An Improved Transosseous Pullout Suture Technique for Arthroscopic Repair of a Meniscus Root Tear

Objective:This study aimed to explore the clinical efficiency of an improved transosseous pullout suture technique for arthroscopic repair of a meniscus root tear.Methods:From January 2017 to January 2021,53 patients with posterior meniscus root tears combined with anterior cruciate ligament(ACL)and/or posterior cruciate ligament(PCL)tears were collected.Totally,in 29 patients(group A),the 2.0 mm modified pullout tunnel method was used to suture the posterior meniscus root,while 24 patients(group B)were treated with the traditional 4.5 mm pullout tunnel method.In group A,20 patients had lateral meniscus posterior root(LMPR)combined with ACL tears,5 patients had LMPR combined with ACL and PCL tears,and 4 patients had medial meniscus posterior root(MMPR)combined with ACL tears.In group B,19 patients had LMPR combined with ACL tears,3 patients had LMPR combined with ACL and PCL tears,and 2 patients had MMPR combined with ACL tears.The improvement of the Lysholm and VAS scores and the incidence of complications in group A and group B before the operation,1 month and 3 months after the operation,and after the final follow-up were compared.Results:Preoperative Lysholm score was 26.0±5.6 in group A and 26.7±5.8 in group B(P>0.05).One-month postoperative Lysholm score was 66.5±5.7 in group A and 54.3±2.4 in group B(P<0.001).Three-month postoperative Lysholm score was 81.1±7.2 in group A and 73.2±9.7 in group B(P<0.05).Lysholm scores after the final follow-up was 90.3±5.6 in group A and 90.0±5.0 in group B(P>0.05).Preoperative VAS score was 6.3±1.4 in group A and 6.3±1.2 in group B(P>0.05).One-month postoperative VAS score was 1.8±0.7 in group A and 2.4±0.9 in group B(P<0.05).Three-month postoperative VAS score was 0.7±0.6 in group A and 0.8±0.6 in group B(P>0.05).VAS score after the final follow-up was 0.2±0.4 in group A and 0.3±0.5 in group B(P>0.05).Conclusion:The improved transosseous pullout suture technique using a smaller 2.0 mm bone tunnel can virtually eliminate the risk of conflict with other bone tunnels and facilitate the management of bone tunnels in multiple ligament injuries,while also diminishing suture abrasion caused by the windshield wiper effect.The technique achieves good clinical efficacy.

Discovery of cryptolepine derivatives as novel promising agents against phytopathogenic bacteria

To ensure the production of food crops,a series of cryptolepine derivatives were synthesised,after which their antibacterial activities and mechanism of action against three plant pathogens were investigated.Our bioassay results indicated that most of the target compounds displayed potent inhibitory effects against Xanthomonas oryzae(X.oryzae)and Xanthomonas axonopodis pv.citri(X.axonopodis pv.c.).Remarkably,compound 9 exhibited the best in vitro antibacterial activity against X.oryzae,with a minimum inhibitory concentration(MIC)value of 0.78μg·mL^(-1).Compound 2 exhibited the best in vitro antibacterial activity against X.axonopodis pv.c.,with an MIC value of 0.39μg·mL^(-1).These activities were superior to those of copper quinolate(MIC=6.25,25μg·mL^(-1))and thiodiazole copper(MIC=100,200μg·mL^(-1))against X.oryzae and X.axonopodis pv.c.In vivo experiments demonstrated the promising applicability of compound 9 for the control of rice bacterial infections.Furthermore,compound 9 was selected as a candidate to conduct preliminary analyses of the antibacterial mechanisms of cryptolepine derivatives.Scanning electron microscopy and transmission electron microscopy observations,extracellular polysaccharide production,biofilm formation,transcriptomic,quantitative reverse transcription-polymerase chain reaction analyses,and molecular docking assays were performed.Collectively,our findings demonstrated that compound 9 might act via multifarious mechanisms to down-regulate virulence factors and cause cell death.