Monobloc Dual Mobility With a Minimum 5-Year Follow-Up: A Safe and Effective Solution in Primary Total Hip Arthroplasty.

BACKGROUND: Instability constitutes over 20% of revisions after total hip arthroplasty (THA). Dual mobility (DM) designs were introduced as a solution to this problem. However, the few publications that have reported promising results for monobloc DM constructs have been limited by sample size or length of follow-up. The purpose of this study is to evaluate mid-term outcomes (minimum 5-year follow-up) of a single-surgeon series utilizing a monobloc DM acetabular component in patients with high risk for dislocation. METHODS: This is a single-surgeon consecutive series of 207 primary THAs implanted with a monobloc DM component in patients who were considered at high risk for dislocation. Patient demographics and case-specific data were collected retrospectively. All patients had a minimum of 5-year follow-up. The Mann-Whitney U test was used to assess continuous variables, whereas categorical variables were analyzed using the chi-square test. Survival probability was calculated using the Kaplan-Meier method. RESULTS: Radiographic analysis did not reveal acetabular radiolucency in any patients, and there were no revisions for aseptic loosening. In addition, there were no dislocations. Seven of 205 patients (3.4%) were revised, 5 on the femoral side due to periprosthetic fracture and the remaining two for infection. Survivorship of the acetabular component from revision was 99%. The mean Veteran RAND (VR-12) physical score improved from 7 (standard deviation [SD]: 13.7) preoperatively to 9.5 (SD: 17.6) at the final follow-up. Similarly, the hip disability osteoarthritis score improved from 8 (SD: 17.9) preoperatively to 21.2 (SD: 37). CONCLUSION: Monobloc DM components reliably prevent dislocation after primary THA in high-risk patients. At mid-term follow-up, this DM monobloc component demonstrates excellent implant survivorship, radiographic fixation, and improved functional outcomes.

Excitation-Dependent Photoluminescence Color Tuning in Lanthanide-Organic Hybrid Materials.

A series of lanthanide organic hybrid materials was synthesized via hydrothermal methods and structurally characterized using single-crystal X-ray diffraction. Four phases were obtained from reactions of La, Eu, and Tb ions with 1,10-phenanthroline (phen) and 2-thiophenecarboxylate (TC): [La2(phen)2(k1-TC)2(µ2-TC)2(η3-TC)2(H2O)2] (La-1/La-2), [Eu2(phen)2(k2-TC)2(µ2-TC)2(η3-TC)2]·2(H2O) (Eu-3), and [Tb2(phen)2(k2-TC)2(µ2-TC)4]·2(H2O) (Tb-4). Although each of the structures consists of homometallic ligand bridged dimers, the four distinct phases arise from subtle differences in ligand binding modes and supramolecular interactions. Ln doping was explored and resulted in analogous heterometallic systems, [Eu2-xLax(phen)2(k2-TC)2(µ2-TC)2(η3-TC)2]·2(H2O) (Eu2-xLax-3; x = 0.47-1.51) and [Tb2-yLay(phen)2(k2-TC)2(µ2-TC)4]·2(H2O) (Tb2-yLay-4; y = 0.42, 0.67). The photoluminescent properties of the solid-state materials were assessed using steady-state and time-dependent techniques to obtain excitation and emission profiles, transition energies, and lifetimes. The La phase exhibited ligand-based emission, whereas both Eu and Tb phases produced characteristic red and green metal-centered emission, respectively. By comparison, the heterometallic compounds exhibited both Ln- and ligand-based emission and photoluminescent color tuning of emission chromaticity. Further examination revealed that the color tuning was dependent on the relative La/Eu or La/Tb ratios as well as the excitation wavelength. These compounds are a rare example of single-phase Ln hybrid materials built from molecular units that exhibit excitation-dependent photoluminescent color tuning in the solid state.

Synthesis and photoluminescence of three bismuth(III)-organic compounds bearing heterocyclic N-donor ligands.

Three bismuth(iii)-organic compounds, [Bi4Cl8(PDC)2(phen)4]·2MeCN (1), [BiCl3(phen)2] (2), and [Bi2Cl6(terpy)2] (3), were prepared from solvothermal reactions of bismuth chloride, 2,6-pyridinedicarboxylic acid (H2PDC), and 1,10-phenanthroline (phen) or 2,2';6',2''-terpyridine (terpy). The structures were determined through single crystal X-ray diffraction and the compounds were further characterized via powder X-ray diffraction, Raman and infrared spectroscopy, and thermogravimetric analysis. The photoluminescence properties of the solid-state materials were assessed using steady state and time-dependent techniques to obtain excitation and emission profiles as well as lifetimes. The compounds exhibit visible emission ranging from the yellow-green to orange region upon UV excitation. Theoretical quantum mechanical calculations aimed at elucidating the observed emissive behavior show that the transitions can be assigned as predominantly ligand-to-ligand and ligand-to-metal charge transfer transitions. The solid-state structural chemistry, spectroscopic properties, and luminescence behavior of the bismuth compounds are presented herein.