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Case A 29-year old male patient sustained an isolated fracture of the left talus in a fall down a staircase. This was a displaced, complex comminuted fracture that affected the talar neck and body. The fracture fragment was subluxed at the tibiotalar joint, but not at the subtalar or talonavicular joints. The patient underwent open reduction internal fixation (ORIF) of the talus via a dual-incision extensile approach, with excellent functional outcome at the end of 18 months. Conclusion Internal fixation of a complex talar neck-and-body fracture could be safely performed via a dual-incision extensile approach with good results.

Root nodule-forming rhizobia exhibit a bipartite lifestyle, replicating in soil and also within plant cells where they fix nitrogen for legume hosts. Host control models posit that legume hosts act as a predominant selective force on rhizobia, but few studies have examined rhizobial fitness in natural populations. Here, we genotyped and phenotypedBradyrhizobiumisolates across more than 800 km of the nativeAcmispon strigosushost range. We sequenced chromosomal genes expressed under free-living conditions and accessory symbiosis loci expressedin plantaand encoded on an integrated ‘symbiosis island’ (SI). We uncovered a massive clonal expansion restricted to theBradyrhizobiumchromosome, with a single chromosomal haplotype dominating populations, ranging more than 700 km, and acquiring 42 divergent SI haplotypes, none of which were spatially widespread. For focal genotypes, we quantified utilization of 190 sole-carbon sources relevant to soil fitness. Chromosomal haplotypes that were both widespread and dominant exhibited superior growth on diverse carbon sources, whereas these patterns were not mirrored among SI haplotypes. Abundance, spatial range and catabolic superiority of chromosomal, but not symbiosis genotypes suggests that fitness in the soil environment, rather than symbiosis with hosts, might be the key driver ofBradyrhizobiumdominance.