Rib Fixation Following Trauma: A Cardiothoracic Surgeon's Perspective
نویسنده
چکیده
The most common result of blunt thoracic injury is indeed the fracture of one or more ribs. Rib fractures consists of nearly 40% of patients admitted to major trauma centers, nearly accounting for 200,000 documented cases in the national trauma databank. This injury is often used as an important indicator of trauma severity and playing a major contributing factor in as many as 50% of fatal cases. What is particularly devastating about rib fractures is their intimacy to many vital structures. The location of the rib fracture may indicate types of injuries that may occur. Patients often present with hemothorax or pneumothorax, particularly if two or more ribs are fractured.
منابع مشابه
Secondary left ventricular injury with haemopericardium caused by a rib fracture after blunt chest trauma
Trauma is the third most common cause of death in the West. In the US, approximately 90,000 deaths annually are traumatic in nature and over 75% of casualties from blunt trauma are due to chest injuries. Cardiac injuries from rib fractures following blunt trauma are extremely rare. We report the unusual case of a patient who fell from a height and presented with haemopericardium and haemothorax...
متن کاملTrends of cardiothoracic trauma at new trauma centre
Results Of 1556 trauma patients, 254 had cardiothoracic trauma. 90% (228/254) were male and 10% (26/254) were female. Median age of all patients was 26 (range 1-91). 57% (145) were penetrating injuries mainly knife wounds (128) and gunshots (10). 43% (109) were blunt injuries (90 high and 19 low velocity). The actual injuries are detailed with rib fractures (35%) and pneumothorax (30%) the comm...
متن کاملRib Fixation for pediatric blunt chest trauma
Displaced rib fractures as the result of blunt chest trauma impairs chest wall mechanics, causes severe pain, and results in prolonged mechanical ventilation. Rib fixation plates have been developed and manufactured for use in adult patients with improved outcomes over expectant management. The authors report the first case of rib fixation using titanium plates in a child after sustaining signi...
متن کاملSurgical approaches for rib fracture fixation.
Operative management of thoracic injuries is an increasingly accepted technique, with multiple reports of improved patient outcomes as compared with nonoperative treatment. Despite the evolving support of rib fracture fixation, descriptions of surgical approaches and tactics remain limited. We present this information to allow surgeons to begin or improve treatment of these injuries. In additio...
متن کاملQuality of life after major trauma with multiple rib fractures.
INTRODUCTION Rib fractures are a common injury presenting to major trauma centres and community hospitals. Aside from the acute impact of rib fracture injury, longer-term morbidity of pain, disability and deformity have been described. Despite this, the mainstay of management for the vast majority of rib fracture injuries remains supportive only with analgesia and where required respiratory sup...
متن کامل