Objective To introduce the operation method of a rotational support plate through a traditional anterolateral approach for posterolateral tibial plateau fractures and analyze the postoperative outcome.Methods From May 2016 to September 2017,10 patients with posterolateral tibial plateau fractures who underwent surgery with the rotational support plate were retrospectively analyzed.There were 6 males and 4 females,aged from 23-66 years (average,46.2 years).The causes of the fractures included traffic accident in 4 cases,fall from height in 5 cases and falling injury in 1 case.According to AO-OTA classification,there were 1 case of 41-B2,8 cases of 41-B3 and 1 case of 41-C3.According to Schatzker classification,there were 6 cases of type Ⅱ,1 was of type Ⅲ,2 were of type Ⅴ,and 1 was of type Ⅵ.Four cases suffered multiple fractures.One patient suffered pelvic fracture,ipsilateral femoral shaft and medial malleolus fracture;One patient suffered ipsilateral tibiofibular fracture;1 patient suffered ipsilateral fibular head and medial femoral epicondyle fracture;One patient suffered ipsilateral fibular head fracture.Fracture healing time,complications,knee range of motion,Hospital for Special Surgery (HSS) knee score were recorded to evaluate postoperative outcomes.Results All 10 patients were followed up for 15.25 months (range,12-27 months).The bony union time ranged from 3.0-4.5 months (average,3.2 months).The range of motion of the knee joint was 105°-161.4° (average,139.9°).According to the HSS system,the score was 64-98 (average,88),including 8 of excellent and 2 of fair.No skin necrosis,incision infections,or fixation failure occurred during follow-up.Conclusion Fixation of posterolateral tibial plateau fracture was successfully achieved using the newly designed plate through a traditional anterolateral approach.It has many advantages such as reliable fixation,satisfying recovery,simplicity of operator,and small tissue damage.

在中国现代戏剧史上,没有哪位作家能像丁西林(1893—1974)一样,作品极少却又如此频繁地被人提起.即使在 1939 年后便中断了写作,①他仍然是戏剧技巧最为精湛的中国现代喜剧作家,无人能与之相媲美.当然,他并不是唯一一位写喜剧的作家.熊佛西、李健吾、袁牧之、陈白尘、袁俊等作家,往往误把喜剧艺术当作是简单的闹剧或者滑稽剧 ②(例如熊佛西的《洋状元》,1926年),而喜剧艺术的魅力在丁西林早期作品中已得到了充分的展现,他利用喜剧来对当代中国风俗发表个人评论.

胫骨平台骨折和胫骨远端 Pilon 骨折是典型的关节周围骨折,其解剖形状不规则,靠近关节面的部分宽大且松质骨多,一旦骨折常常会出现松质骨的塌陷压缩,出现骨缺损.目前处理塌陷骨折的方式是通过翘拨或隧道顶起对骨块进行复位,这样就使骨缺损的体积进一步增大.因而处理平台骨折和Pilon骨折时骨移植术是必要的,对于植骨术的选择目前有很多方法,有自体骨移植、同种异体骨移植和骨代替物移植[1-3].

The objective of this study was to use finite element models to investigate the biomechanics of stable thoracolumbar burst fracture repair using unilateral short-segment fixation and 4 alternate pedicle screw systems.Four posterior pedicle screw systems were compared for unilateral short-segment fixation using finite element models: intermediate bilateral short pedicle screw fixation, intermediate bilateral long pedicle screw fixation, intermediate unilateral short pedicle screw fixation, and intermediate unilateral long pedicle screw fixation. We compared range of motion (ROM), von Mises stresses on the implants, and stress on the intervertebral discs superior and inferior to the injured vertebra during simulated spinal movements.There were no significant differences in ROM, von Mises stress, or intervertebral disc stress among the 4 intermediate pedicle screw fixation techniques for all spinal movements evaluated. In addition, there were no consolidated trends depicting beneficial differences between the short and long screw models, or between the unilateral and bilateral screw models.ROM, von Mises stress, and intervertebral disc stress are the same across the 4, posterior short-segment fixation techniques evaluated using finite element models. The simplest technique-posterior short segment fixation combined with intermediate unilateral short pedicle screw fixation-is a feasible treatment strategy for stable thoracolumbar fracture.

