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        Outcomes following the operative treatment of intra-articular fracture combined with medial patellofemoral ligament reconstruction after patellar dislocation

        ( Jussi P. Repo ),( Mikko M. Uimonen ),( Mika T. Nevalainen ),( Heikki Nurmi ),( Ville T. Ponkilainen ),( Antti Tuominen ),( Juha Paloneva ) 대한슬관절학회 2022 대한슬관절학회지 Vol.34 No.-

        Purpose: We examine the outcomes following operative treatment of intra-articular fracture combined with medial patellofemoral ligament (MPFL) reconstruction after patella dislocation. Methods: Patients were retrospectively identified from medical records using diagnostic and surgical procedure codes. Radiological anatomical parameters and bony abnormalities of injured knees were assessed from magnetic resonance images (MRI). Inclusion criteria were traumatic patellar dislocation with chondral or osteochondral fracture and MPFL rupture, operative treatment of a chondral or osteochondral fracture combined with MPFL reconstruction, and minimum follow-up of 2 years. Outcomes were measured using the Kujala score, Tegner activity scale, and the Knee injury and Osteoarthritis Outcome Score Quality-of-Life subscale (KOOS-QLS). Results: During 2012 and 2015, 322 patients were treated because of patellar dislocation. Thirty-three patients had chondral or osteochondral fracture. Eleven patients (five males and six females) with a mean [standard deviation (SD)] age of 17.0 (6.5) years at the time of surgery met the inclusion criteria and were included. Five of the 11 patients had a subchondral and six an osteochondral fracture. Eight patients had a fracture in the patella and three in the femur. All patients had bony abnormalities in the knee. Nine out of 11 patients scored over 90/100 points on the Kujala scale and had good results on the Tegner scale [before surgery 5.0 (2.7) points versus after surgery 5.3 (1.6) points] and the KOOS-QLS [4.1 (4.2) points] outcome measures. Conclusion: The removal or fixation of the fracture fragment combined with MPFL reconstruction is a feasible option in the treatment of symptomatic osteochondral or subchondral fragment in traumatic patellar dislocation. The shortterm outcomes are encouraging. Level of evidence: Level IV, retrospective case series.

      • Unusual A2142 supercluster with a collapsing core: distribution of light and mass

        Einasto, Maret,Gramann, Mirt,Saar, Enn,Liivamä,gi, Lauri Juhan,Tempel, Elmo,Nevalainen, Jukka,Heinä,,ki, Pekka,Park, Changbom,Einasto, Jaan EDP Sciences 2015 Astronomy and astrophysics Vol.580 No.-

        <P>Context. Superclusters of galaxies can be used to test cosmological models of the formation and evolution of the largest structures in the cosmic web, and of galaxy and cluster evolution in superclusters. Aims. We study the distribution, masses, and dynamical properties of galaxy groups in the A2142 supercluster. Methods. We analyse the global luminosity density distribution in the supercluster and divide the supercluster into the high-density core and the low-density outskirts regions. We find galaxy groups and filaments in these regions, calculate their masses and mass-to-light ratios and analyse their dynamical state with 1D and 3D statistics. We use the spherical collapse model to study the dynamical state of the supercluster. Results. In the A2142 supercluster rich groups and clusters lie along an almost straight line forming the 50h<SUP>−1</SUP> Mpc long main body of the supercluster. The A2142 supercluster has a very high density core surrounded by lower-density outskirts. The total estimated mass of the supercluster is M<SUB>est</SUB> = 6.2 × 10<SUP>15</SUP> M<SUB>⊙</SUB>. More than a half of groups with at least ten member galaxies in the supercluster lie in the high-density core of the supercluster, centred at the X-ray cluster A2142. Most of the groups in the core region are multimodal. In the outskirts of the supercluster, the number of groups is larger than in the core, and groups are poorer. The orientation of the axis of the cluster A2142 follows the orientations of its X-ray substructures and radio halo, and is aligned along the supercluster axis. The high-density core of the supercluster with the global density D8≥17 and perhaps with D8 ≥13 may have started to collapse. Conclusions. A2142 supercluster with collapsing core and straight body, is an unusual object among superclusters. In the course of the future evolution, the supercluster may split into several systems.</P>

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