Surgical exposures and options for instrumentation in acetabular fracture fixation: Pararectus approach versus the modified Stoppa.

BACKGROUND As an alternative to the modified Stoppa approach, the Pararectus approach is used clinically for treatment of acetabular fractures involving the anterior column. The current study assessed the surgical exposure and the options for instrumentation using both of these approaches. METHODS Surgical dissections were conducted on five human cadavers (all male, mean age 88 years (82-97)) using the modified Stoppa and the Pararectus approach, with the same skin incision length (10cm). Distal boundaries of the exposed bony surfaces were marked using a chisel. After removal of all soft-tissues, distances from the boundaries in the false and true pelvis were measured with reference to the pelvic brim. The exposed bone was coloured and calibrated digital images of each inner hemipelvis were taken. The amount of exposed surface using both approaches was assessed and represented as a percentage of the total bony surface of each hemipelvis. For instrumentation, a suprapectineal quadrilateral buttress plate was used. Screw lengths were documented, and three-dimensional CT reconstructions were performed to assess screw trajectories qualitatively. Wilcoxon's signed rank test for paired groups was used (level of significance: p<0.05). RESULTS After utilization of the Pararectus approach, the distances from the farthest boundaries of exposed bone towards the pelvic brim were significantly higher in the false but not the true pelvis, compared to the modified Stoppa approach. The percentage (mean±SD) of exposed bone accessible after utilizing the Pararectus approach was 42±8%, compared to 29±6% using the modified Stoppa (p=0.011). In cadavers exposed by the Pararectus approach, screws placed for posterior fixation and as a posterior column screw were longer by factor 1.8 and 2.1, respectively (p<0.05), and screws could be placed more posteromedial towards the posterior inferior iliac spine or in line with the posterior column directed towards the ischial tuberosity. CONCLUSION Compared to the modified Stoppa, the Pararectus approach facilitates a greater surgical access in the false pelvis, provides versatility for fracture fixation in the posterior pelvic ring and allows for the option to extend the approach without a new incision.

Mineral, chemical and isotopic compositions of altered rocks at ODP Sites 193-1188 and 193-1189

During ODP Leg 193, 4 sites were drilled in the active PACMANUS hydrothermal field on the crest of the felsic Pual Ridge to examine the vertical and lateral variations in mineralization and alteration patterns. We present new data on clay mineral assemblages, clay and whole rock chemistry and clay mineral strontium and oxygen isotopic compositions of altered rocks from a site of diffuse low-temperature venting (Snowcap, Site 1188) and a site of high-temperature venting (Roman Ruins, Site 1189) in order to investigate the water-rock reactions and associated elemental exchanges. The volcanic succession at Snowcap has been hydrothermally altered, producing five alteration zones: (1) chlorite+/-illite-cristobalite-plagioclase alteration apparently overprinted locally by pyrophyllite bleaching at temperatures of 260-310°C; (2) chlorite+/-mixed-layer clay alteration at temperatures of 230°C; (3) chlorite and illite alteration; (4) illite and chlorite+/-illite mixed-layer alteration at temperatures of 250-260°C; and (5) illite+/-chlorite alteration at 290-300°C. Felsic rocks recovered from two holes (1189A and 1189B) at Roman Ruins, although very close together, show differing alteration features. Hole 1189A is characterized by a uniform chlorite-illite alteration formed at ~250°C, overprinted by quartz veining at 350°C. In contrast, four alteration zones occur in Hole 1189B: (1) illite+/-chlorite alteration formed at ~300°C; (2) chlorite+/-illite alteration at 235°C; (3) chlorite+/-illite and mixed layer clay alteration; and (4) chlorite+/-illite alteration at 220°C. Mass balance calculations indicate that the chloritization, illitization and bleaching (silica-pyrophyllite assemblages) alteration stages are accompanied by different chemical changes relative to a calculated pristine precursor lava. The element Cr appears to have a general enrichment in the altered samples from PACMANUS. The clay concentrate data show that Cr and Cu are predominantly present in the pyrophyllites. Illite shows a significant enrichment for Cs and Cu relative to the bulk altered samples. Considerations of mineral stability allow us to place some constraints on fluid chemistry. Hydrothermal fluid pH for the chloritization and illitization was neutral to slightly acidic and relatively acidic for the pyrophyllite alteration. In general the fluids, especially from Roman Ruins and at intermediate depths below Snowcap, show only a small proportion of seawater mixing (<10%). Fluids in shallow and deep parts of the Snowcap holes, in contrast, show stronger seawater influence.

Core correlation data and revised composite depth scale of Exp302 (ACEX) cores

Expedition 302 of the Integrated Ocean Drilling Program (IODP), also known as the Arctic Coring Expedition (ACEX), successfully penetrated a sequence of Cenozoic sediments draping the crest of the Lomonosov Ridge in the central Arctic Ocean. The cumulative sedimentary record spans the last 57 m.y. and was recovered from three sites located within 15 km of each other. Merging the recovered cores onto a common depth scale that accurately reflects their stratigraphic placement below the seafloor is a fundamental step toward interpreting this unique sedimentary record. However, the lack of overlapping recovery in adjacent holes and intervals of high core disturbance complicated traditional methods of stratigraphic correlation. Here we present a revised composite depth scale for the ACEX sediments, generated in part by performing a regional stratigraphic correlation with sediments recovered from previous expeditions to the Lomonosov Ridge. The revised depth scale also reassesses the offsets for cores in the upper 55 meters below seafloor, where no overlapping recovery was acquired, and proposes modifications to these depths.

