776

RESUMEN

OBJECTIVE: To explore an method and the effectiveness of surgical treatment of thoracic and lumbar tuberculosis complicated with severe kyphotic deformity (Cobb angle ≥ 55°) and paraplegia. METHODS: Between January 2009 and January 2013, 13 cases of thoracic and lumbar tuberculosis complicated with severe kyphotic deformity and paraplegia were treated by one-stage posterior vertebral column resection (PVCR), debridement, bone grafting, and instrumentation fixation. Of 13 patients, 7 were male and 6 were female with an average age of 23.5 years (range, 14-49 years). The disease duration was 13-38 months (mean, 19 months). The Cobb angle of kyphosis was (65.23 ± 7.95)°. The visual analogue scale score (VAS) was 7.38 ± 0.31. In 13 patients with incomplete paraplegia, 1 case was classified as Frankel grade B, 7 cases as grade C, and 5 cases as grade D. The lesion involved 2 vertebrae bodies in 7 cases (T8, 9 in 1 case, T11, 12 in 2 cases, and T12, L1 in 4 cases), 3 vertebrae bodies in 4 cases (T10-12 in 2 cases, T9-11 in 1 case, and T11-L1 in 1 case), and 4 vertebrae bodies in 2 cases (T4-7 in 1 case and T6-9 in 1 case). Imaging examination showed paravertebral abscess in 10 cases. RESULTS: Healing of incision by first intention was obtained in all patients. The neurological injury and pulmonary infection occurred in 3 cases and 2 cases respectively, which were cured after symptomatic treatment. Thirteen patients were followed up 12-48 months (mean, 17 months). The erythrocyte sedimentation rate restored to normal level in all cases at 3-7 months after operation. All the patients achieved bony fusion at 10-20 months (mean, 14 months) after operation. No fixation loosening, displacement, or fracture occurred during follow-up. Common toxic symptom of tuberculosis disappeared, and there was no recurrence of local tuberculosis. The Cobb angle of kyphosis was corrected to (22.38 ± 1.76)° at 1 week and (22.15 ± 1.83)° at last follow-up, showing significant difference when compared with preoperative one (P < 0.05). There was no significant difference in Cobb angle of kyphosis between at 1 week after operation and at last follow-up (P > 0.05). The Frankel grading was grade B in 1 case, grade C in 10 cases, and grade D in 2 cases at 1 week after operation; and it was grade D in 1 case and grade E in 12 cases at last follow-up; significant differences were found between at pre- and post-operation (P < 0.05), and between at 1 week after operation and at last follow-up (P < 0.05). The VAS score was 4.08 ± 0.76 at 1 week and 0.62 ± 0.14 at last follow-up, showing significant differences between at pre- and post-operation (P < 0.05) and between at 1 week after operation and at last follow-up (P < 0.05). CONCLUSION: One-stage PVCR, debridement, bone grafting, and instrumentation fixation is proved to be successful in treating thoracic and lumbar tuberculosis complicated with severe kyphotic deformity and paraplegia.


Asunto(s)
Trasplante Óseo/métodos , Fijación Interna de Fracturas/métodos , Cifosis/complicaciones , Paraplejía/complicaciones , Tuberculosis de la Columna Vertebral/cirugía , Desbridamiento , Femenino , Fracturas Óseas , Humanos , Vértebras Lumbares , Región Lumbosacra , Masculino , Periodo Posoperatorio , Procedimientos de Cirugía Plástica , Índice de Severidad de la Enfermedad , Fusión Vertebral , Columna Vertebral , Vértebras Torácicas/cirugía , Resultado del Tratamiento
13.
Zhongguo Gu Shang ; 27(9): 745-51, 2014 Sep.
Artículo en Chino | MEDLINE | ID: mdl-25571657

RESUMEN

OBJECTIVE: To compare the therapeutic effects of debris spondylectomy, piecemeal spondylectomy, total en bloc spomdylectomy in treating lumbar metastatic tumors. METHODS: The clinical data of 20 patients with lumbar metastatic tumors treated from January 2008 to October 2013 were retrospectively reviewed. There were 8 males and 12 females, aged from 35 to 65 years old with an average of (49.50 ± 9.97) years. All patients had single solitary metastases. Four cases were in L1,5 cases in L2,4 cases in L3,4 cases in L4, and 3 cases in L5. According to the type of Tomita, type II had in 4 cases, type III in 6 cases, type IV in 6 cases, type V in 4 cases. Tokuhashi score was 12.50 ± 1.97. All patients complained with back or leg pain, VAS score was 8.13 ± 0.85. Among patients, 7 cases were treated with debris spondylectomy (group A), 7 cases with piecemeal spondylectomy (group B), 6 cases with total en bloc spondylectomy (group C). Statistical analysis was used to compare the three groups with respect to surgical trauma (including operative time, transoperative bleeding, and intraoperative blood transfusion), clinical symptoms (by VAS score at 1 week after operation), surgical procedures conditions (by AP and lateral X-rays), and long-term results (by recurrence and death information). RESULTS: All patients were followed up from 6 to 36 months with an average of (16.50 ± 7.88) months. Operative time for debris spondylectomy was (6.14 ± 0.68) h, intraoperative bleeding was (3 457.14 ± 399.40) ml, and intraoperative blood transfusion was (2 771.43 ± 423.14) ml. Operative time for piece-meal spondylectomy was (4.93 ± 0.61) h, intraoperative bleeding was (1 942.86 ± 378.51) ml, and intraoperative blood transfusion was (1 500.00 ± 336.65) ml. Operative time for total en bloc spondylectomy was(4.17 ± 0.67) h, intraoperative bleeding was (1 341.67 ± 361.13) ml, and intraoperative blood transfusion was (916.67 ± 321.66) ml. There was significant differences in operative time, intraoperative blood loss, and intraoperative blood transfusion between three groups (P < 0.05). In terms of these factors, total en bloc spondylectomy had the best outcome followed by piecemeal spondylectomy. All pains had released, VAS score decreased obviously at 1 week after operation (P < 0.05), and there was no significant differences between three groups (P > 0.05). Surgical effects were well with these methods according to the evaluation of AP and lateral X-rays . At final follow-up, group A had 4 recurrences (2 with breast cancer, 1 with prostate cancer,and 1 with thyroid cancer) and 3 deaths (2 with lung cancer and 1 with thyroid cancer); group B had 2 recurrences (1 with breast cancer and 1 with prostate cancer) and 3 deaths (1 with lung cancer, 1 with breast cancer and 1 with kidney cancer);group C had no recurrences and 2 deaths for lung cancer. There was significant differences in recurrence and death between three groups (P < 0.05). In terms of these factors, total en bloc spondylectomy had the best outcome in three methods. CONCLUSION: Three kinds of operation method can relieve pain, improve nerve function, increase the spinal stability, control the local lesions, improve the patient's quality of life in treating lumbar metastatic tumors, but total en bloc spendylectomy, respect to operative time, transoperative bleeding, intraoperative blood transfusion, tumor recurrence and death is clearly superior to other two methods.


