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The commonly used precipitation method struggles to effectively remove low-concentration heavy metals from water. Herein, we demonstrate that the formation of non-settleable phosphate sols at a low low-concentration is the main reason by using phosphate precipitation as an example and report a new method called microbial-induced reassembly (MIR) of the phosphate sols for the removal and fixation of divalent manganese (Mn(II)) from low-concentration wastewater under neutral conditions. Under the induction of microorganisms, the Mn(PO) sols formed in low Mn(II) concentration could be reassembled into larger and flower-like precipitates with good settleability, allowing for the removal and fixation of low-concentration Mn(II) through natural settlement. Moreover, MIR is able to reduce Mn(II) levels from 10 mg/L to as low as 0.1 mg/L, achieving nearly 100% removal. The interaction between bacterial protein functional groups and Mn ions drives the reassembly of Mn(PO) sols. MIR of phosphate sol is applicable to both Gram-negative bacteria, such as Escherichia coli, and Gram-positive bacteria, such as Staphylococcus aureus, as well as mixed aerobes. It is also suitable for the removal and fixation of other heavy metals like copper and zinc. This study offers a novel approach for the removal of low-concentration heavy metals from water, more importantly provides a new insight into the migration and fixation of heavy metals in the form of phosphate precipitates induced by microbes in natural aquatic environments.
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http://dx.doi.org/10.1016/j.chemosphere.2024.143934 | DOI Listing |
Clin Orthop Relat Res
August 2025
Complex Joint Reconstruction Center, Hospital for Special Surgery, New York, NY, USA.
Background: Choosing the appropriate implants for reconstruction in revision TKA is essential for long-term fixation. While cones and augments are routinely utilized to address tibial defects, the effect of augment location and size on the biomechanical stability of revision TKA constructs and the indications for the use of metaphyseal cones are not known.
Questions/purposes: Is the risk of cement-implant debonding of revision TKA constructs impacted by the thickness and location (medial versus bicompartmental) of tibial augments and the presence of metaphyseal cones during (1) a demanding daily activity like stair ascent and (2) torsional loads?
Methods: Under institutional review board approval, we developed patient-specific finite-element models of revision TKA from four patients (three males and one female, ages 50 to 80 years, BMI 27 to 37 kg/m2) who underwent two-stage revision and had a CT scan with no metal artifact after first-stage implant removal.
Acta Ortop Mex
September 2025
Servicio de Cirugía Ortopédica y Traumatología, Hospital Clínico Universitario-Malvarrosa. Valencia, España.
Introduction: subtalar dislocations, typical of high-energy trauma, are classified as medial, lateral, anterior or posterior depending on the deviation of the foot in relation to the talus. Lateral dislocation accounts for 17% of the total and has a worse prognosis. Immediate reduction is required to reduce the risk of sequelae, the incidence of which is around 90%.
View Article and Find Full Text PDFJB JS Open Access
September 2025
OLVG, Orthopedic Surgery Department, Amsterdam, the Netherlands.
Background: Evidence supporting surgery in elderly patients with distal radius fractures is limited, but displaced fractures may benefit from surgery. This study aimed to determine whether casting is noninferior to surgery for patients aged 65 years or older with substantially displaced intra-articular (AO type C) distal radius fractures.
Methods: This multicenter randomized controlled noninferiority trial included 138 patients (mean age 76 years, SD 6.
Cureus
August 2025
Research, Spinal Simplicity, LLC, Overland Park, USA.
Background Sacroiliac joint fusion is performed to stabilize and fuse the joint in patients with degenerative sacroiliitis and joint dysfunction. While several posterior techniques and implants exist as alternatives to lateral approaches, biomechanical and clinical performance data for these systems used as standalone remains limited. This article provides a preliminary cadaveric and clinical assessment of a novel posterior intra-articular sacroiliac fusion implant system.
View Article and Find Full Text PDFCureus
August 2025
Department of Orthopaedics, Asklipieio Voulas General Hospital, Athens, GRC.
Postoperative infections following orthopedic fixation can lead to devastating consequences, particularly in patients with comorbidities such as diabetes mellitus. We present a rare case of a 61-year-old female patient with a patella fracture treated with tension band wiring who developed a severe polymicrobial infection resulting in complete destruction of the patellar tendon. Multiple debridements, removal of implants, and prolonged targeted antibiotic therapy were necessary.
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