<正>张爱玲逝世十多年,音尘未绝,因为每隔一段时光,她的生平和作品总会成为城中话题。王德威在《张爱玲再生缘:重复、回旋与衍生的叙事学》一文中借用了hauntology一词来概说这种现象。他文内说的"魂在论",就

<正>1970年冬天,在纽约曼哈顿区一个医师的聚会中,有人问大诗人奥登(已故),诗究竟有什么功用?研究科学和经济的这类"实用主义"者,动不动就讲功用,不足为奇,何况美国是个彻头彻尾的功用挂帅国家。

<正>拿今天的"政治"眼光来看经典古籍,难得有几本是"正确"的。中外情形如此。性别歧视是通例。孔老夫子一本正经的断论"惟女子与小人难养也;近之则不逊,远之则怨。"这种话,当时男人会视为"共识"。女人听了,不服气也只有闷在肚子里。

<正>上世纪五十年代中我在台大念书,念的是外文系,但不少必修科都是由外系老师担任。其中有殷海光先生的逻辑学和台静农先生的《中国文学史》。台先生其时是中文系教授兼系主任。必修科例必人丁旺盏,百多人挤在一个课室,授课老师除非口才了得而又善用身体语言制造魅力引起注意,否则五十分钟的课转眼就在同学交头接耳间浑浑噩噩地过去。

<正> 上世纪六十年代尾,夏志清教授计划编选一本英译现代中国小说选,交由哥伦比亚大学出版。我刚拿学位,在威斯康辛大学教书,尚未有著作。夏先生想到要扶我一把,乃邀请我当他的助理编辑。此选集 Twentieth-

<正>白先勇把六个故事结集成单行本,取名《纽约客》。分别是:《谪仙记》(1965)、《谪仙怨》(1969)、《夜曲》(1979)、《骨灰》(1986)、《Danny Boy》(2001)和《Tea for Two》(2003)。他给集子写了后记,简单交代了故事的来龙去脉。作者一九六三年初到美国,第一个落脚点是纽约。

<正>刚收到四月号的《书城》,封底是整页的新书广告。彭倩文翻译、多丽丝·莱辛(Doris Lessing)原著的小说《Particularly Cats》已由浙江文艺出版社出版了。中译本的书名叫《特别的猫》。我想译者对原文的理解有误。如果要说的是特别的猫,那么英文该是particular cats,particularly cats的意思是"特别是猫"。

<正>我一落笔就用题目划分界限,用意在说明本文话题只限于许地山(1893—1941)的文学作品。因为这位在燕京大学求学期间即有"许真人"之誉的文人学者,生平涉猎过的学术范围,实在博杂。他在燕大神学院研究宗教哲学,后来到哥伦比亚和牛津两家大学继续进修时,不改其志,只是野心更大,把梵文、印度文学和民俗学等学科也纳入研究的领域。

<正>"为英国卖淫"这么难听的话,也只有007才说得出来。007是詹姆斯·邦德(港译"占士邦"),英国王牌特务,遇坏人,杀无赦,这点你是知道的。但除非你看007电影外,还读弗莱明(Ian Fleming)的小说,否则to pimp for England这句话你是听不到的。因为这是007内心的独白,没有在银幕上"公开"出来。

<正>读黄灿然《美国知识分子的爸妈》一文,最让我"吃惊"的几句话是,《纽约书评》创刊号印了十万份,旋即销售一空。在出版后的几个星期,编辑部收到千多封读者来信,拍手叫好。一本单以书、书、书作话题的刊物,一上市,竟有十万个有心人注目,的确有点"耸人听闻"。

<正>张大春讲故事,神乎其技。《春灯公子》有"奇报品"一则,说袁子才有幕友名史茗楣者,为人厚道,乐善好施。门下食客中有生员志慕功名,史老先生却认为他骨相单薄,即使做了官也受人欺负,不如访求名师学那"辟谷导引"之术。小子言听计从,幸得栖霞山上碧下元真人收为徒,二十年后成为名满两广云贵的"袍道士",所过之处"地无旱涝,天无寒暑"。

<正>小说写作入门、无师自通之类的读物,总会腾出一些篇章,说明"细节"的铺陈,在叙事策略中是多重要的一个环节。细节可以是一个象征、一种摆设、一个角色眉梢眼角流露出来的风情。铺排得当,本身就收到"桃李不言,下自成蹊"的叙述效果。

<正>美国哲学家A.O.Lovejoy生前大概想过给"浪漫主义"(romanticism)这个词儿下个大家可以接受的定义,但书越看越多,也越看越糊涂,一时不知从何说起。什么算是浪漫?真是众说纷纭,莫衷一是。正如J.A.Cuddon编写的A Dictionary of Literary Terms and Literary Theory所说,the

"本文以"落难才女张爱玲"为题,在感情上已见先入为主的偏袒。在"封建"时代,末路王孙迫于环境而操"贱业",谓之"落难",如果我们从这个角度去看,那张爱玲的确有点像沦落天涯的"末路王孙",但用"落难"二字,因在感情上有先入为主的偏袒。为什么偏袒?因为我认识的,是张爱玲,"是今日中国最优秀最重要的作家"。我认识的,不是 Eileen Chang。"

丘吉尔说过,伟大的人物有他们的特点:你跟他们见面一次,毕生难忘.我相信优秀作家的文字,一经接触,也会留下类似的印象.二次大战时的英国公民,在英国广播公司电台听到首相的号召,we shall fight on the beaches,we shall fight on the landing grounds,we shall fight in the fields and in the streets,we shall fight in the hills,即使他们这辈子没有机会亲近过这位领导,跟他握过手,但一听到这种壮烈言辞,一定感到振奋,准备共赴国难.