Objective To investigate the level of posttraumatic growth(PTG) in patients with percutaneous coronary intervention(PCI), to explore the ruminant, positive/negative information attention to the impact of both on the posttraumatic growth. Methods A study of 360 patients with coronary artery disease was conducted using general information, Event Related Rumination Inventory (ERRI) and Attention to Positive and Negative Information Scale (APNIS) and the Post Traumatic Growth Inventory (PTGI). Results The Attention to Positive information (API) score was (38.47 ± 9.33) points, and the Attention to Negative Information (ANI) score was (32.99 ± 8.48) points for interventional patients with coronary heart disease, the total score of PTGI was(49.96±19.96)points and the total score of ERRI was (26.52 ± 10.55)points. In PCI patient the PTG and API were positively correlated with rumination (both purposeful and invasive), and PTG was negatively correlated with ANI. The result showed that API, rumination (including deliberate and intrusive) had positive predictive effect on PTG, and ANI had negative predictive effect on PTG, API and ANI respectively had significant interaction with ruminant meditation. Conclusions Patients with coronary artery disease undergoing interventional therapy reported the API was low, the ANI level was higher, the PTG and rumination level was lower. Clinical measures higher, the PTG and rumination level lower. Clinical measures should be taken to guide patients to pay more attention to positive information, to reduce the concern for negative information, and to guide patients to correct reflection in order to promote post-traumatic growth.

Objective To evaluate the clinical results of indirect reduction and fixation with the self-manufactured external fixator as a viable alternative in the surgical treatment of intraarticular calcaneal fractures.Methods From May 2006 to May 2009,a total of 30 patients undergone surgical treatment of intraarticular calcaneal fractures were analyzed,including 20 males and 10 females with an average age of 36 years (range,15-53).According to Sanders classification based on the computed tomography scan of intraarticular calcaneal fractures,16 patients were classified as type-Ⅲ,and 14 type-Ⅳ in this series.All fractures were treated first with the external fixator as indirect reduction and fixation device on the whole,which can enlarge the interspace of the subtalar joint significantly.Then,posterior articular facet of calcaneus was exposed and reduced through a small lateral incision.The calcaneal's length,breadth,thalamus height,maximum vertical displacement of the post-articular surface,and B(o)hler angle were measured preoperatively,3 days and 6 months after operation in X-ray film.Reduction results were evaluated by CT scan according to the standard of Buckley.Results The average follow-up time of all patients was 29 months (range,4-45).Lateral and axial roentgenograms showed satisfactory restoration of the calcaneal's anatomical structure.There were significant differences between preoperative values and those 3 days or 6 months postoperatively.There were no significant differences between values 3 days postoperatively and those 6 months postoperatively.The reduction results of posterior articular facet were evaluated by CT scan.Twenty-seven patients obtained anatomical reduction,3 patients obtained uneven articular facet within 2 mm.Conclusion This selfmanufactured external fixator is a vialbe alternative in the treatment of intraarticular calcaneal fractures,which has advantages of minimal invasion,practicality and less complications.