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Objectives: The aims of this study were to introduce the definition, indication, and surgical technique of extended ischiopubic fixation (EIF) and to investigate the early clinical, radiographic results and complications of hips revised with EIF. Methods: Patients who underwent revision THA utilizing the technique of EIF which was defined as securing the porous metal augment >5 mm deep into the ischium and/or pubic ramus to gain adequate mechanical support and fresh host bone for bony ingrowth in a single institution from February 2015 to February 2020 were retrospectively reviewed. After applying the inclusion and exclusion criteria, a total of 30 hips (28 patients) were eligible for the study and were enrolled. Four patients were lost to follow‐up postoperatively. The data of the remaining 24 patients (26 hips) were analyzed. The patients' clinical results were assessed using of the Harris Hip Score and any complications including postoperative periprosthetic joint infection, intraoperative fracture, postoperative periprosthetic fracture, dislocation, nerve palsy, hematoma or wound complication were documented. The radiographic results were assessed with the construct stability, the position of the center of rotation, and cup orientation. Results: The median age of these 25 patients was 62.00 (interquartile: 54.25–68.25) years, with a median body mass index (BMI) of 22.60 kg/m2 (interquartile: 21.49–25.12 kg/m2). A total of 12 (48%) patients were female. At a median duration of follow‐up of 49.16 months, 20 (80%) patients rated their satisfaction level as "very satisfied," five (20%) were "satisfied." The median HHS improved from 36.00 (interquartile range: 31.25–49.75) preoperatively to 81.00 (interquartile range: 74.75–88.25) at the most recent follow‐up (p < 0.001). No complications such as periprosthetic joint infection, intraoperative fracture, periprosthetic fracture, dislocation, nerve palsy, hematoma, or wound complication were identified. All constructs were considered to have obtained stable fixation. The median vertical and horizontal distance between the latest postoperative centers of rotation to the anatomic center of rotation improved from 13.62 and 8.68 mm preoperatively to 4.42 and 4.19 mm at final follow‐up (p < 0.001). Conclusions: Early follow‐up of patients reconstructed with porous metal augments using the EIF technique demonstrated satisfactory clinical results with no particular complications, stable fixation, and restoration of the center of rotation. [ABSTRACT FROM AUTHOR]

Reconstructing intermediate and bottom‐water temperature in the Arctic Ocean is key for understanding paleoclimatic phenomena, such as the region's interactions with warm Atlantic waters, stratification, and sea‐ice dynamics. However, benthic proxy archives are sparse throughout the Arctic circle compared to lower latitudes. Trace‐element ratios (E/Ca) derived from ostracodes, a group of bivalved microscopic crustaceans, have shown promise in this regard. Samples for E/Ca measurements typically require rigorous cleaning prior to analysis, and signs of contamination are routinely monitored through the presence of other trace elements such as Al, Fe, and Mn, which are associated with suspected sources of overprinting. However, there has not yet been an intra‐valve investigation of all of these trace elements, which may hinder our ability to effectively identify geochemical overprinting. Here, we present several elemental concentration and E/Ca ratio measurements in two ostracode genera, Krithe and Polycope, extracted from Chukchi Sea sediment samples. We further investigate the intra‐valve distribution of elements within single shells of adult and juvenile specimens using electron probe microanalysis (EPMA). Our findings suggest that brushing and bleach treatments may not be effective for completely eliminating clays from the edges of valves, which can bias paleoclimatologically relevant trace‐element proxies such as Mg/Ca ratios, particularly in the case of incomplete or small samples with low amounts of calcite material. In addition, we report the first trace‐element data from the genus Polycope, which shows potential as a new Arctic paleotemperature archive. Key Points: Brushing and bleach treatments fail to completely remove external contaminants from valve edges and might compromise E/Ca measurementsIncomplete or juvenile Krithe samples often yield less reproducible E/Ca measurementsPolycope ostracodes show promise for Arctic paleotemperature reconstructions [ABSTRACT FROM AUTHOR]

Objective: To evaluate the mid‐term clinical and radiographic results of revision total hip arthroplasty (THA) using jumbo cups in Chinese patients. Methods: We retrospectively studied 61 patients (63 hips; 29 men [30 hips], 32 women [33 hips]) who underwent acetabular revision with jumbo cups between January 2001 and April 2016 at our institution. The mean age at the index operation was 59.4 ± 11.4 years. The mean body mass index of the patients was 24.9 ± 3.8 kg/m2. Clinical evaluation was determined using the Harris hip score preoperatively and at follow up. Major complications (including instability, sepsis, and revision of the femoral or acetabular component) were recorded. Radiographic measurements included inclination and anteversion angles of the acetabular components, and the vertical and horizontal distances of the centers of rotation (V‐COR and H‐COR, respectively). In the 42 patients with normal contralateral hip joints, the postoperative V‐COR and H‐COR were compared between right and left sides. Their improvement in leg‐length discrepancy (LLD) after revision THA was also evaluated. Cup survival was evaluated using the Kaplan–Meier analysis. Clinical and radiographic outcomes were analyzed. Results: Mean follow up was 5.7 years (2–16 years). At the latest follow‐up, the average Harris hip score (preoperative vs postoperative values) had improved from 46 to 83 (P < 0.001). No acetabular component was radiographically defined as loosened. Four hips (6.3%) had major complications: one hip was revised because of periprosthetic infection (at 3 months); one underwent femoral open reduction and internal fixation (with implant retention) because of a periprosthetic femoral fracture (at 13 months); one operated hip developed a deep infection (at 2.5 years), which was treated with antibiotics; one hip experienced recurrent dislocation (at 4.5 years). The average cup inclination angle was 40.8° ± 6.8° and the average anteversion angle was 14.9° ± 6.6°. Average V‐COR decreased from 29.7 ± 10.4 mm to 22.3 ± 7.6 mm (P < 0.001). The average postoperative H‐COR was 29.5 ± 3.7 mm compared with 30.8 ± 6.6 mm preoperatively (P = 0.145). Among the 42 patients with normal contralateral hips, the average postoperative V‐COR were 22.2 ± 8.3 mm (operated side) and 14.0 ± 3.7 mm (contralateral side) (P < 0.001). LLD improved from −16.8 ± 17.1 mm to −5.6 ± 11.8 mm (P < 0.001). When failure was defined as any reoperation involving the hip, the mean 16‐year hip survival was 96.8% (95% confidence interval [CI] 87.9%–99.2%). When defined as any hip reoperation or major complication, it was 92.7% (95%CI 81.2%–97.2%). Conclusion: Use of jumbo cups for revision THA resulted in excellent mid‐term cup survival and helped restore the COR. [ABSTRACT FROM AUTHOR]