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Dual Mobility Cups as the Routine Choice in Total Hip Arthroplasty. 全髋关节置换术中的常规选择--双活动度髋臼杯
IF 2.4 3区 历史学 0 CLASSICS Pub Date : 2022-04-09 DOI: 10.3390/medicina58040528
Ignacio Aguado-Maestro, Inés de Blas-Sanz, Ana Elena Sanz-Peñas, Silvia Virginia Campesino-Nieto, Jesús Diez-Rodríguez, Sergio Valle-López, Alberto Espinel-Riol, Diego Fernández-Díez, Manuel García-Alonso

Background and Objectives: Total hip arthroplasty (THA) is considered the most successful surgical procedure in orthopedics. However, dislocation remains the main indication for surgical revision. New designs of dual mobility cups (DMC) have lowered the classical complications and have extended the indications of DMC in elective surgeries. Our aim is to assess the trend of DMC indications in THA as well as the incidence of their dislocation. Materials and Methods: We retrospectively reviewed all patients undergoing THA with DMC during the years 2015 and 2021. The original indication for DMC included patients sustaining neck of femur fractures (NOF#) and associated risk factors for dislocations. Five years later, DMC was considered our standard of care in total hip arthroplasty. The approach (anterolateral or posterolateral) was chosen by the surgeon according to his/her preferences, as was the implant. Data collected included patients' demographics, diagnosis, admission time, surgical approach, cup models, and inclination and complications. Patients sustaining a hip dislocation were prospectively reviewed and assessed for treatment received, new dislocations, and need for surgical revision. Two groups were created for the analysis according to the presence or absence of dislocation during follow-up. Results: In the analysis, 531 arthroplasties were included (mean age 72.2 years) with a mean follow-up of 2.86 years. The trend of indications for DMC increased from 16% of THA in 2015 to 78% of THA in 2021. We found a total of 8 dislocations (1.5%), none of them associated with elective surgery. Closed reduction was unsatisfactory in four cases (50%). There was one case of intraprosthetic dislocation. Dislocations were associated to smaller heads (22 mm) (1.5% vs. 25%, p = 0.008) and cups (51.2 mm vs. 48.7 mm, p = 0.038) and posterior approach (62.5% vs. 37.5%, p = 0.011). Conclusion: Dual mobility cups are a great option to reduce the risk of dislocation after a THA both in the neck of femur fractures and elective cases. The use of an anterolateral approach in THA after a neck or femur fracture might considerably decrease the risk of dislocation.

背景与目的:全髋关节置换术(THA)被认为是矫形外科最成功的外科手术。然而,脱位仍是手术翻修的主要适应症。双活动度髋臼杯(DMC)的新设计降低了传统并发症的发生率,扩大了DMC在择期手术中的适应症。我们的目的是评估 DMC 在 THA 中的适应症趋势及其脱位发生率。材料和方法:我们对 2015 年至 2021 年期间所有接受 THA 并使用 DMC 的患者进行了回顾性分析。DMC 最初的适应症包括股骨颈骨折(NOF#)患者及相关脱位风险因素。五年后,DMC 被认为是全髋关节置换术的护理标准。手术方式(前外侧或后外侧)由外科医生根据自己的喜好选择,植入物也是如此。收集的数据包括患者的人口统计学特征、诊断、入院时间、手术方式、髋臼杯型号、倾向和并发症。对髋关节脱位患者进行了前瞻性回顾,并评估了所接受的治疗、新的脱位以及手术翻修的必要性。根据随访期间有无脱位情况将患者分为两组进行分析。结果:分析共纳入了 531 例关节置换术(平均年龄 72.2 岁),平均随访时间为 2.86 年。DMC的适应症从2015年的16%增加到2021年的78%。我们共发现了8例脱位(1.5%),其中没有一例与择期手术有关。4例(50%)闭合复位不满意。其中一例为假体内脱位。脱位与较小的假体头(22 毫米)(1.5% 对 25%,p = 0.008)和假体杯(51.2 毫米对 48.7 毫米,p = 0.038)以及后入路(62.5% 对 37.5%,p = 0.011)有关。结论:无论是股骨颈骨折还是择期手术,双活动度髋臼杯都是降低THA术后脱位风险的最佳选择。在股骨颈或股骨骨折后的全人工关节置换术中使用前外侧入路可大大降低脱位风险。
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引用次数: 0
THE VIEW FROM THE MOUNTAIN (OROSKOPIA) IN GREEK AND LATIN LITERATURE 山景:希腊和拉丁文学中从山上(oroskopia)看到的景色
IF 0.2 3区 历史学 0 CLASSICS Pub Date : 2018-04-18 DOI: 10.1017/S1750270518000015
Irene de Jong
This paper argues for the existence of the topos of oroskopia in Greek and Latin literature. Gods and mortals are positioned on mountains to watch events or landscapes below. The view from above symbolises power (in the case of the gods) or an attempt at control or desire for power (in the case of mortals). It may also suggest an agreeable and relaxed spectatorship with no active involvement in the events watched, which may metaphorically morph into a historian's objectivity or a philosopher's emotional tranquillity. The elevated position may also have a temporal aspect, gods looking into the future or mortals looking back on their life.
