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Methods:  Twenty-two adult male Chinese cadaver knees of 25-45 years old were dissected. The sizes, distributions and positions of femoral and tibia footprints of anterior medial bundle (AMB) and posterior lateral bundle (PLB) of ACL and their fiber's orientations were measured and recorded. The anatomy and measurement results were used by one operator in 413 double-bundle ACL reconstruction knees of 411 cases with arthroscopic 4 bone-tunnel technique. Among them, 297 males and 114 females, there were 222 left knees and 191 right knees. The average age was 27.61 +/- 7.23 years old.


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Results:  The anatomy results showed the locations and sizes of AMB and PLB footprints in both femoral and tibia sides were different for different individuals. It was suggested to locate AMB femoral tunnel 7.95 +/- 1.40 mm inferior to 12:00 o'clock position on the posterior edge of the lateral wall of intercondylar fossa with 1 mm thick of the posterior wall of finished AMB femoral tunnel. With the knee flexed to 90 degrees, the PLB tunnel was 5.05 +/- 0.76 mm superior to the lower cartilage edge of the lateral wall of intercondylar fossa, 8.60 +/- 1.52 mm away from the anterior cartilage edge and 8.65 +/- 1.54 mm from the posterior edge. The anatomic orientations of tibia and femoral tunnels were also measured. The study results were used in arthroscopic double-bundle ACL reconstructions of 413 knees. In double-bundle ACL reconstruction operations, the grafts were used in the way from 2-strip double-bundle to 9-strip double-bundle. For most cases, Endo-Button was used for femoral fixation and bio-absorbable interference screw and staple were used for tibia fixation. For the patients adopting autologous semitendinosus and gracilis tendons (STG), the diameter of PLB bone tunnels was 5-6 mm in 95.9% cases, while that of AMB bone tunnel 5-7 mm in 72.4% cases. After a 28-month follow-up in 75 cases, the results showed that double-bundle ACL reconstruction could better reconstruct the stability of knees.

BACKGROUND: Patterns of early growth are associated with later body composition and risk of adult noncommunicable disease but information from low-income countries is limited. OBJECTIVES: The aim of this study was to investigate early growth trajectories and later anthropometric and bone density outcomes among children born term low birth weight (LBW: 1.8-2.5 kg). METHODS: We used data from 902 children from the Delhi Infant Vitamin D Supplementation study of LBW term infants (which collected monthly anthropometry from birth to 6 mo) and who had height, weight, midupper arm circumference (MUAC), midupper arm muscle circumference (MUAMC), subscapular and triceps skinfold thicknesses, tibia and radius bone density measured at age 4-6 y. We investigated how growth in the first 6 mo of life, modeled using the SuperImposition by Translation and Rotation (SITAR) growth curve model, was related to these outcomes. SITAR summarizes each infant's weight and length trajectory in terms of a population mean curve and child-specific growth parameters: size, timing, and intensity. These were included as explanatory variables in linear regression models for the childhood outcomes. RESULTS: Considering the infant weight and length SITAR parameters jointly, childhood weight was strongly associated with infant length timing [estimated regression coefficient  = 0.25 (95% CI: 0.10, 0.39)] and with weight size, timing, and intensity [ = 9.01 (6.75, 11.27),  = -0.25 (-0.43, -0.07),  = 5.03 (3.22, 6.84), respectively]. Childhood height was associated only with the length parameters [ = 0.97 (0.71, 1.23),  = -0.43 (-0.77, -0.09),  = 11.68 (8.60, 14.75), respectively]; childhood MUAC, MUAMC, and skinfolds with all parameters; and bone density with none. Overall, delayed and sustained growth in infant weight and length resulted in higher values of all outcomes except bone density, with the period up to 15 wk of age appearing critical for setting childhood anthropometry in this population. CONCLUSIONS: The explanation for the effects of delayed growth and length of the period in which trajectories are set is unclear; however, sustained and delayed growth in early infancy appears to be beneficial for these LBW children at least in the short-term. The trial was registered at clinicaltrials.gov as BT/PR7489/PID/20/285/2006.

