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11.
《The Journal of arthroplasty》1995,10(1):1-5
A prospective study of the relation between nerve palsy and the surgical approach used for total hip arthroplasty was performed on 1,000 consecutive patients. A postoperative neuropathy was diagnosed in eight patients for an overall prevalence of 0.8%. The overall prevalence of nerve palsy with the posterior approach was 0.6% and 1.0% with the lateral transtrochanteric approach. In both primary and revision surgeries, there were no statistical differences between the two approaches. Our data suggest that it is the anatomic variations and complexity of the reconstruction that are associated with nerve injury and not the surgical approach per se. The increased prevalence of nerve palsy seen in revision surgeries (1.4%) regardless of the approach supports this position. 相似文献
12.
A cascade dehydrogenative Morita–Baylis–Hillman reaction of the C(sp3)–H of primary alcohols with the C(sp2)–H of electron-deficient olefins for forming allylic alcohols mediated by SO2F2 was developed. This method provides a mild process for the preparation of allylic alcohol moieties without the requirement of transition metals.A cascade dehydrogenative Morita–Baylis–Hillman reaction of the C(sp3)–H of primary alcohols with the C(sp2)–H of electron-deficient olefins for forming allylic alcohols mediated by SO2F2 was developed.Allylic alcohols are valuable scaffolds that are used in the construction of multifunctional building blocks and complex natural products.1 The versatility of these molecules has been demonstrated in the preparation of a series of biologically active compounds.2 A representative protocol for the synthesis of allylic alcohols is the well-known Morita–Baylis–Hillman reaction, one of the most widely applied methods for C–C bond formation.3In fact, C–C bond formation is among the most significant processes in chemistry and plays a central role in the construction of new organic molecules,4 in which transition metal catalysed C–C bond formation has particularly attracted great interest in recent years.5 For instance, a reaction for the direct formation of C–C bonds using two different unfunctionalized C–H bond partners was reported (Scheme 1a).6 Despite the great advantages of these dehydrogenative reactions for the formation of C–C bonds7 there are still certain limitations, such as that precious metal catalysts are still required (metal catalysts are sometimes undesirable).8 To overcome the limitations, we developed a new protocol for the formation of allylic alcohol motifs using abundant and inexpensive reagents.Open in a separate windowScheme 1Dehydrogenative reactions for the formation of C–C bonds.Alcohols, as a class of cheap and abundant industrial chemicals, have great advantages in green chemistry and organic synthesis.9 Sulfuryl fluoride (SO2F2), is also another inexpensive (about $1 per kg) and abundant chemical, which has attracted significant attention for chemical transformation.10 As part of our continuous efforts on the use of SO2F2 in exploring new synthetic methods to access important chemicals,10c–l herein, we report a one-pot process for the construction of valuable allylic alcohols through a dehydrogenative Morita–Baylis–Hillman reaction of the C(sp3)–H of primary alcohols with the C(sp2)–H of electron-deficient olefins (Scheme 1b).Initially, we examined the feasibility of this transformation using (4-nitrophenyl)methanol 1a as a model substrate to react with methyl methacrylate 2a to generate the corresponding allylic alcohol 3a. It has been widely established that tertiary amines such as trimethylamine (Me3N), 1,8-diazabicyclo[5.4.0]undec-7-ene (DBU) and 1,4-diazabicyclo[2.2.2]octane (DABCO) are effective for the Baylis–Hillman reaction,11 which inspired us to carry out our preliminary experiments using these bases. The use of Me3N and DBU provided the desired product 3a in only 5% and 41% yields, respectively ( Entry Base (X eq.) 2a (Y eq.) Temperature (°C) Yieldb (3a, %) 1 Me3N (3.0) 3.0 rt 5 2 DBU (3.0) 3.0 rt 41 3 DABCO (3.0) 3.0 rt 74 4 DABCO (3.0) 3.0 40 83 5 DABCO (3.0) 3.0 50 77 6 DABCO (1.0) 3.0 40 42 7 DABCO (5.0) 3.0 40 85 8 DABCO (3.0) 1.0 40 52 9 DABCO (3.0) 5.0 40 84