Search

To compare the functional outcomes, range of motion (ROM), recurrence rates, and complication rates of arthroscopic autologous iliac crest grafting (AICG) and Remplissage plus Bankart repair (RB) for anterior shoulder instability with bipolar bone defects. This study enrolled patients undergoing arthroscopic AICG or RB with 13.5-25% glenoid bone defect combined with Hill-Sachs lesion between January 2013 and April 2020, who had a minimum 2-year follow-up. Patient-reported outcomes were evaluated by Subjective Shoulder Value (SSV), Oxford Shoulder Instability Score (OSIS), Rowe score, Constant score, and visual analog scale (VAS) for pain. Active ROM, return to sports, recurrence, self-reported apprehension, and complications were recorded. This study included 60 patients, including 28 AICG (Group A) and 32 RB (Group R). Mean glenoid bone defect was similar (17.7% ± 3.1% vs 16.6% ± 2.4%; P =.122). Both groups showed significant postoperative improvement in Rowe score, SSV, OSIS, and Constant score. No significant difference was found in postoperative Rowe Score (87.7 vs 85.2; P =.198). A total of 20/28 (71.4%) patients in Group A versus 26/32 (81.3%) patients in Group R met the Patient Acceptable Symptomatic State determined by VAS pain score (P =.370). Both groups showed high return-to-sports rates (67.8% vs 71.8%; P =.735) and slightly decreased ROM. There were two cases of recurrence in Group A versus one in Group R (P =.594). Group R had insignificantly higher positive self-reported apprehension rate (40.6% vs 17.9%; P =.055). For anterior shoulder instability with bipolar bone defects, both arthroscopic AICG and RB can result in satisfactory clinical outcomes, good postoperative ROM, and low recurrence and complication rates. Level III, retrospective cohort study. [ABSTRACT FROM AUTHOR]

• Phosphorus deficiency led to increased malate concentration in soybean nodule. • GmMDH12 functions in catalyzed malate synthesis. • Overexpression of GmMDH12 resulted in a significant decrease in nodule size. In legume nodules, malate is generally considered to provide carbon for both nodule bacteroid respiration and skeletons for NH 4 + assimilation. Although it has been suggested that phosphorus (P) deficiency inhibits legume nodule growth through adversely affecting carbon partitioning, the molecular mechanisms underlying malate synthesis and its roles in nodule growth remain largely unknown in soybean (Glycine max). In this study, we found that P deficiency led to a significant decrease of soybean nodule size (fresh weight of individual soybean nodule), accompanying with increased malate concentration. Meanwhile, 16 malate dehydrogenase (GmMDH) members were identified in the soybean genome, and their expression patterns were investigated in soybean nodules in responses to P deficiency. Among them, GmMDH12 was up-regulated by phosphate (Pi) starvation. Enzymatic analysis of GmMDH12 revealed its functions in catalyzing malate synthesis through reduction of oxaloacetate to form malate in vitro. Furthermore, overexpression of GmMDH12 resulted in a significant decrease in nodule size, but a significant increase in concentrations of malate and several carbohydrates in transgenic soybean nodules. Taken together, these results suggest that P deficiency inhibits soybean nodule size due to enhancement of malate synthesis, which is regulated by GmMDH12 transcripts. [ABSTRACT FROM AUTHOR]