本文论证了希腊和拉丁文学中存在着oroskopia主题。神和凡人被安置在山上,观看山下的事件或风景。从上方俯瞰象征着权力(在神的情况下)或试图控制或渴望权力(在凡人的情况下)。它也可能意味着一种愉快而放松的旁观者,不积极参与所观察的事件,这可能隐喻地演变为历史学家的客观或哲学家的情感平静。高高在上的位置也可能有一个暂时的方面,神展望未来或凡人回顾他们的生活。
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引用次数: 5
The Hippias Minor and the traditions of Homeric criticism 小希比阿和荷马批评的传统
IF 0.2 3区 历史学 0 CLASSICS Pub Date : 2016-12-01 DOI: 10.1017/S1750270516000014
Richard Hunter
Homer plays an important role in the discussion in the Hippias Minor of voluntary and involuntary action and their relation to knowledge and goodness. This paper argues that the Hippias Minor sheds light on the Homeric criticism of the late fifth and early fourth centuries, and that it looks forward to, and significantly influenced, the tradition of Hellenistic and later Homeric criticism, for which our best witnesses are the Homeric scholia. This article considers Socrates' presentation of Achilles and Odysseus in the Hippias Minor and makes the case, more strongly than it has been made before, that this dialogue was an important influence on the later critical tradition.
荷马在《小希比阿》中关于自愿和非自愿行为及其与知识和善良的关系的讨论中发挥了重要作用。本文认为,《小希比阿》揭示了五世纪末和四世纪初的荷马批评,它期待并显著影响了希腊化和后来的荷马批评传统,我们最好的见证是荷马学派。这篇文章考虑了苏格拉底在《小希比阿斯》中对阿喀琉斯和奥德修斯的介绍,并比以前更有力地证明,这段对话对后来的批评传统产生了重要影响。
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引用次数: 20
FOOLS RUSH IN: SEX, ‘THE MEAN’ AND EPICUREANISM IN HORACE, SATIRES 1.2 傻瓜们冲了进来:性,“中庸”和享乐主义在贺拉斯,讽刺1.2
IF 0.2 3区 历史学 0 CLASSICS Pub Date : 2016-12-01 DOI: 10.1017/S1750270516000087
Jerome Kemp
This paper concerns Horace's treatment of ‘the mean’ in Satires 1.2: his ironic demonstration of its elusiveness and changeability in the first part of the satire; and how this leads to the alignment of Epicurean moderation with a framework most associated with Aristotle. I argue that the irony in the sometimes apparently illogical, humorous expression of Peripatetic and Hellenistic ethics complements the satire's other ironic inconsistencies, while nevertheless serving a serious underlying philosophical purpose which some recent scholarship has denied.
本文研究贺拉斯在《讽刺》第1.2篇中对“中庸”的处理:他在讽刺的第一部分中对“中庸”的难以捉摸和易变性的反讽论证;以及这是如何将伊壁鸠鲁节制主义与亚里士多德最相关的框架结合起来的。我认为,这种讽刺有时明显不合逻辑,幽默地表达了漫游和希腊化伦理,补充了讽刺的其他讽刺矛盾,尽管如此,它还是服务于一个严肃的潜在哲学目的,这是最近一些学术所否认的。
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引用次数: 4
TWISTING IN THE WIND: MONUMENTAL WEATHERVANES IN CLASSICAL ANTIQUITY 在风中扭曲的:古代不朽的风向标
IF 0.2 3区 历史学 0 CLASSICS Pub Date : 2016-12-01 DOI: 10.1017/S1750270516000099
Dunstan Lowe
Monumental weathervanes have been overlooked as a tiny but important genre of ancient bronze sculpture. This is the first collective study of all three definite examples: the so-called ‘triton’ on the Tower of the Winds in Athens, a copy of this somewhere in Rome, and the winged female ‘Anemodoulion’ on the Bronze Tetrapylon in Constantinople. I propose to identify the intended subjects of these sculptures as the weather-deities Aiolos and Iris, thereby restoring a part of each monument’s original meaning that was unknown to the authors of our ancient written accounts. I also suggest that monumental weathervanes were first invented in Hellenistic Alexandria, which may explain why the Tower of the Winds shared the octagonal design of the Pharos, and why the Anemodoulion was mounted upon a bronze pyramidion.
