New surgical approach to the plantar fetlock joint through the digital flexor tendon sheath wall and suspensory ligament apparatus in cases of concurrent septic synovitis in two cattle

A new surgical approach to the infected fetlock joint is described in two cattle suffering from septic tenosynovitis of the lateral digital flexor tendon sheaths of the right lateral hind-digits with concurrent septic serofibrinous arthritis of the adjoining fetlock joints, caused by penetrating wounds. In both patients, the infected sheaths were opened and the superficial and deep digital flexor tendons were removed. Intraoperatively, a small entry through the fetlock joint capsule was detected, directly distal to the lateral proximal sesamoid bone. The tract was surgically enlarged and a second approach into the plantar fetlock joint pouch was created proximally by making a 3 cm long and 0.5 cm wide incision between the two lateral suspensory ligament branches. This allowed easy access to the plantar joint pouch, removal of fibrin clots and an effective joint lavage using 5L of sterile saline solution. The incisions of the fetlock joint capsules remained unsutured and were drained using soft polyurethane foam to preclude premature closure. The tendon sheath wounds remained unsutured. In both patients, the digital flexor tendon sheath and the fetlock joint were lavaged daily for the following three days. The infection was eliminated in both cattle and both fully recovered without residual lameness.     

Synovial fluid and plasma concentrations of ceftiofur after regional intravenous perfusion in the horse

OBJECTIVE: To determine radiocarpal (RC) joint synovial fluid and plasma ceftiofur concentrations after regional intravenous perfusion (RIP) and systemic intravenous (IV) administration. STUDY DESIGN: Experimental cross-over study. ANIMALS: Five normal adult horses. METHODS: One RC joint was randomly selected for RIP and the contralateral RC joint was sampled to determine intrasynovial ceftiofur concentrations after IV administration. Wash-out between IV and RIP was > or = 14 days. After surgical introduction of an intraarticular catheter, ceftiofur (2 g) was administered under general anesthesia either IV or by RIP after tourniquet application. Plasma and synovial fluid were collected over 24 hours. Samples were analyzed using high-performance liquid chromatography with ultraviolet detection and the results were statistically analyzed using a linear mixed effect model. RESULTS: Mean synovial fluid ceftiofur concentrations were consistently higher after RIP than after IV administration and were > 1 mug/mL (minimal inhibitory concentration [MIC] for common pathogens) for >24 hours. Mean synovial fluid peak concentration of ceftiofur after RIP and IV administration was 392.7+/-103.29 microg/mL at 0.5 hours postinjection (HPI) and 2.72+/-0.31 mug/mL at 1 HPI, respectively. Large variations in synovial fluid and plasma ceftiofur concentrations were observed between horses regardless of administration technique. RIP did not cause adverse effects. CONCLUSIONS: Under the present experimental conditions RIP with ceftiofur (2 g) induced significantly higher intraarticular antibiotic concentrations in the RC joint in comparison with IV administration. Moreover, after RIP, synovial fluid ceftiofur concentrations remain above the MIC for common pathogens (1 microg/mL) for > 24 hours. No adverse effects from the technique or the antibiotic were observed. CLINICAL RELEVANCE: RIP with high doses of ceftiofur may be a beneficial adjunctive therapy when treating equine synovial infections which are caused by cephalosporin susceptible microorganisms.     

Comparison of three methods for arthrodesis of the distal intertarsal and tarsometatarsal joints in horses

OBJECTIVE: To evaluate the effects of diode laser surgery (LS), surgical drilling (SD), and intraarticular sodium monoiodoacetate (MIA) as methods for fusing the distal intertarsal (DIT) and tarsometatarsal (TMT) joints in horses. STUDY DESIGN: Experimental study. ANIMALS: Adult horses (15) without radiographic signs of osteoarthritis (OA) of the DIT and TMT joints. METHODS: Group 1 (n=3) had LS performed bilaterally on DIT and TMT joints; 1 horse was evaluated for 1 week and 2 horses were evaluated for 2 weeks. Group 2 (n=6) had LS on DIT and TMT joints of 1 tarsus and MIA administration into the contralateral DIT and TMT joints and were evaluated for 6 months. Group 3 (n=6) had LS performed on DIT and TMT joints of 1 tarsus and SD of the contralateral DIT and TMT joints and were evaluated for 12 months. Postoperative comfort, lameness, radiography, microradiography, and histology scores were compared using repeated measures ANOVA, and paired or 2 sample t-tests; significance was set at P<.05. RESULTS: LS caused the least postoperative morbidity. In group 2, horses were less lame in 4 LS-treated limbs and 2 MIA-treated limbs at 6 months when compared with the contralateral limb. In group 3, horses were less lame in 5 LS-treated limbs and 1 SD-treated limb at 6 and 12 months compared with the contralateral limb. On microradiography, 11 MIA joints and 2 LS joints had bone bridging the joint at 6 months whereas 8 SD joints and 5 LS joints had bone bridging at 12 months. Significantly more joint space was bridged by bone in MIA- (51.4%) and SD (46.2%)-treated joints compared with LS joints at 6 (30.6%) and 12 (28.5%) months, respectively (P<.05). CLINICAL RELEVANCE: SD and MIA resulted in more bone bridging of the distal 2 tarsal joints, than LS. However, LS seemingly caused less pain and discomfort to horses in the immediate postoperative period; horses were generally less lame in the LS limb. More laser energy may need to be applied to these joints to promote fusion; however, it may also have beneficial effects beyond fusion. Further research on horses with OA of the distal 2 tarsal joints is needed to determine whether LS can cause soundness without facilitating bony fusion.     

