Plastic pellet pollution in the Aeolian Islands UNESCO site (Italy, Western Mediterranean Sea): results of a comprehensive characterization and monitoring study.

The archipelago of the Aeolian Islands in the Tyrrhenian Sea is a globally important natural laboratory. The archipelago, declared a UNESCO World Heritage Site for its unique geology and biodiversity, offers a unique opportunity to study plastic pollution. This study presents an initiative to assess the occurrence of plastic pellets on the beaches of five Aeolian Islands. It provides an insight into the polymer composition and the effects of degradation. Collected pellets were analyzed using stereomicroscopy and Fourier transform infrared spectroscopy (FTIR). Hierarchical cluster analysis (HCA) based on the results of the FTIR data has proved to be an effective statistical method in identifying different clusters corresponding to different degradation phases of the collected pellets. The infrared analysis identified polyethylene (80%) as the main polymer, with a small amount of polypropylene (20%). It was found that the surfaces of some pellets undergo changes during weathering that alter the polymer surfaces. By combining data on plastic pellets from the Aeolian Islands and surrounding coastal areas, we are gaining a more comprehensive understanding of the distribution patterns of microplastics. The results of the monitoring and characterization are expected to support the developing of waste management and remediation strategies for this environmentally sensitive region.

Controversies in ACL revision surgery: Italian expert group consensus and state of the art.

BACKGROUND: Revision ACL reconstruction is a complex topic with many controversies and not-easy-to-make decisions. The authors' aim is to provide some feasible advice that can be applied in daily clinical practice with the goal of facilitating the decision-making process and improving the outcomes of patients subjected to revision ACL reconstruction. METHODS: A national survey with seven questions about the most controversial topics in revision ACL reconstruction was emailed to members of two societies: SIOT and SIAGASCOT. The participants' answers were collected, the most recent literature was analyzed, and a consensus was created by the authors, according to their long-term surgical experience. CONCLUSIONS: The decision-making process in revision ACL reconstruction starts with a standardized imaging protocol (weight-bearing radiographs, CT scan, and MRI). One-stage surgery is indicated in almost all cases (exceptions are severe tunnel enlargement and infection), while the choice of graft depends on the previously used graft and the dimensions of the tunnels, with better clinical outcomes obtained for autografts. Additional procedures such as lateral extra-articular tenodesis in high-grade pivot-shift knees, biplanar HTO in the case of severe coronal malalignment, and meniscal suture improve the clinical outcome and should be considered case by case. LEVEL OF EVIDENCE: V (Expert opinion).