Objective: This study aims to analyze the clinical treatment effects of the minimally invasive percutaneous plate osteosynthesis (MIPPO) and multi-directional locking intramedullary nail (MDLIN) techniques in patients with distal tibial fractures. Methods: A total of 124 patients with distal tibial fractures, admitted to the People’s Hospital of Zhongjiang County from February 2019 to January 2020, were selected as the research subjects. They were randomly divided into groups ([Formula: see text]). The control group received MIPPO treatment, the observation group received MDLIN treatment, and the postoperative therapeutic effects and complications in the two groups were compared. Results: The patients in the observation group had shorter operative time and lower intraoperative blood loss than those in the control group ([Formula: see text]). The two groups had no significant differences in fracture healing time, complete weight bearing time, or functional recovery. The postoperative complication rate in the cases of the observation group was significantly lower than that of the control group ([Formula: see text]). Conclusion: Both techniques can achieve sufficient therapeutic effects; however, the MDLIN technique has certain advantages, including significantly fewer complications, lower intraoperative blood loss, and shorter operative durations compared to the MIPPO technique.

BACKGROUND: Tibial plateau fracture is a common fracture encountered in the clinic. OBJECTIVE: This study determined the optimal timing and surgical approach for patients with tibial plateau fracture. METHODS: Fifty-two patients with complex tibial plateau fractures were treated in our hospital (the People’s Hospital of Zhongjiang County) between 2013 and 2015. These patients were recruited as participants in this study; all patients were randomly allocated into two groups of 26 patients each. Patients in Group 1 underwent single-incision, single-plate knee surgeries via an antero-lateral approach, and patients in Group 2 underwent anterior median incisions of the knee for double-plate surgeries. The effects of the approaches were compared and analyzed. RESULTS: The best time to perform surgery was 6–8 days post-injury. The anterior median incision, double-plate method approach was better than the antero-lateral, single-incision, single-plate method. For the former method, the healing among middle-aged and young patients was better than that of elderly patients, and that healing of men was slightly better than that of female patients. However, the degree of healing among patients was > 80% at 5 months postoperatively. The purpose of surgical management has been fully achieved. CONCLUSION: The optimal timing of surgery for patients with complex tibial plateau fractures is 6–8 days post-injury. The surgical approach needs to be determined based on the actual condition of the patient. However, the treatment effect of an anterior median incision, double-plate method is better, and the recovery rate may approach 80% at 5 months postoperatively.

This study investigated the effect of two surgical treatment schemes on complex proximal humeral fractures. We included 60 patients with complex proximal humeral fractures admitted to the People’s Hospital of Zhongjiang County, China, from May 2016 to May 2017. The patients were randomly divided into group A (30 cases; intramedullary nail fixation) or group B (30 cases; plate internal fixation) to compare the therapeutic effects. We used Neer’s scoring system to calculate an acceptability ratio and assess pain six weeks after surgery. The acceptability ratio was 80.0% in group A and 93.3% in group B, and the ratio did not differ between the groups ([Formula: see text]). In groups A and B, 56.7% and 50% of patients were without pain, respectively; this rate did not differ between the groups ([Formula: see text]). Our results indicate that both methods are suitable for treating complex proximal humeral fractures. However, in practice, surgeons should select the most appropriate treatment method based on the actual fracture to ensure the best postoperative outcome with the least amount of pain.

Objective: This study investigates how a psychological and cognitive intervention based on stress theory affected patients with spinal fractures during the perioperative period, with a focus on mental resilience, self-efficacy, and quality-of-life. Methods: The participants included 50 patients who underwent spinal fracture surgery at our hospital (People’s Hospital of Zhongjiang County) between January and June 2022. They were divided into control (25 cases) and observation (25 cases) groups according to a table of random digits. The control group received a routine intervention, while the observation group received a one-week psychological and cognitive intervention based on stress theory. Before and after the intervention, both groups completed the Connor Davidson Resilience Scale (CD-RISC), general self-efficacy scale (GSES), and MOS 36-item short-form health survey (SF-36), with scores compared. Results: Compared with the preintervention results, both groups had significantly higher postintervention scores on the CD-RISC, GSES, and SF-36. Moreover, the observation group showed much higher scores than the control group ([Formula: see text]). Conclusions: Psychological and cognitive intervention based on stress theory can effectively improve psychological resilience, self-efficacy, and quality-of-life in patients with spinal fractures during the perioperative period. This finding is of high clinical reference value.

There is no unified standard for the early treatment of Type C pilon fractures. At present, the calcaneal traction technique and adjustable reverse traction frame are commonly used. In order to analyze the clinical effects of these two techniques more accurately, the effect of the adjustable reverse traction frame in early treatment of Type C pilon fractures was compared. The Orthopedics Department of People’s Hospital of Zhongjiang County collected the clinical data of 57 cases of Type C pilon fracture of the distal tibia in the preoperative period from January 2018 to December 2021. There were 28 cases treated with calcaneal traction and 29 cases with adjustable reverse external frame. The results show that the use of the adjustable reverse traction frame in the treatment of Type C pilon fracture has the dual advantages of calcaneal traction and the traditional external frame. These include simple operation and assembly, low cost, and the ability to relieve swelling of the affected limb soon after application, which shortens the preoperative waiting period, reduces pain in the affected limb after injury, shortens the hospital stay, effectively reduces the fractured and staggered parts of the fracture, and obtains good remediation efficacy.