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1.
The patella and tibial condyle position after combined and after closing wedge high tibial osteotomy
Miklós Papp Zoltán Csernátony Sándor Kazai Zoltán Károlyi László Róde 《Knee surgery, sports traumatology, arthroscopy》2007,15(6):769-780
High tibial osteotomy changes the patella and tibial condyle position, which makes the subsequent total knee replacement technically
demanding. From 1 January 1993 to 31 December 2000, combined osteotomy [After the first osteotomy made 2 cm distally to the
joint line, a bone wedge is removed based laterally. Its tip ends at the center of the tibial condyle (half bone wedge). The
distal part of the tibia is placed into the valgus position and the half bone wedge is placed into the gap opened medially.]
was performed on 103 knees and closing wedge osteotomy was performed on 47 consecutive knees. Eighty combined (group A) and
41 closing wedge (group B) osteotomy were studied. All knees were assessed radiologically before surgery, in the 10th postoperative
week, in the 12th postoperative month and at the time of the final follow-up (in group A—66.15 months, in group B—66.61 months).
We examined the change of the femorotibial angle, of the patellar height according to the method of Insall and Salvati, of
the tibial slope angle according to the method of Bonnin, of the tibial condylar offset according to the method of Yoshida
and of the distance between the lateral tibial plateau and the top of the fibular head. In group A and B, the recurrence of
the varus deformity was not noted and valgus alignment did not increase in any case. In group-A, the Insall–Salvati ratio
remained unchanged in 65% of knees. The tibial slope angle decreased in both groups. There was correlation between the change
of the tibial condylar offset and the angle of the correction in both groups. There was correlation between the change of
the distance between the lateral tibial plateau and the top of the fibular head. After combined osteotomy, the transposition
of the tibial condyle and the decrease of the distance between the lateral tibial plateau and the top of the fibular head
was less than after closing wedge osteotomy, although the average angle of correction was more after combined osteotomy (11.835°),
than after closing wedge osteotomy (9.465°). Theoretically, the recurrence of the varus deformity, the increase of the valgus
alignment and (in majority of cases) the shortening of the patellar tendon do not compromise the likelihood of successful
conversion to the subsequent total knee replacement, either after combined or after closing wedge osteotomy. The combined
osteotomy does not lead to considerable transposition of the tibial condyle and to considerable lateral tibial bone loss;
therefore, theoretically, the combined osteotomy does not impair the subsequent total knee replacement. 相似文献
2.
István Pintér János Mátyus Zoltán Czégány Judit Harsányi Marietta Homoki Miklós Kassai Eva Kiss István Kiss Erzsébet Ladányi Lajos Locsey Lajos Major Mihály Misz Lajos Nagy Kálmán Polner Jeno Rédl István Solt Béla Tichy Marietta T?r?k Gábor Varga Gyula Wagner Imre Wórum Béla Zsoldos László Pótó Katalin Dérczy István Wittmann Judit Nagy 《Nephrology, dialysis, transplantation》2004,19(4):840-843
BACKGROUND: The diagnosis of analgesic nephropathy has improved significantly with modern imaging techniques. We reviewed a large portion of the Hungarian dialysis population to obtain additional insight into the problem. METHODS: Twenty-two participating dialysis units enrolled 1400 patients on renal replacement therapy between 1 January 1995 and 1 January 1998. Patients with no known aetiology (n = 284) were interviewed and studied with renal imaging. We assessed the presence of decreased renal mass combined with either bumpy contours, papillary calcification, or both. The subjects studied were interrogated extensively. RESULTS: Our survey suggested analgesic nephropathy in 47 of 1400 patients (3.3%), 3-fold higher than the EDTA database estimate for Hungary. The analgesics most commonly abused were phenacetin-containing mixtures. The driving symptoms were mainly headache and joint pain. Cardiovascular complications were more common than in the rest of the dialysis population, independent of smoking and lipid values (P<0.01). CONCLUSIONS: Phenacetin should be banned. Our study results support the need for longitudinal cohort and case-control studies in Hungary. 相似文献
3.
4.
