Operative Management of Rib Fractures in the Setting of Flail Chest

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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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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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Prospective randomized controlled trial of operative rib fixation in traumatic flail chest.

BACKGROUND Traumatic flail chest injury is a potentially life threatening condition traditionally treated with invasive mechanical ventilation to splint the chest wall. Longer-term sequelae of pain, deformity, and physical restriction are well described. This study investigated the impact of operative fixation in these patients. STUDY DESIGN A prospective randomized study compared operative f...

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clinical utility of chest computed tomography in patients with rib fractures ct chest and rib fractures

methods retrospective cohort study of blunt trauma patients with rib fractures at a level i trauma center that had both a cxr and a ct chest. the ct finding of ≥ 3 additional fractures in patients with ≤ 3 rib fractures on cxr was considered clinically meaningful. student’s t-test and chi-square analysis were used for comparison. results we identified 499 patients with rib fractures: 93 (18.6%)...

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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). <...

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ژورنال

عنوان ژورنال: Annals of Surgery

سال: 2013

ISSN: 0003-4932

DOI: 10.1097/sla.0b013e3182895bb0