Nonunion of traumatic rib fractures: a suitable indication for surgery?

Minervini, Fabrizio; Peek, Jesse; Veelen, Nicole M. van; Kestenholz, Peter; Kremo, Valérie; Leiser, Alfred; Knobe, Matthias; Beeres, Frank J.P.

doi:10.1007/s00068-021-01865-z

Cited by 5 publications

(7 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Preoperative mean (SD) numeric pain scores decreased from 7.6 (1.3) to 0.7 (1.9) postoperatively ( p < 0.0001). 23 While preoperative quality of life assessments were not performed, by follow-up the mean (SD) score for euroqul 5-dimension 5-level (EQ-5D-5L) questionnaire was 0.95 (0.12), with a value of 1 being considered "fully healthy" by this instrument. 23,24 One (5%) patient required implant removal for intractable persistent pain associated with the implant.…”

Section: Resultsmentioning

confidence: 98%

Section: Resultsmentioning

confidence: 99%

“…Also in 2022, Minervini et al 23 published a retrospective, single-institution, cohort study describing 19 patients undergoing SSNURF in Switzerland. Preoperative mean (SD) numeric pain scores decreased from 7.6 (1.3) to 0.7 (1.9) postoperatively ( p < 0.0001) 23 . While preoperative quality of life assessments were not performed, by follow-up the mean (SD) score for euroqul 5-dimension 5-level (EQ-5D-5L) questionnaire was 0.95 (0.12), with a value of 1 being considered “fully healthy” by this instrument 23,24 .…”

Section: Resultsmentioning

confidence: 99%

“…23,24 One (5%) patient required implant removal for intractable persistent pain associated with the implant. 23 Weaknesses of this study included no objective measure of opiate use, its retrospective nature with potential for recall bias, absence of pre-operative EQ-5D-5L data, and singleinstitution design. Finally, in 2022 Ogunleye et al 25 published a retrospective, single-institution, cohort study describing 25 patients undergoing SSNURF in the United States.…”

Section: Resultsmentioning

confidence: 99%

“…While preoperative quality of life assessments were not performed, by follow-up the mean (SD) score for euroqul 5-dimension 5-level (EQ-5D-5L) questionnaire was 0.95 (0.12), with a value of 1 being considered “fully healthy” by this instrument 23,24 . One (5%) patient required implant removal for intractable persistent pain associated with the implant 23 . Weaknesses of this study included no objective measure of opiate use, its retrospective nature with potential for recall bias, absence of pre-operative EQ-5D-5L data, and single-institution design.…”

Section: Resultsmentioning

confidence: 99%

See 4 more Smart Citations

Chest Wall Injury Society recommendation for surgical stabilization of nonunited rib fractures to decrease pain, reduce opiate use, and improve patient reported outcomes in patients with rib fracture nonunion after trauma

Forrester,

Bauman,

Cole

et al. 2023

J Trauma Acute Care Surg

View full text Add to dashboard Cite

Background Rib fractures are common injuries which can be associated with acute pain and chronic disability. While most rib fractures ultimately go on to achieve bony union, a subset of patients may go on to develop non-union. Management of these non-united rib fractures can be challenging and variability in management exists. Methods The Chest Wall Injury Society’s Publication Committee convened to develop recommendations for use of surgical stabilization of non-united rib fractures (SSNURF) to treat traumatic rib fracture non-unions. PubMed, Embase, and the Cochrane database were searched for pertinent studies. Using a process of iterative consensus, all committee members voted to accept or reject the recommendation. Results No identified studies compared SSNURF to alternative therapy and the overall quality of the body of evidence was rated as low. Risk of bias was identified in all studies. Despite these limitations, there is lower quality evidence suggesting SSNURF may be beneficial for decreasing pain, reducing opiate use, and improving patient reported outcomes among patients with symptomatic rib non-union. However, these benefits should be balanced against risk of symptomatic hardware failure and infection. Conclusions This guideline document summarizes the current CWIS recommendations regarding use of SSNURF for management of rib non-union. Level of Evidence Level IV, therapeutic/care management

show abstract

Section: Resultsmentioning

confidence: 98%

Section: Resultsmentioning

confidence: 99%