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PURPOSE OF THE STUDY: The purpose of this report was to study the repercussions of rotator cuff condition on unconstrained shoulder arthroplasty results. METHODS: Between 1986 and 1993, 40 unconstrained shoulder prostheses were performed (24 total and 16 hemiarthroplasties). At the time of the operation, rotator cuff condition was reported to be normal in 15 shoulders, atrophic in 10, scarred in 3, torn in 12. Clinical and radiographical results were analyzed and supplemented with a rotator cuff echography. Postoperative follow-up averaged 42.25 months (12 to 97 months). RESULTS: When the rotator cuff was intact at the time of operation, clinical results were the best at the time of review. Constant score, overall mobility, forward elevation, external rotation with the elbow along the side were better for intact than for atrophic, scarred or torn rotator cuffs (p < 0.01). Ruptures repaired by local tissue transfer or trapezo deltoidal flap substitution (3 cases) gave satisfactory results, whereas two dacron cuff prostheses failed. In the non repaired ruptures (7 cases), arthroplasty resulted in 3/4 fair or poor results. At the time of review, the total incidence of postoperative rotator cuff tears was high (12 cases), functional repercussions were variable. Among the 15 rotator cuff tears observed at the time of the review, the long head of the biceps was present and in place in 9 cases and ruptured in 6 cases. In these latter cases, Constant score (p < 0.01), the forward elevation (p < 0.01), external rotation with elbow along side (p < 0.05) and overall mobility (p < 0.05) were worse; moreover, humeral head superior migration was greater (p < 0.01). DISCUSSION: Our study confirms the superiority of clinical results when the cuff was intact at the time of the operation. The repair of rotator cuff tears seems to be justified. When the rupture has not been repaired, clinical results were fair or poor in 5 cases out of 7, the initial rupture spread to the other tendons in 3 cases out of 7. Secondary ruptures were frequent (12 cases). No predictive factor was identified, but an overlapping of the greater tuberosity appears to be detrimental. Among rotator cuff tears present at the time of review, long head of the biceps rupture jeopardized clinical results and was associated with a proximal migration of the humeral head which was significantly more severe than with an intact non displaced long head of the biceps. CONCLUSION: During unconstrained shoulder prosthesis implantation, it is therefore recommend to systematically repair any associated rotator cuff rupture, in order to avoid any greater tuberosity overlap relative to the prosthetic head and to preserve the long head of the biceps tendon which limits upward migration of the humeral head and improves prosthetic kinetics. 相似文献
3.
E Kumazawa K Hirotani SC Burford K Kawagoe T Miwa I Mitsui A Ejima 《Canadian Metallurgical Quarterly》1997,45(9):1470-1474
Novel benzophenone derivatives were synthesized and screened for cytotoxic and antitumor activity. Friedel-Crafts condensation was employed to construct the benzophenone skeleton. Among the compounds synthesized, morpholino and thiomorpholino benzophenones 3a-d exhibited potent cytotoxic activity against P388 murine leukemia and PC-6 human lung carcinoma cells in vitro, and compounds 3a, 3c, and 3j, when administered intraperitoneally, showed significant antitumor activity against the malignant ascites caused by intraperitoneal inoculation of P388 cells in mice. 相似文献
4.
The absorption of dilute CO2 into aqueous solutions of sterically hindered 2-methyl aminoethanol (MAE) and the desorption of CO2 from CO2-loaded MAE solutions into N2 stream were investigated separately for the various combinations of operational variables, using a hydrophobic microporous hollow fiber (polytetrafluoroethylene, PTFE) contained gas-liquid contactor with aqueous solutions of MAE as liquid media in the shell side at 30°C. The absorption of CO2 in this contactor is governed by resistance in the liquid and hollow fiber phases. The resistance to diffusion in the hollow fiber phase amounts to 76-80% of the total resistance. Nevertheless, the absorption rates of CO2 into aqueous MAE solutions in this contactor are higher than those into aqueous solutions of sterically hindered 2-amino-2-methyl-1-propanol (AMP) in the stirred tank with a plane unbroken gas-liquid interface. The process of desorption of CO2 from CO2-loaded MAE solutions can be regarded as being controlled by diffusion and chemical reaction in both the stagnant film of the liquid phase and the liquid-filled pore of the hollow fiber phase under the slow or intermediate reaction regime. Both absorption and desorption rates under the simultaneous absorption-desorption operation in a single unit tend to approach the respective constant values as process time elapses. The total absorption rate here seems to be almost balanced with the total desorpion rate at the constant mass transfer rate periods. 相似文献
5.