Treatment of a second carpal bone fracture by removal under ultrasonographic guidance in a horse

OBJECTIVE: To report an unusual 2nd carpal bone (C2) slab fracture and its treatment, using an ultrasonographically assisted, minimally invasive arthrotomy technique, for fragment removal. STUDY DESIGN: Case report. ANIMALS: An 11-year-old crossbred Warmblood gelding. METHODS: A bone fragment, spanning the height of C2, identified on the palmaromedial aspect of C2 was demarcated intraoperatively using ultrasonographically guided needles and removed by arthrotomy. RESULTS: Fracture fragment removal was achieved using a small, ultrasonographically guided arthrotomy. The horse has become sound after treatment and returned to the previous level of pleasure riding activity. CONCLUSIONS: Perioperative ultrasonography was used to delineate and facilitate removal of an unusual slab fragment of C2, through a minimally sized arthrotomy. Despite the presence of pancarpal osteoarthritis and partial involvement of the medial collateral ligament, the prognosis appeared to be satisfactory for this pleasure riding horse. CLINICAL RELEVANCE: Ultrasonographic guidance may be used to optimize the approach to C2 articular bony fragments that may not be observed using arthroscopy.     

成品油管道泄漏监测难点与对策

国内外长输管道泄漏监测技术主要有流量平衡法、实时模型法、统计分析法及负压波法。针对成品油管道的运行特点,分析了负压波泄漏监测技术难点,对顺序输送工况下的信号波速进行了定量计算,对多分输、调控频繁等工况下的信号变化进行了定性描述,介绍了成品油管道泄漏监测系统应具备的主要性能。将音波-负压波联合监测方法作为成品油管道泄漏监测的解决方案,并给出泄漏判定准则及泄漏监测流程。兰成渝成品油管道的模拟测试及现场应用结果表明,该解决方案效果良好,且各项指标均符合相关要求。     

基于3DGIS技术的新一代跨区域联合人影作业系统

为了应对全球气候变暖及极端天气气候事件日益增多的形势,增强社会防灾减灾的能力,基于跨区域联合人影作业的需求,研发了新一代三维人影作业系统,系统集成了三维地理信息、GPS定位和虚拟现实技术,加入基础地理信息和人工影响天气专题信息矢量数据,实现了人工影响天气基本业务信息、预警预报信息、防灾减灾信息和其他决策支持信息的立体、综合、有效的管理。     

Experiment and FEM Analysis on the Joint of Inserted Steel Beam

A new composite structure which is composed of steel beam and concrete girder is introduced in fuel electric plant construction. With different height of concrete girders with or without anchor bar, two scale models from an actual project were designed and tested. It is shown that the maximum restraining moment of ends of steel beams is approximately 60kN*m; influence of anchor bar is little; the one with 600mm high concrete beam is damaged by shear, and the others steel beam is damaged by bending failure. Finite element models were built for supplementary analysis, and the result indicates that critical value of the height of concrete beam of different failure modes is 700mm; stiffness of shear key and thickness of floor have great influence on the structure; size of anchor bar has little influence; and width of the end of the steel beam has certain influence.     

Effects of Infill Walls in Frame Structures under Frequent Earthquake:Revelation from Wenchuan Earthquake

Based on a three-story RC frame, the analysis of the structure with various layouts of infill walls under frequent earthquake was conducted. The results indicate that when the infill walls and their different layouts are incorporated into the structural model, the seismic performance, such as dynamic properties, characteristics of regularity, and internal force distributions would change significantly. It should be also mentioned that because of the constraint of infill walls, the sum of moments at column ends is much larger than that at beam ends at the frame column-beam joints. It is suggested that infill walls should be adequately considered in the mechanical models during seismic analysis.     

Elbow arthroscopy: Indications,approaches and syndromes

Elbow arthroscopy is not commonly performed and can be challenging due to surrounding neurovascular and muscle structures. Three approaches provide access to the various compartments and joint surfaces of the elbow except the proximal radius. Indications for diagnostic arthroscopy include septic arthritis, osteochondral chip fracture, assisted reduction of adjacent epiphyseal fractures, developmental orthopaedic disease and staging of osteoarthritis. Outcome is determined by extent of joint disruption and control of infectious agents.     

Ultrasonography of the Collateral Ligaments of the Distal Interphalangeal Joint in Horses: Technique and Reference Images

This study describes ultrasound (US) technique and reference images of the equine distal interphalangeal joint collateral ligaments (CLs), and evaluates the portion of the CLs assessable by US in a series of normal forelimbs. Transverse and longitudinal US images were obtained on five healthy horses and on 25 equine cadaver forelimbs. On six limbs, a needle was placed under US-guidance at the distal limit of visualization of each CL, and the portion of CL visible at US was evaluated on computed tomographic (CT) images. The normal CLs appear as oval structures located abaxial to the fossae of the middle phalanx in the transverse sections, obtained at the level of the coronary band. A centrodorsal hypoechoic image appears with increasing proximodistal probe inclination, demonstrating different fiber orientations within the ligament. Two main fascicles, a deep and a superficial, distally divergent, are visible on longitudinal images obtained in the central part of the ligament. The proportion of CL visible at US examination was more than 50% of the total ligament length in nine of the 12 CLs assessed by CT. Awareness of the estimated portion of distal interphalangeal joint CLs visible at US and detailed knowledge of the US technique and CLs morphology are essential to efficiently use US examination on clinical cases.