Sea-surface temperature reconstruction in the Southwest Pacific

Uniquely in the Southern Hemisphere the New Zealand micro-continent spans the interface between a subtropical gyre and the Subantarctic Circumpolar Current. Its 20° latitudinal extent includes a complex of submerged plateaux, ridges, saddles and basins which, in the present interglacial, are partial barriers to circulation and steer the Subtropical (STF) and Subantarctic (SAF) fronts. This configuration offers a singular opportunity to assess the influence of bottom topography on oceanic circulation through Pleistocene glacial - interglacial (G/I) cycles, its effect on the location and strength of the fronts, and its ability to generate significant differences in mixed layer thermal history over short distances. For this study we use new planktic foraminiferal based sea-surface temperature (SST) estimates spanning the past 1 million years from a latitudinal transect of four deep ocean drilling sites. We conclude that: 1. the effect of the New Zealand landmass was to deflect the water masses south around the bathymetric impediments; 2. the effect of a shallow submerged ridge on the down-current side (Chatham Rise), was to dynamically trap the STF along its crest, in stark contrast to the usual glacial-interglacial (G-I) meridional migration that occurs in the open ocean; 3. the effect of more deeply submerged, downstream plateaux (Campbell, Bounty) was to dynamically trap the SAF along its steep southeastern margin; 4. the effects of saddles across the submarine plateaux was to facilitate the development of jets of subtropical and subantarctic surface water through the fronts, forming localized downstream gyres or eddies during different phases in the G-I climate cycles; 5. the deep Pukaki Saddle across the Campbell-Bounty Plateaux guided a branch of the SAF to flow northwards during each glacial, to form a strong gyre of circumpolar surface water in the Bounty Trough, especially during the mid-Pleistocene Climate Transition (MIS 22-16) when exceptionally high SST gradients existed across the STF; 6. the shallower Mernoo Saddle, at the western end of the Chatham Rise, provided a conduit for subtropical water to jet southwards across the STF in the warmest interglacial peaks (MIS 11, 5.5) and for subantarctic water to flow northwards during glacials; 7. although subtropical or subantarctic drivers can prevail at a particular phase of a G-I cycles, it appears that the Antarctic Circumpolar Current is the main influence on the regional hydrography. Thus complex submarine topography can affect distinct differences in the climate records over short distances with implications for using such records in interpreting global or regional trends. Conversely, the local topography can amplify the paleoclimate record in different ways in different places, thus enhancing its value for the study of more minor paleoceanographic influences that elsewhere are more difficult to detect. Such sites include DSDP 594, which like some other Southern Ocean sites, has the typical late Pleistocene asymmetrical saw-tooth G-I climate pattern transformed to a gap-tooth pattern of quasi-symmetrical interglacial spikes that interrupt extended periods of minimum glacial temperatures.

(Table 1) Mineralogy of DSDP Leg 65 sediments

During Leg 65, four sites were drilled near the mouth of the Gulf of California where high sedimentation rates made it possible to sample young oceanic crust near the ridge crest. The oldest sediments cored were upper Pliocene siltstones (Site 483); the samples at the other sites (482, 484, and 485) were all Quaternary in age. A series of 80 sediment samples, most of them hemipelagic clays, were examined by semiquantitative X-ray diffraction and Carbonate Bomb techniques to determine their mineralogy and carbonate contents. The results of this study may be used to determine their provenance and diagenesis.

(Table T1) Pore-water strontium content, and Sr isotope composition and ages of pore waters and sedimentary carbonates of ODP Leg 171B sites

Strontium concentrations and 87Sr/86Sr values were measured on pore-water and sedimentary carbonate samples from sediments recovered at Sites 1049-1053 on the Blake Spur during Ocean Drilling Program Leg 171B. These sites form a 40-km-long depth transect extending along the crest of the Blake Spur from near the upper edge of the Blake Escarpment (a steep cliff composed of Mesozoic carbonates) westward toward the interior of the Blake-Bahama Platform. Although these sites were selected for paleoceanographic purposes, they also form a hydrologic transect across the upper eastern flank of the Blake-Bahama Platform. Here, we use pore-water strontium concentrations and isotopes as a proxy to define patterns of fluid movement through the flanks of this platform. Pore-water strontium concentration increases with depth at all sites implying that strontium has been added during sediment burial and diagenesis. The isotopic values decrease from seawater-like values in the shallow samples (~0.70913) to values as low as 0.707342 in one of the deepest samples (~625 meters below seafloor). The change in pore-water strontium isotopic values is independent of the strontium isotopic compositions predicted from the host sediment age and measured on bulk carbonate in some samples. In most cases the difference between predicted sediment strontium isotopic composition and measured value is less than ±2 about the mean of the measured strontium value. Both the increase in concentration and the decrease in the strontium isotope values with increasing depth indicate that strontium was expelled from older carbonates. The strontium concentration and isotope profiles vary between sites according to their proximity to the Blake-Bahama Platform edge. Profiles from Site 1049 (nearest the platform edge) show the greatest amount of mixing with modern seawater, whereas the site most distal to the platform edge (Site 1052) shows the most significant influence of older, deeper carbonates on the pore-water strontium isotopic composition.