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Letter to the Editor on "Contemporary Cementless Patellar Implant Survivorship: A Systematic Review and Meta-Analysis
Nosaibah Razaqi1,2, Rachana Mehta3, Shubham Kumar4
1Afghanistan Center for Epidemiological Studies, Herat, Afghanistan.
The Journal of Knee Surgery
|June 18, 2025
Abstract
No abstract available in PubMed .
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Deleterious Substances in Aggregate
Deleterious substances in aggregates can be detrimental to the quality and durability of concrete. These substances include organic impurities like loam, which interfere with cement hydration and are usually present in the sand. These prevent a good bond between aggregate and cement paste. Organic impurities can be detected using the colorimetric test, where the darkness of a solution after agitation indicates the level of organic content.
Another type of impurity is clay and fine material that...
Another type of impurity is clay and fine material that...
Quality of Water
In concrete preparation, the quality of water is paramount as it affects the strength and durability of the concrete. Potable water is usually preferred; however, it must not have excessive sodium or potassium to prevent compromising the concrete's integrity. Water quality is typically evaluated based on impurities such as dissolved solids, chlorides, and sulfates, and its pH value is ideally between 6 and 8. Even slightly acidic natural water may be acceptable unless it contains harmful...
Testing Water Quality
When the quality of water for concrete preparation is uncertain, its impact on the setting time of cement and compressive strength of mortar is assessed by comparison with de-ionized or distilled water benchmarks. American Society for Testing and Materials (ASTM) C1602 requires the setting times to be within 90 minutes of the control, British Standard (BS) 3146:1980 allows a 30-minute variance in the initial setting, while British Standards European Norm (BS EN) 1008 specifies initial setting...
Segregation in Fresh Concrete
Segregation in fresh concrete is a phenomenon where the components of the concrete mix separate, leading to uneven distribution and compromised structural integrity. This separation typically occurs when concrete is subjected to excessive horizontal movement within forms, or when it is dropped from considerable heights or forced through narrow, winding paths. As a result, heavier coarse aggregate particles settle at the bottom, while lighter, finer materials such as cement and water rise to the...
Aggregate Cement Ratio
The Aggregate Cement ratio refers to the weight of aggregate divided by the weight of cement in a concrete mix. Altering this ratio has profound effects on the concrete's properties. This ratio plays a pivotal role in determining the strength, workability, and durability of concrete. When the Aggregate Cement ratio is higher, the mix is leaner, meaning it has less cement paste to lubricate the aggregate, potentially making the concrete less workable. Such mixes, known as lean, enhance the...
Preplaced Aggregate Concrete
Preplaced aggregate concrete is ideal for construction environments that are not easily accessible. The process begins by properly wetting the gap-graded coarse aggregates to remove the dirt, then placing it in the form and compacting it. Voids are filled with a mortar mix pumped under pressure through slotted pipes. This mortar typically consists of Portland cement, pozzolan, fine aggregates, water, and a fluidizing aid. The pozzolan helps reduce bleeding and segregation while improving the...

