Objective To explore the clinical value of preoperative psychological care combined with fast track surgery care in patients with open limb fracture surgery. Methods A total of 93 patients with open limb fractures requiring surgical treatment admitted to a hospital in Henan Province from January 2020 to January 2021 were selected as subjects

who were assigned to a study group（47 cases） and a control group（46 cases） using the random number table method. Patients in the control group received conventional operating room care; patients in the study group preoperative psychological care in combination with fast track surgery care in addition to the conventional care. The Hamilton Anxiety Scale（HAMA） and Depression Self-Rating Depression Scale（SDS） scores before（at admission） and after（3 d after surgery） the intervention were compared between the two groups; the treatment compliance and the incidence of infection during the 3-month postoperative follow-up period were compared between the two groups. Results Before the intervention

there was no statistically significant difference in SDS and HAMA scores between the 2 groups（P>0.05）. After the intervention

the SDS and HAMA scores of patients in both groups were lower than those before the intervention

with the study group lower than the control group

and the differences were statistically significant（P <0.05）. The overall compliance rate of patients in the study group was 93.62%

which was higher than that of the control group（78.26%）

and the difference was statistically significant（P<0.05）. The incidence of infection was 2.13% in the study group

which was lower than that of the control group（19.56%）

and the difference was statistically significant（P<0.05）. Conclusion The application of preoperative psychological care in combination with accelerated rehabilitation surgical care in patients with open limb fracture surgery is established

which can effectively improve the negative perioperative emotions of patients

improve their compliance with treatment

and reduce the incidence of postoperative infection.These advantages justify a wider application of this procedure clinically.