The South China karst, a United Nations Educational, Scientific and Cultural Organization (UNESCO) World Heritage Site since 2007, is noted for its karst features and landscapes as well as rich biodiversity. Numerous subterraean species have been reported in this region, especially invertebrate fauna (Zhang, 1986). The spider genus Leptonetela is discontinuously distributed in the South China karst and the Balkan Peninsula, a karstic region in Europe. The genus has 54 catalogued species (World Spider Catalog, 2017), and with one exception (L. pungitiaWang & Li, 2011), nearly all Leptonetela species are endemic to either a single cave or a cave system. The spiders are cave adapted as shown by morphological features, such as vestigial eyes and highly reduced skin pigmentation. Over the past nine years, we have conducted extensive surveys of subterranean biodiversity in Eurasia. More than 1 500 caves were visited, and we ultimately sampled 122 Leptonetela populations (caves). Rapid and accurate identification within this genus is difficult due to congeneric species sharing similar morphological traits, a lack of obvious morphological differences between closely related species and some species only differ in one or a few quantitative differences, such as the location, length ratio or thickness of the male pedipalpal tibial spines and the number of teeth on the median apophysis.

Diagnosis. The genus Leptonetela can be distinguished from other leptonetid genera by the following combination of male pedipalpal characters: femur lacking spines and tibia with a longitudinal row of spines on the retrolateral surface.

Redescription. Carapace yellowish or white. Sternum shield-shaped. Opisthosoma gray, ovoid, covered with short hairs. Male pedipalpal patella with one short spine dorso-distally; tibia with trichobothria dorsally; cymbium with strong, thorny spine distally; bulb yellowish, ovoid, with two appendages inserted ventrally, median apophysis chitinous, conductor membranous, median apophysis and conductor absent in some species, embolus transparent, membranous. Female genital area covered with short hairs. Vulva with a pair of spermathecae and sperm ducts, spermathecae twisted and weakly sclerotized.

Diagnosis. This new species is similar to L. rudong Wang & Li sp. nov. and L. wenzhu Wang & Li sp. nov. but can be distinguished from L. wenzhu Wang & Li sp. nov. by the male pedipalpal tibia with 7 spines retrolaterally (tibia with 6 spines retrolaterally in L. wenzhu Wang & Li sp. nov.); from L. rudong Wang & Li sp. nov. by the tibia with 4 long setae prolaterally (Figure 28D) (tibia with 2 long setae, 2 spines prolaterally, cymbium with 1 horn-shaped spine on the earlobe-shaped process in L. rudong Wang & Li sp. nov.); from L. rudong Wang & Li sp. nov., and L. wenzhu Wang & Li sp. nov. by the conductor broad, C shaped (conductor thin, triangular in L. rudong Wang & Li sp. nov., bamboo leaf-shaped in L. wenzhu Wang & Li sp. nov.).

Diagnosis. This new species is similar to L. rudong Wang & Li sp. nov., and L. la Wang & Li sp. nov. but can be distinguished by the male pedipalpal tibia with 6 spines retrolaterally (Figure 32D), conductor bamboo leaf-shaped in ventral view (Figure 32B) (tibia with 1 long seta, 6 spines retrolaterally in L. rudong Wang & Li sp. nov., tibia with 7 spines retrolaterally in L. la Wang & Li sp. nov., conductor broad, C shaped in L. la Wang & Li sp. nov.; thin, triangular in L. rudong Wang & Li sp. nov.).

Diagnosis. This new species is similar to L. rudiculaWang & Li, 2011, but can be distinguished by the male pedipalpal tibia with 6 spines retrolaterally (Figure 44D), prolateral lobe indistinct (Figure 44C), conductor broad and long, distal edge undulate (Figure 44B) (5 spines retrolaterally, prolateral lobe oval, conductor short, C shaped in L. rudicula).

Diagnosis. This new species is similar to L. curvispinosa Lin & Li, 2010, but can be distinguished by the male pedipalpal tibia with 4 large spines prolaterally, 6 large spines retrolaterally (Figure 60D), median apophysis not sclerotized, little finger-shaped in prolateral view, conductor broad C tile-shaped (Figure 60B) (tibia with 3 large spines prolaterally, 5 large spines retrolaterally, median apophysis absent, conductor reduced in L. curvispinosa). 2351a5e196

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