巨大的风向标作为一种微小但重要的古代青铜雕塑被忽视了。这是第一次对所有三个明确的例子进行集体研究:雅典风塔上所谓的“特里同”,罗马某处的复制品,以及君士坦丁堡青铜四柱塔上有翅膀的女性“阿尼莫多里昂”。我建议将这些雕塑的预定主题确定为气象之神艾奥洛斯和艾瑞斯,从而恢复每个纪念碑的部分原始含义,这是我们古代书面记录的作者所不知道的。我还认为,巨大的风向标最早是在希腊化的亚历山大港发明的,这也许可以解释为什么风之塔和法罗斯一样有八角形的设计,以及为什么风之塔被安装在青铜金字塔上。
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引用次数: 1
TWO NOTES ON DARIUS III 关于大流士三世的两个注释
IF 0.2 3区 历史学 0 CLASSICS Pub Date : 2016-12-01 DOI: 10.1017/S1750270516000063
M. Charles
This article presents new insights into two aspects of the life of Darius III. In the first section, Darius’ presentation as a ‘slave’ in one source tradition is argued to be a delegitimising trope aimed at presenting him as an unworthy king, even though all Persians could be regarded as slaves of the monarch. In the second, Justin's use of cognati to describe those who betrayed Darius is interpreted, in the light of other accounts of Gaugamela's aftermath, as possibly being an allusion not just to blood-relatives but also to the cavalry guard, known as the ‘Kinsmen’ (συγγeνeῖς = cognati ).
本文对大流士三世生活的两个方面提出了新的见解。在第一部分中,大流士作为一个“奴隶”的呈现在一个来源传统中被认为是一种非合法性的比喻,旨在将他呈现为一个不值得的国王,尽管所有波斯人都可以被视为君主的奴隶。在第二篇中,贾斯汀用cognati来描述那些背叛大流士的人,根据高加梅拉事后的其他描述,可能不仅是对血亲的暗示,也是对骑兵卫队的暗示,被称为“Kinsmen”(σ ν γγeνe ι ς = cognati)。
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引用次数: 0
TALISMANIC PRACTICE AT LEFKANDI: TRINKETS, BURIALS AND BELIEF IN THE EARLY IRON AGE 左派的护身符实践:早期铁器时代的小饰品、墓葬和信仰
IF 0.2 3区 历史学 0 CLASSICS Pub Date : 2016-12-01 DOI: 10.1017/S175027051500010X
Nathan T. Arrington
Excavations at Lefkandi have dispelled much of the gloom enshrouding the Early Iron Age, revealing a community with significant disposable wealth and with connections throughout the Mediterranean. The eastern imports in particular have drawn scholarly attention, with discussion moving from questions of production and transportation to issues surrounding consumption. This article draws attention to some limitations in prevalent socio-political explanations of consumption at Lefkandi, arguing that models relying on gift-exchange, prestige-goods and elite display cannot adequately account for the distribution, chronology, find context and function of imports at Lefkandi. A study of trinkets – small but manifestly foreign imports of cheap material – offers a new perspective. An analysis of their form, context, use and meaning demonstrates that trinkets were meaningfully and deliberately deposited with children as talismans or amulets. Talismanic practice had Late Bronze Age precedents, and in the Early Iron Age was stimulated from personal contact with the Near East or Cyprus and nurtured by the unique mortuary landscape at Lefkandi. This article demonstrates the need for archaeologists to treat mortuary beliefs as a meaningful explanatory variable. Moreover, the ability of non-elite objects to convey powerful ideas has important implications for the nature and dynamics of artistic and cultural exchanges between Greece and the East in the Iron Age.
