Rib Fracture Fixation with Osteosynthesis Plates in Bangkok Hospital Headquarters: A Case
Main Article Content
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.
This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
2. Michelitsch C, Acklin YP, Ha ̈ssig G, et al. OperativeStabilization of Chest Wall Trauma: Single-Center Report ofInitial Management and Long-Term Outcome. World J Surg2018;
3. Pharaon KS, Marasco S, Mayberry J. Rib Fractures, FlailChest, and Pulmonary Contusion. Curr Trauma Rep2015;1:237-42.
4. Engel C, Krieg JC, Madey SM, et al. Operative Chest WallFixation with Osteosynthesis Plates. J Trauma. 2005;58:181-6.
5. Lafferty PM, Anavian J, Will RE, et al. Operative Treatmentof Chest Wall Injuries: Indications, Technique, and Outcomes.J Bone Joint Surg Am 2011;93:97-110.
6. Beks Rb, de Jong MB, Houwert RM, et al. Long-term follow-upafter rib fixation for flail chest and multiple rib fractures. EurJ Trauma Emergency Surg 2018;
7. Beks RB, Peek J, de Jong MB, et al. Fixation of flail chest ormultiple rib fractures: current evidence and how to proceed.A systematic review and meta-analysis. Eur J TraumaEmergency Surg 2018;
8. Slobogean GP, MacPherson CA, Sun T, et al. Surgical Fixationvs Nonoperative Management of Flail Chest: A Meta-Analysis.J Am Coll Surg 2013;216:302-11.
9. Bemelman M, de Kruijf MW, Mark van Baal M, et al. RibFractures: To Fix or Not to Fix? An Evidence-BasedAlgorithm. Korean J Thorac Cardiovasc Surg 2017;50:229-34.
10. Wijffels MME, Hagenaars T, Latifi D, et al. Early results afteroperatively versus non-operatively treated flail chest: aretrospective study focusing on outcome and complications.Eur J Trauma Emergency Surg 2018;
11. Iqbal HJ, Alsousou J, Shah S, et al. Early Surgical Stabilizationof Complex Chest Wall Injuries Improves Short-Term PatientOutcomes. J Bone Joint Surg Am 2018;100:1298-308.