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Background: Patients who underwent knee joint arthroplasty were at risk of venous thromboembolic events (VTEs), however, less studies were conducted to demonstrate the epidemiology and risk factors of deep venous thrombosis (DVT) following unicompartmental knee arthroplasty (UKA). Objective of this study was to explore the incidence and prognostic factors of DVT after UKA. Methods: Patients who underwent primary UKA from December 2018 to June 2022 were recruited in this study. Demographic characteristics, operation related variables and laboratory index were extracted and analyzed. Receiver operating characteristic analysis was performed to detect the optimum cut-off value for variables of interest. Univariate and multivariate logistic analysis were performed to identify risk factors of DVT. Results: 351 UKAs with a mean age of 65.4 ± 7.1 years were reviewed. After 12.9 ± 11.2 months follow-up, 35 DVTs were confirmed which indicating an incidence of 9.9%. The results showed that occupation (agricultural laborer) (P = 0.008), disease duration > 8.5 years (P = 0.035), operation time > 169 min (P = 0.003), intraoperative blood loss > 102 ml (P < 0.001), BMI > 26.8 kg/m 2 (P = 0.001), preoperative D-dimer > 0.29 mg/L (P = 0.001), prothrombin time < 10.7 s (P = 0.033) and INR < 0.98 (P = 0.032) between DVT and Non-DVT group were significantly different. Multivariate logistic regression analysis showed intraoperative blood loss > 102 ml (OR, 3.707; P, 0.001), BMI > 26.8 kg/m 2 (OR, 4.664; P, 0.004) and D-dimer > 0.29 mg/L (OR, 2.882; P, 0.009) were independent risk factors of DVT after UKA. Conclusion: The incidence of DVT in the present study was 9.9%, extensive intraoperative blood loss, advanced BMI and high level of D-dimer would increase the risk of lower extremity thrombosis by 2–4 times. [ABSTRACT FROM AUTHOR]

HTO has proven to be a cost-effective surgical procedure in the treatment of KOA, but few investigations have studied radiological changes and clinical effectiveness of OWHTO in geriatric patients. 76 patients were recruited in this retrospective study. According to the age, patients were divided into two groups (≤ 60, Group "Young"; > 60, Group "Geriatric"). Demographic data, radiological imaging and postoperative complications were analyzed. Kellgren–Lawrence grade (K–L), weight-bearing line ratio (WBLR); posterior tibial slope angle (PTS); American knee score (AKS); Western Ontario and McMaster Universities Arthritis Index (WOMAC) and visual analog scale (VAS) were introduced to estimate the clinical outcome of OWHTO. There were 18 male and 58 female patients in the present study with a mean age of 58.5 ± 9.2 years (ranges from 40 to 82 years); the average age was 51.4 ± 4.1 years and 67.3 ± 4.9 years for group Y and G respectively, 44.7% and 31.5% patients were older than 60 and 65 years. BMI for the 76 patients was 26.6 ± 3.2 kg/m2, and geriatric patients were more likely accompanied by one or more comorbidities (70.6 vs. 45.2%). There were 34 and 42 patients in group Geriatric and group Young respectively, and no significant difference of MPTA, WBLR, PTS and WOMAC, VAS, AKS and ROM between the two group (P > 0.05) were found. After more than a two-year follow-up period, postoperative WBLR, AKS, WOMAC and VAS were much more desired than preoperative, and no significant difference of these variables between the young and geriatric group (P > 0.05), however, elderly patients were more likely to suffer from a longer bone union time. OWHTO can avoid geriatric patients from undergoing secondary knee surgery in the short term, however the survival rate of OWHTO in geriatric patients should be ultimately clarified by different studies. [ABSTRACT FROM AUTHOR]

The nanopowders of 12Ce-TZP were synthesized by a solid state reaction method and the effect of two-step sintering (TSS) on the microstructures and mechanical properties of the ceramics were studied. The samples obtained by conventional sintering (CS) exhibit approximately 2.5 μm in grain size and only 6.99 GPa in Vickers hardness, as well as 425 MPa in bending strength. To control the microstructure and consequently optimize the mechanical properties, different TSS regimes were conducted. The results indicate that first firing at 1450 °C for 1 min followed by cooling down to 1300 °C with a soaking time of 30 h results in a highly densified (98.4% TD) ceramic with optimal mechanical properties (9.22 ± 0.26 GPa, 14.7 ± 0.66 MPa m 1/2 , 501.40 ± 16.21 MPa) and without significant grain growth (∼1 μm). This provides an economic and effective approach to controlling the microstructure and thereby improving the mechanical properties of 12Ce-TZP ceramics. [ABSTRACT FROM AUTHOR]

Feed efficiency (FE) is an important economic trait in the sheep industry, influenced by biological processes such as digestion and metabolism. PRKAA1 gene participates in the synthesis and oxidation of fatty acids; the FABP4 gene is closely associated with intracellular fatty acid regulation. In this study, we use Sanger sequencing, KASPar genotyping, and qRT-PCR to investigate the association between variations in PRKAA1 and FABP4 genes and feed efficiency in Hu sheep, the expression patterns of PRKAA1 and FABP4 genes in different tissues, as well as the differences in expression of different genotypes in tail fat. The association analysis results indicated that PRKAA1 gene g.35431965 C > T locus and FABP4 gene g.62829807 C > T locus were significantly associated with the feed conversion ratio (FCR) of Hu sheep aged 80–180 days, with the dominant genotypes being CC and CC, respectively. Simultaneously, there existed notable disparities among various genotype combinations. The qRT-PCR results showed PRKAA1 and FABP4 genes were widely expressed in ten tissues, of which the PRKAA1 gene was lower expression level in rumen and lung, FABP4 gene was significantly highest expression in the tail fat than the other tissues; the expression of two different genotypes in tail fat also exhibits significant differences (P ≤ 0.05). Therefore, these findings suggested that the variation of PRKAA1 and FABP4 genes might be used as novel genetic marker for improving feed efficiency in sheep. • The study investigated the polymorphisms of PRKAA1 and FABP4 genes in Hu sheep and detected their expression differences in different tissues and genotypes. • The study found that the PRKAA1 gene (NC_040267.1: g.35431965 C > T) and the FABP4 gene (NC_040260.1: g.62829807 C > T) were associated with feed conversion rate. • The CC and CC genotypes of PRKAA1 and FABP4 genes were identified as dominant genotypes, while various random combination genotypes also exhibited differences. [ABSTRACT FROM AUTHOR]