The fibre gene of the bovine adenovirus type 2 (BAdV2) subtype B was prepared for sequencing by using cloning, sub-cloning and PCR amplification techniques. The nucleotide sequence of the total fibre gene was determined, and it was found to consist of 1,647 nucleotides, coding for a polypeptide of 549 amino acids. The fibre gene regions of BAdV2 A and B subtypes were aligned. The nucleotide identity of the total fibre gene was found to be 60.5%; however, the homology showed great differences in the different subregions coding for the shaft and knob part of the fibre, and the two subtypes were almost identical in the tail subregion. Remarkable changes indicating deletion, insertion and point mutations were found in the shaft subregion when BAdV2/A and B subtypes were compared. We concluded that the differences found in the haemagglutinating activity of the two subtypes of BAdV2 can mostly be explained by the changes in the polypeptide structure of the fibre shaft. 相似文献
5.
Sun X Gulyás M Hjerpe A 《American journal of respiratory cell and molecular biology》2004,30(4):510-518
Human mesothelial cells obtained from benign effusions retain their proliferative capacity and grow uniformly either with a fibroblastic or epithelioid morphology in vitro. These cultures therefore provide a model for the process of mesothelial differentiation in vivo. To study this differentiation, we isolated differentially expressed genes obtained by suppression subtractive hybridization. Of the nine genes found to be overexpressed in fibroblastic mesothelial cells, three are matrix-associated (integrin alpha5, collagen binding protein 2, human cartilage glycoprotein 39), whereas the others are associated with a proliferative cell type (14-3-3 epsilon, plexin B2, N33, and three genes encoding ribosomal elements). Seven of the eight genes upregulated in the epithelioid phenotype are related rather to specialized functions, such as metabolism (aldose reductase, lecithin:cholesterol acyltransferase, ATPase 6), cytoskeletal composition (cytokeratins 7 and 8), and regulation of differentiation (granulin, annexin II). Immunohistochemistry with available antibodies to six of the differentially expressed gene products confirmed the differences also in pleural tissues, where submesothelial cells displayed the fibroblastic markers, whereas surface cells displayed the epithelioid markers. In summary, this approach revealed a pattern of genes coordinately regulated during mesothelial differentiation and suggests that mesothelium may regenerate also by recruiting cells from the submesothelial layer. Some of the gene products may also be useful markers for differentiation and activation in serosal tissues. 相似文献
6.
Nyitrai G Puskás L Antal K Takács V Sass M Juhász G Kardos J Palkovits M 《Neuroscience letters》2005,381(3):344-349
To specify targets for an ischemic preconditioning paradigm (ischemic tolerance), c-fos expressions in ischemic (induced by 10 min bilateral carotid-occlusions subsequent to coagulation of vertebral arteries) and preconditioned rats (treated for 4 min carotid-occlusions 72 h before ischemia) were compared in 12 forebrain areas/nuclei. Fos immunostaining was applied to serial sections of the forebrain and the density (cell number/area measured) of Fos-immunopositive (Fos+) neurons, as well as their percentile changes were determined in five hippocampal and seven extrahippocampal areas/nuclei of ischemic and preconditioned rats. The ratio of counts found in ischemic over control animals showed several fold increase of Fos+ cells in the three layers (granule cell, molecular and polymorphic) of the dentate gyrus, CA3 and CA1 pyramidal neurons, as well as in thalamic and hypothalamic nuclei and limbic cortical areas. In contrast, preconditioning did not alter c-fos expressions significantly in the extrahippocampal brain areas investigated. These results strengthen the hypothesis that the hippocampal and dentate neurons are more susceptible to ischemic tolerance than cells in other brain regions. In fact stress-response and induction of ischemic tolerance in different forebrain areas can be distinguished. 相似文献
7.
P53 overexpression as an indicator of overall survival and response to treatment in osteosarcomas 总被引:5,自引:0,他引:5
Pápai Z Féja CN Hanna EN Sztán M Oláh E Szendrôi M 《Pathology oncology research : POR》1997,3(1):15-19
The p53 gene located at chromosome 17pl3 is found to be altered (allelic loss or other mutation) in multiple human cancers,
including osteosarcomas. The mutated gene produces a protein with a prolonged half-life thus rendering it detectable by conventional
immunohistochemistry. We examined the correlation between p53 expression and clinical prognosis as well as response to therapy.
