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Rib fractures are the most common injury sustained following blunt chest trauma. Since it is a procedure that has been recently introduced, many researchers have been studying and reporting on the advantages of rib fixation for the treatment of rib fractures. The authors of this study developed a guideline for rib fracture fixation in patients who have flail chest or multiple rib fracture injuries. Therefore, this study aimed to report the advantages of conducting rib fracture fixation with osteosynthesis plates at Bangkok Hospital Headquarters. The study consists of three cases who received rib fracture fixation following the suggested guidelines. All three cases demonstrated improvement of ventilation after rib fixation, a short intubation period, and no post-operative pulmonary infection. In conclusion, rib fracture fixation is a treatment option for flail chest patients that reduce indications of mechanical rib cage failure.
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