Comparison of different treatment methods for supination-lateral rotation ankle fractures.

OBJECTIVES: This study aims to compare the therapeutic effects of fixation with fibular approach, fixation with posterolateral fibular approach, and conservative therapy on supination-lateral rotation ankle fractures. PATIENTS AND METHODS: A total of 189 patients (103 males, 86 females; mean age: 45.7±4.7 years; range, 40 to 51 years) with supination-lateral rotation ankle fractures treated in our hospital between March 2020 and March 2021 were included in this prospective study. The patients were assigned into conservative therapy, fibular approach, and posterolateral approach groups including 63 patients in each group. Clinical conservative therapy was performed for conservative therapy group, while fibular approach and posterolateral approach groups were given fixation with fibular approach and posterolateral fibular approach, respectively. Their routine parameters, body stress, ankle function, treatment efficacy and safety were compared. RESULTS: The length of hospital stay was shorter in the fibular approach and posterolateral approach groups than the conservative therapy group, particularly in the fibular approach group (p<0.05). The pain stress and oxidative stress were lower in the fibular approach and posterolateral approach groups than the conservative therapy group, particularly in the posterolateral approach group (p<0.05). Compared to the conservative therapy group, the fibular approach and posterolateral approach groups had significantly recovered ankle function, with better recovery in the posterolateral approach group (p<0.05). The response rate was higher in the fibular approach and posterolateral approach groups than the conservative therapy group, being higher in the posterolateral approach group (p<0.05). CONCLUSION: For patients with supination-lateral rotation ankle fractures, fixation with posterolateral fibular approach is more effective for expediting the recovery of ankle joints than conservative therapy and fixation with fibular approach, accompanied by higher safety.

Effect of uncertainty-dependent residential mobility on loss aversion.

The current research aimed to examine the relationship between residential mobility and loss aversion, a ubiquitous decision-making bias conceptualized in prospect theory. Combining correlational, experimental, and electroencephalography approaches, we tested the hypothesis that residential mobility may increase loss aversion. The results revealed a positive correlation between residential mobility and loss aversion (Study 1). These effects were moderated by individuals' residential mobility/stability mindsets. Behaviorally, we observed a positive association between residential mobility history and loss aversion among individuals with a high (vs. low) subjective uncertainty after manipulating their residential mobility mindset by priming them with a mobile or stable lifestyle (Study 2). On the neural level, we found that the mindset of residential mobility (vs. stability) enhanced the differential feedback-related negativity (FRN) modulations between the large-win and large-loss conditions among Chinese participants with a high subjective uncertainty (Study 3). In conclusion, residential mobility elevated loss aversion by enhancing feelings of subjective uncertainty. Our findings provide novel insights into how changes in the socioecological environment shape individuals' decision-making bias.

Residential mobility mindset enhances temporal discounting in the loss framework.

With the internationalization of human society, population mobility has greatly increased, which can affect people's psychological states and behaviors. Research on residential mobility is burgeoning, but few studies have linked this topic to decision making, particularly temporal discounting, in which individuals generally discount future gains and losses. In Study 1, we manipulated individuals' residential mobility and stability and found that residential mobility heightened temporal discounting. In Study 2, which was designed to investigate the neural mechanism underlying this relationship, the participants gambled between two pictures and received temporal-related feedback, including gain and loss, while event-related potentials (ERPs) were recorded. The results showed that the main effect of temporal discounting was reflected in the feedback-related negativity (FRN) component in the 180-340 ms time window. Additionally, the participants primed with mobility rather than stability exhibited a significant difference in FRN over the right-central electrodes between present and future large-amount losses but not between present and future large-amount or small-amount gains. Study 3 revealed that residential mobility increased the participant's sense of uncertainty, thereby enhancing temporal discounting. In conclusion, the current research reveals that residential mobility enhances temporal discounting by modulating the neural processes involved in evaluating monetary loss and by increasing the individual's sense of uncertainty. This research suggests that socioecological factors play important roles in individuals' intertemporal decisions.

[Free tissue transplantation from amputated limbs for covering raw surface of stumps].

OBJECTIVE: To investigate and evaluate the effectiveness of covering amputated raw surface with free tissue transplantation from damaged limbs. METHODS: Between August 2010 and June 2011, 5 cases of severe injury of lower extremities were treated, including 4 males and 1 female with an age range of 3 years and 8 months to 43 years. Of them, 3 cases suffered from traffic accident injury and 2 had machine injury. The disease duration was 2-9 hours. Among the 5 cases, 1 suffered from half pelvis destruction and traumatic amputation of hip joint, 1 from comminuted open fracture of proximal femur, and another 3 from thigh destruction with survival soft tissue of legs. All cases were treated with emergency operation of amputation. The raw surface of the residual stumps was 20 cm x 10 cm to 20 cm x 20 cm in size. Two lateral anterior thigh flaps and 3 posterior tibial artery flaps were harvested from the damaged limbs. The flap size ranged from 15 cm x 10 cm to 25 cm x 20 cm. The wounds were repaired with free tissue transplantation. RESULTS: Five transplanted tissue flaps were survival. Skin necrosis occurred in the wound edge at 7-10 days postoperatively and was cured after excision of necrotic tissue, dressing change or vacuumed drainage for 1-2 months. All wounds healed and the patients were followed up 1-3 months. No sinus tract or ulceration was observed. The appearance of stumps was satisfactory. CONCLUSION: The effectiveness of repairing amputated raw surface with free tissue transplantation from amputated limbs is satisfactory. It is an effective procedure to repair the raw surface of amputated stumps.