Twentyone patients with previously untreated and histologically verified highly malignant osteosarcoma were used for this
study. Biopsy material taken both prior to the start of COSS 91 protocol and at the time of surgery (ten weeks later) was
examined for alterations in p53 protein expression and drug resistance. Two patients who had strong (+++) p53 protein expression
and three others who became positive during the chemotherapy had significantly worse prognosis (all of them died within one
year) than those who showed no p53 expression both at biopsy and after chemotherapy (all 11 patients are alive, average follow-up
time: 3.5 years). All patients who showed any kind of positive p53 protein expression on initial biopsy were non-respon-ders
to chemotherapy. In contrast, 69% (9 out of 13) of those who exhibited no p53 expression on initial biopsy were responders
or intermediate responders to chemotherapy. We concluded that p53 expression may be a useful prognostic factor in osteosarcomas.
The direct correlation between p53 positive expression and resistance to therapy can help in identifying patients who are
in need of a more vigorous or different chemotherapeutical protocol. 相似文献
8.
9.
Detection of drug-induced apoptosis by flow cytometry after alkaline extraction of ethanol fixed cells 总被引:5,自引:0,他引:5
Mihalik R Uher F Pocsik É Berczi L Benczur M Kopper L 《Pathology oncology research : POR》1996,2(1-2):78-83
A new flow cytometric method was developed to detect apoptotic cells with fragmented DNA and to determine cell cycle distribution
of viable cells, in the same sample, by propidium iodide staining. Apoptosis, in HT58 human B lymphoma cells, was induced
by etoposide and/or by staurosporine. Using appropriate alkaline solutions (between 1-10 mN NaOH in 150 mM saline) followed
by neutralization with buffer solution, the fragmented DNA can be extracted quantitatively from ethanol fixed cells. Further,
good resolution of the cell cycle distribution can be obtained in unimpaired cells without RNase treatment. Furthermore, unlike
the widely used hypotonic-detergent extraction of unfixed cells, the suggested extraction method can prevent drug-induced
disintegration of dead cells when karyorrhexis occurs.
This work was supported by Hungarian National Research Foundation (OTKA I/352 and OTKA II/2622). 相似文献
10.
Dr. Miklós Dreguss 《Archives of virology》1942,2(3):306-318
Zusammenfassung Während der Influenzaepidemie, welche Ungarn im Januar 1941 heimgesucht hat, wurde versucht, durch Rachenspülwasser der Erkrankten das Influenzavirus unmittelbar auf weiße Mäuse bzw. auf den gewöhnlichen Hamster (Cricetus cricetus) zu übertragen.In einer Serie von zwölf verschiedenen Ausgangsmaterialien, die nasal auf Mäuse und gleichzeitig auch auf Frettchen verimpft wurden und in Mäusen bis zu 6–10 Passagen mittels Mäuselungen fortgeführt worden sind, konnte das Influenzavirusin keinem Fall durch Mäuseimpfung isoliert werden, wogegen 8 Fälle in Frettchen sich als positiv erwiesen. Fünf Proben (positiv in Frettchen) wurden mit einer veränderten Technik untersucht und die Nasenschleimhaut der Mäuse für die Passage herangezogen, ebenfalls mitnegativem Ergebnis.Sechs Rachenspülwässer, von denen vier durch Frettchen zu positivem, zwei zu negativem Resultat führten, wurden nasal Hamstern eingeimpft und anschließende Mäusepassagen vorgenommen. In drei von vier positiven Fällen wurde auf diese Weise dasInfluenzavirus isoliert, während die anderen negativ verliefen. Ein Stamm wurde in Hamstern bis zu fünf Passagen fortgeführt und in dieser Serie das Virus mit Hilfe von Mäusen wiederholt nachgewiesen. Das Serum des Hamsters enthält neutralisierende Antikörper zwei Wochen nach der Impfung mit einem positiven Material.Die isolierten Stämme sind durch Gradocolmembranen filtrierbar, sie werden durch spezifisches Influenzaserum neutralisiert, und in dem Rekonvaleszentenserum der Patienten, von denen der Erreger herstammt, ist eine ausgeprägte Erhöhung virusneutralisierender Antikörper gegen diese Stämme nachweisbar.Es wird auf die Bedeutung des in normalen Mäusen manchmal vorkommendenPneumonievirus hingewiesen, das in ähnlichen Versuchen zu fehlerhaften Schlüssen führen kann.Diese Arbeit wurde mit der Unterstützung derRockefeller-Stiftung (International Health Division) ausgeführt. 相似文献