莱夫坎迪的发掘工作驱散了笼罩在早期铁器时代的阴霾,揭示了一个拥有大量可支配财富的社区,并与整个地中海地区有联系。东方进口尤其引起了学术界的注意,讨论从生产和运输问题转向了围绕消费的问题。本文提请注意流行的关于Lefkandi消费的社会政治解释的一些局限性,认为依赖于礼物交换、声望商品和精英展示的模型不能充分解释Lefkandi进口商品的分布、年代、发现背景和功能。一项对小饰品的研究提供了一个新的视角。这些小饰品显然是外国进口的廉价材料。对它们的形式、背景、用途和意义的分析表明,小饰品是有意义地、故意地作为护身符或护身符放在孩子们身边的。护身符的实践有青铜时代晚期的先例,在铁器时代早期,由于与近东或塞浦路斯的个人接触而受到刺激,并受到莱夫坎迪独特的殡葬景观的培育。这篇文章证明了考古学家需要将太平间信仰作为一个有意义的解释变量来对待。此外,非精英物品传达强大思想的能力对铁器时代希腊与东方艺术文化交流的性质和动态具有重要意义。
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引用次数: 9
Damnatio memoriae or creatio memoriae? Memory sanctions as creative processes in the Fourth Century AD 纪念诅咒还是纪念创造?在公元四世纪,记忆被视为创造性的过程
IF 0.2 3区 历史学 0 CLASSICS Pub Date : 2016-12-01 DOI: 10.1017/S1750270516000038
Adrastos Omissi
Damnatio memoriae , the ill-defined group of processes that we often now refer to by the term ‘memory sanctions’, is generally thought of in wholly negative terms. It is imagined as a process of destruction, of erasure, and of silence. Yet these complex assaults on the memory of fallen enemies were far more than simply destructive processes. Through the example of Magnus Maximus (383–8) and his commemoration in Rome and Constantinople during the reign of Theodosius I, this article considers how memory sanctions could be generative of historical material and how emperors used oratory, ceremony and triumphal architecture to memorialise their fallen enemies.
“记忆惩罚”是一组定义不清的过程,我们现在经常称之为“记忆制裁”,它通常被认为是完全消极的。它被想象成一个毁灭、抹去和沉默的过程。然而,这些对阵亡敌人记忆的复杂攻击远不止是简单的破坏性过程。本文以狄奥多西一世统治时期马格努斯·马克西姆斯(Magnus Maximus, 383 - 888)和他在罗马和君士坦丁堡的纪念活动为例,探讨了记忆制裁是如何从历史材料中产生的,以及皇帝是如何使用演讲、仪式和凯胜建筑来纪念他们倒下的敌人的。
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引用次数: 5
The Hersfeldensis and the Fuldensis of Ammianus Marcellinus: A reconsideration 马塞利纳斯Ammianus Marcellinus的hersfeldens和fuldens:再思考
IF 0.2 3区 历史学 0 CLASSICS Pub Date : 2016-08-05 DOI: 10.1017/S1750270516000075
G. Kelly, J. Stover
The only two authoritative manuscripts of Ammianus Marcellinus to survive to the present day were produced in Germany in the first half of the ninth century: Vaticanus Latinus 1873 from Fulda (V), and a fragmentary manuscript from Hersfeld now preserved in Kassel (M). This article challenges the consensus that V is a copy of M. Taking into account recently uncovered fragments of M (new transcriptions of which are offered in the Appendix), we argue that both are copies of the same damaged original, and discuss the implications for the editing of Ammianus and for our understanding of Carolingian scholarship.
Ammianus Marcellinus的两份权威手稿保存至今,是9世纪上半叶在德国制作的:来自富尔达(V)的1873年《梵蒂冈拉丁》(Vaticanus Latinus)和保存在卡塞尔(M)的赫斯菲尔德(Hersfeld)的残缺手稿。本文挑战了V是M副本的共识。考虑到最近发现的M碎片(附录中提供了其新的转录本),我们认为两者都是同一份受损原件的副本,并讨论了对《Ammianus》的编辑和我们对加洛林王朝学术的理解的影响。
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引用次数: 3
PROFESSIONALISM AND THE POETIC PERSONA IN ARCHAIC GREECE 古希腊的专业主义与诗歌人格
IF 0.2 3区 历史学 0 CLASSICS Pub Date : 2016-06-10 DOI: 10.1017/S175027051600004X
Edmund Stewart
Greek poets of the archaic period, though often characterised as amateur aristocrats, could also seek to present themselves as professionals – regular practitioners of a specialist skill (τέχνη). In this capacity, the poet is understood to work primarily for the benefit of the community (either his own or, more commonly, those through which he travels). In return for these services, he expects to receive both a special status and material rewards (though financial gain is not presented as his main motivation). The poet’s professional status thus forms one part of his identity and is a source of respect in the ancient city.
古代时期的希腊诗人,虽然经常被描述为业余贵族,但也可以寻求将自己呈现为专业人士-专业技能的常规从业者(τ η)。在这种情况下,诗人被理解为主要是为社会的利益而工作(要么是他自己的,要么是更常见的,他旅行的地方)。作为这些服务的回报,他希望获得特殊地位和物质奖励(尽管经济利益并不是他的主要动机)。因此,诗人的职业地位构成了他身份的一部分,也是在古城中获得尊重的来源。
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引用次数: 17
期刊
Cambridge Classical Journal
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