Asunto(s)
Vértebras Lumbares/patología , Neoplasias de la Columna Vertebral/cirugía , Columna Vertebral/cirugía , Adulto , Anciano , Transfusión Sanguínea , Femenino , Humanos , Masculino , Persona de Mediana Edad , Metástasis de la Neoplasia , Tempo Operativo , Estudios Retrospectivos , Neoplasias de la Columna Vertebral/patología
14.
Sheng Wu Yi Xue Gong Cheng Xue Za Zhi ; 28(2): 419-22, 2011 Apr.
Artículo en Chino | MEDLINE | ID: mdl-21604514

RESUMEN

This paper describes the biological characteristics of the metal tantalum (Ts) and the application status of tantalum in artificial joints, bone necrosis, spine, defects of bone and other aspects of bone. The early clinical application results of tantalum in bone diseases were satisfactory, but it is necessary to do further study of tantalum in a deep going way, and further detailed comparison between the tantalum with other metals as orthopedics implants. The advantage of tantalum materials as orthopedic implants still needs to be verified by a great deal of clinical cases for a long period of time.


Asunto(s)
Materiales Biocompatibles/uso terapéutico , Enfermedades Óseas/cirugía , Procedimientos Ortopédicos/instrumentación , Prótesis e Implantes , Tantalio/uso terapéutico , Humanos , Dispositivos de Fijación Ortopédica
15.
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi ; 25(11): 1335-8, 2011 Nov.
Artículo en Chino | MEDLINE | ID: mdl-22229188

RESUMEN

OBJECTIVE: To study the effectiveness of avascular necrosis of the femoral head treated by lesions clearance, METHODS: Between March 2008 and May 2010, 14 patients (16 compact bone grafting, and porous tantalum rod implantation. hips) with avascular necrosis of the femoral head were treated by lesions clearance, compact bone grafting, and implantation of porous tantalum rod. Of 15 cases, 13 were male (15 hips) and 1 was female (1 hip) with a median age of 42.2 years (range, 18-73 years), including traumatic in 1 case (1 hip), alcoholic in 4 cases (4 hips), and steroid-induced in 9 cases (11 hips); 3 hips were at Association Research Circulation Osseous (ARCO) stage I and 13 hips were at ARCO stage II. The Harris score was 51.89 +/- 12.42, and the X-ray score was 31.88 +/- 4.03. All the cases were diagnosed by X-ray films and MRI. The median disease duration was 2.5 years (range, 6 months to 7 years). All the patients accepted the operation of lesions clearance by slotting at the neck of femur, then, compact bone grafting, and implantation of porous tantalum rod were performed. The affected limb could not bear weight loading at 1-3 months after operation and partly bear weight loading after 3 months of operation. RESULTS: Primary healing of incision was achieved in all patients and no complication occurred. The patients were followed up 24 months on average (range, 13-36 months). Two patients underwent total hip arthroplasty at 4 months and 2 years respectively because of even worsened pain and collapsed femoral heads; 12 patients achieved obvious pain relief with a survival rate 87.5% (14/16). The postoperative Harris score was 84.89 +/- 17.96, showing significant difference when compared with preoperative score (t = -8.038, P = 0.001). The X-ray examination showed definite ossification, increased density, regular arrangement of the trabeculae and no collapsed femoral head. The X-ray score was 32.19 +/- 6.57, showing no significant difference when compared with preoperative score (t = -2.237, P = 0.819). CONCLUSION: Lesions clearance, compact bone grafting, and implantation of porous tantalum rod for avascular necrosis of the femoral head have a good short-term clinical result.


Asunto(s)
Trasplante Óseo/métodos , Necrosis de la Cabeza Femoral/cirugía , Adolescente , Adulto , Anciano , Femenino , Humanos , Masculino , Persona de Mediana Edad , Porosidad , Tantalio , Trasplantes , Resultado del Tratamiento , Adulto Joven
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