Seong-Youl Bae Du-Hyon Cho Hee-Taik Kim Hidehiro Kumazawa 《Korean Journal of Chemical Engineering》1994,11(2):127-130
Sorption equilibria and permeation rates for oxygen and carbon dioxide in polycarbonate membrane were measured at different
temperature between 30 and 60°C and at pressures up to 2.5 MPa. The pressure dependence of mean permeability coefficient to
oxygen obeyed the conventional dual-mode mobility model, whereas that to carbon dioxide followed a modified dual-mode mobility
model with concentration-dependent diffusivities, as that of polystyrene to the same gas did. 相似文献
6.
Acicular goethite particles were synthesized by oxidation of an alkaline suspension of ferrous hydroxide using a bubble column with draft tubes of different diameters at a constant temperature of 40°C. The oxidation rate increased with decreasing draft tube diameter. The mean size based on the major axis of acicular particle decreased with increasing oxidation rate and decreasing draft tube diameter. The major axis was found to grow preferentially compared with the minor axis. The mean size of major axis was correlated well to the modified reaction rate defined as a product of the reaction rate per unit volume of the reactor multiplied by the ratio of the column diameter to the draft tube diameter, irrespective of the draft tube diameter. 相似文献
7.
Barium titanate ultrafine particles were synthesized from amorphous titania by a hydrothermal method. The mean size of the barium titanate particles prepared at a hydrothermal treatment time of 4 h, was nearly equal to 0.04 5 m in the range of barium-to-titanium molar ratio (BT) 2, and approximately agreed well with the crystallite size. At a BT molar ratio of 1.0, the mean particle size increased to 0.2 m, while the crystallite size remained constant at 0.045 m. When the particle size ranged from 0.12–0.20 m, prepared for the BT molar ratio of 1.0–1.4, the specific dielectric constant for a sintered disc composed of these particles attained a value of 5000 or more. As the BT molar ratio increased to exceed 1.5, when the mean particle size decreased from 0.13 m to 0.045 m, the specific dielectric constant for the sintered disc was decreased greatly. The specific dielectric constant for the sintered disc can be correlated well with the size of the composing particles. 相似文献
8.
Wang HaiJian Wang HaiWei Kumazawa Takashi Ju DongYing Cao JianTing 《中国科学:技术科学(英文版)》2021,64(2):213-222
In this study, two casting speeds of 10 and 30 r/min were used in vertical twin-roll casting(TRC) to obtain Mg-rare earth(MgRE) alloys, and their microstructures, corrosion behaviours and in vivo bone reactions were investigated in detail. The results indicated that the roll-castings of TRC-30 r/min exhibited a finer grain size and higher volume fraction of non-crystallization than those in castings of TRC-10 r/min. Moreover, the results of electrochemical impedance spectroscopy(EIS) and potentiodynamic polarization indicated that the castings of TRC-30 r/min displayed a higher corrosion resistance compared with those in the castings of TRC-10 r/min. Animal tests showed that a higher degree of newly formed bone tissues was achieved by implants of TRC-30 r/min. Additionally, in vivo tests displayed that degradation properties of the TRC-30-r/min implants were better than those of the TRC-10-r/min implants; furthermore, the degradation layer was a two-layer structure, and P and Ca were enriched in the outer degradation layer. In summary, these findings elucidated that casting speed has a substantial effect on the microstructure and degradation property of Mg-based implants, and the degradation property performs better with increased casting speed. 相似文献
9.
Kraft lignin was pyrolyzed in molten salt media of ZnCl2-KCl mixture with tetralin vapor added in 0.4 and 4 mol% diluted with N2 in the temperature range of 400 to 700°C. The gas chromatographic analyses of pyrolysis products revealed that the yield of H2 was not increased by tetralin vapor addition. This fact implies that the hydrogen radical produced from tetralin is consumed in the formation of phenolic compounds and light liquids but not in the formation of H2. p-Cresol was the most abundant phenolic compound. The yield of total phenolic compounds with 4 mol% tetralin vapor added was increased by ca. 80% as compared to that in neat pyrolysis of Kraft lignin. 相似文献
10.
A continuous vacuum dryer for energy saving has been developed in order to produce dried foods without heat denaturation in the products. This drying method is suitable for heat sensitive I and highly viscous foods and can dry to 1 to 4% in moisture content with good quality at around 40°C in product temperature andin 5 -10 min a drying time. Feed material with high viscosity has to I have uniform distribution on the belt in the vacuum chamber to I keep a constant drying for which a special feed nozzle has been developed after considerabl~ testing. Heat transfer on the wet material in the dryer has occurred by both conduction and radiation because of the design so that the thermal efficiency in 相似文献