Publications by authors named "Shi-lian Kan"

The authors aim to investigate protective effects of fasciotomy against ischemia reperfusion injury of skeletal muscle in rabbit and to compare the treatment effects of prereperfusion + fasciotomy and fasciotomy + postreperfusion against ischemia reperfusion injury of skeletal muscle. 24 healthy male Japanese white rabbits were randomly divided into 3 groups, and 4 hours' ischemia was established in these rabbits through surgery. Six hours' reperfusion was performed in group A; reperfusion + postfasciotomy was performed in group B; and prefasciotomy + reperfusion was performed in group C.

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Article Synopsis
  • - The study compares three surgical methods—open reduction and plate fixation (ORPF), intramedullary nail (IMN) fixation, and minimally invasive percutaneous osteosynthesis (MIPO)—for treating humeral shaft fractures through a network meta-analysis of randomized controlled trials.
  • - It analyzed results from 16 studies involving 832 participants and found that shoulder impingement was more common in the IMN group, while the ORPF group had a higher rate of radial nerve injury.
  • - Ultimately, the findings suggest that MIPO is the most favorable treatment option compared to IMN and ORPF for humeral shaft fractures.
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Several meta-analyses comparing early functional rehabilitation and traditional immobilization following surgical Achilles tendon repair after acute rupture have been published. However, they have led to conflicting conclusions. The aims of this systematic review were to select high-quality meta-analyses from multiple discordant meta-analyses and to provide a postoperative rehabilitation strategy following surgical repair using currently available evidence.

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Aims: We conducted a meta-analysis of eligible studies to compare the surgical outcomes between diabetic patients and non-diabetic patients who have undergone cervical spondylotic myelopathy (CSM).

Methods: A systematic literature search of PubMed, Embase, and Web of Science (up to February 10, 2016) was conducted. Eligible studies were case-control or cohort studies that compared the outcomes of cervical surgery between diabetic patients and non-diabetic patients.

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The fifth metacarpal neck fractures (commonly termed boxer's fractures) are the most common type of metacarpal fractures. Many types of treatments are available in clinical practice, some of which have already been compared with other treatments by various researchers. However, a comprehensive treatment comparison is lacking.

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Background: Dorsally displaced distal radius fractures (DDDRF) are frequent injuries in clinical practice. Traditional percutaneous Kirschner wires (K-wire) and open reduction with volar locking plate (VLP) are the two most common surgical fixation techniques used to manage DDDRF. However, there is no current consensual evidence to guide the selection of one technique over the other.

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Multiple meta-analyses have been published to compare intramedullary nail and plate for treating humeral shaft fractures; however, results are discordant.The purposes of current study were to perform a systematic review of overlapping meta-analyses comparing intramedullary nail and plate fixation for the treatment of humeral shaft fractures, to appraise the methodological quality and the quality of reporting of meta-analyses, and to propose a guide through the currently discordant available evidence.This systematic review was performed according to the guidelines of Preferred Reporting Items for Systematic Reviews and Meta-analysis.

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Purpose: To determine the overall success rate and potential influencing factors within the current evidence for percutaneous first annular pulley release.

Methods: We searched PubMed, EMBASE, and the Cochrane Library for all clinical studies of percutaneous release. The rates of successful procedure and complication were extracted and analyzed.

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Article Synopsis
  • Open ankle fractures are common but have distinct features that require specific treatment methods, including immediate internal fixation and thorough wound care to prevent infections.
  • A study analyzed 96 patients who underwent surgery, following most of them for an average of 35 months, and found that primary wound healing occurred in 65 patients, with some experiencing complications such as necrosis and infections.
  • Results showed an average healing time of 13 weeks and a high mean AOFAS score of 90.4, indicating effective recovery despite the unique challenges presented by open ankle fractures.
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Unlabelled: Imaging protocols for suspected scaphoid fractures among investigators and hospitals are markedly inconsistent. We performed a systematic review and meta-analysis to assess and compare the diagnostic performance of bone scintigraphy, MRI, and CT for diagnosing suspected scaphoid fractures. Twenty-six studies were included.

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Whether operative treatment is a better option than nonoperative treatment for acute nondisplaced or minimally displaced fractures of the scaphoid is controversial. The type of cast that should be used for nonoperative treatment is not known. We performed a systematic review and meta-analysis of randomized and quasirandomized trials to evaluate the effect of operative versus nonoperative treatment and the effect of different casting methods for nonoperative treatment of acute scaphoid fractures on nonunion rate, return to work, grip strength, range of wrist motion, complications, patient evaluation, and incidence of osteoarthritis.

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Objective: To study the protective effects of ischemic preconditioning (IP) duration against ischemic reperfusion injury of skeletal muscle.

Methods: Thirty-six Wistar rats were made amputation-like models, which underwent temporary amputation at the level of the femur, excluding the femoral vessels. They were divided into 6 groups (n=6) according to different treatments before ischemia-reperfusion: group A (4 hours of ischemia-reperfusion); groups B, C, D, E (5, 10, 15, 20 minutes of ischemia and 5, 10, 15, 20 minutes of reperfusion respectively, for 3 cycles, 4 hours ischemia-reperfusion); group F (no ischemia-reperfusion).

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Objective: To report the effect of Russe technique in treating old scaphoid fracture.

Methods: From January 1987 to February 1999, 11 cases of old scaphoid fractures were treated with Russe technique. The follow-up period averaged 5 years and 7 months.

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