Crossed Kirschner’s wires for the treatment of anterior flail chest: an extracortical rib fixation

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crossed kirschner’s wires for the treatment of anterior flail chest: an extracortical rib fixation

objective: thoracic trauma may be a life-threatening condition. flail chest is a severe chest injury with high mortality rates. surgery is not frequently performed and, in literature, data are controversial. the authors report their experience in the treatment of flail chest by an extracortical internal-external stabilization technique with kirshner’s wires (k-wires). methods: from 2010 to 2015...

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Surgical treatment of flail chest and rib fractures.

Despite significant advances in critical care management, flail chest remains a clinically significant finding, with a mortality rate of up to 33%. Nonsurgical management is associated with prolonged ventilator support, pneumonia, respiratory difficulties, and lengthy stays in the intensive care unit, as well as chronic pain from nonunion and malunion of the bony thorax. Treatment with aggressi...

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VAC® for external fixation of flail chest

A large aterior chest wall defect following tumor resection was reconstructed with a Gore-Tex® membrane and a combined musculocutaneous rectus femoris and tensor fasciae latae free flap. Subsequent paradoxical respiration impeded weaning from the ventilator. Appliance of Vacuum Assisted Closure® (VAC®) resulted in immediate chest wall stability and a decrease in the patient's need for respirato...

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Successful operative rib fixation of traumatic flail chest in a patient with osteogenesis imperfecta.

Increasing attention has been directed towards operative rib fixation of traumatic flail chest; reported benefits include more rapid weaning from the ventilator, decreased intensive care unit stays, decreased complications and improved functional results. The outcomes of this surgical intervention in patients with osteogenesis imperfecta, a rare condition characterized by low bone density and b...

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ژورنال

عنوان ژورنال: Journal of Emergency Practice and Trauma

سال: 2016

ISSN: 2383-4544

DOI: 10.15171/jept.2017.07