Cartilage Plating in Flail Chest Fixation

Schuette, Hayden B.; Taylor, Benjamin C.; Rutkowski, Paul; Huber, Grant; Mehta, Vishvam

doi:10.1016/j.injury.2021.06.004

Cited by 4 publications

(7 citation statements)

References 16 publications

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“…An increased recognition of cartilage injuries has prompted an interest in operative fixation outcomes [7][8][9][10][11][12][13][14] . Consequently, there is growing evidence that earlier fixation for costochondral fractures can significantly benefit patients, preventing long-term complications of pain and decreased function 5,[11][12][13][14] .…”

Section: Discussionmentioning

confidence: 99%

“…The literature is growing in favor of surgical fixation as a viable treatment 2,3,5,12 . Li et al reported statistically significant differences in preoperative and postoperative pain scores in patients undergoing internal fixation of costal cartilage fracture 3 .…”

Section: Discussionmentioning

confidence: 99%

“…Li et al reported statistically significant differences in preoperative and postoperative pain scores in patients undergoing internal fixation of costal cartilage fracture 3 . Schuette et al demonstrated that fixation of anterior rib fractures involving the costal cartilage had favorable postoperative outcomes relating to length of stay, intensive care unit stay, and postoperative pneumonia 12 . Although our patient did not require a prolonged hospital stay, his clinical course reflects the aforementioned results.…”

Section: Discussionmentioning

confidence: 99%

“…This anatomic region has also been described as small and biomechanically demanding, thus increasing the complexity of an operation. An increased recognition of cartilage injuries has prompted an interest in operative fixation outcomes [7][8][9][10][11][12][13][14] . Consequently, there is growing evidence that earlier fixation for costochondral fractures can significantly benefit patients, preventing long-term complications of pain and decreased function 5,[11][12][13][14] .…”

Section: Discussionmentioning

confidence: 99%

“…The costochondral junction is a synchondrosis joint, and injuries to this joint should be diagnosed as costochondral subluxations or dislocations 10 . Unfortunately, there is limited literature regarding outcomes of surgical fixation of the costochondral junction, although these injuries affect long-term patient well-being 3,4,[11][12][13][14][15][16][17] .…”

mentioning

confidence: 99%

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Open Reduction and Internal Fixation of a Chronic Precordial Flail Chest Segment

Brahme

Laroque

Flagstad

et al. 2023

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Case: We report on a 35-year-old man presenting with disabling pain secondary to multiple rib nonunions and a costochondral dislocation 5 months after sustaining a chest wall crush injury. He underwent surgical reconstruction of the chest and was followed for 2 years. Surgical exposure to the heart was necessary during open reduction of the flail segment, followed by costochondral joint fixation with plates and screws. Although he was a workers’ compensation patient, he returned to full gainful employment. Conclusion: Open reduction and internal fixation of a symptomatic, chronically displaced, precordial, flail segment can relieve pain and promote return to baseline function.

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