Operative fixation of rib fractures after blunt trauma

Kasotakis, George; Hasenboehler, Erik A.; Streib, Erik W.; Patel, Neel; Patel, Mayur B.; Alarcon, Louis H.; Bosarge, Patrick L.; Love, Joseph D.; Haut, Elliott R.; Como, John J.

doi:10.1097/ta.0000000000001350

Cited by 222 publications

(111 citation statements)

References 30 publications

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“…9,19,20 • EBP3: Surgical rib fixation for patients with flail chest who were not transferred to another facility for definitive management. 14,[21][22][23][24] • EBP4: Pneumatic stabilization via noninvasive ventilation for older adults (aged Ն65 years) with 3 or more rib fractures who were not transferred to another facility for definitive management. 16,[25][26][27][28] Noninvasive ventilation was defined by ICD-9 codes 93.90 and 93.91.…”

Section: Jama Network Open | Surgerymentioning

confidence: 99%

Association Between Adherence to Evidence-Based Practices for Treatment of Patients With Traumatic Rib Fractures and Mortality Rates Among US Trauma Centers

et al. 2020

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IMPORTANCE Rib fractures are sustained by nearly 15% of patients who experience trauma and are associated with significant morbidity and mortality. Evidence-based practice (EBP) rib fracture management guidelines and treatment algorithms have been published. However, few studies have evaluated trauma center adherence to EBP or the clinical outcomes of each practice within a national cohort. OBJECTIVE To examine adherence to 6 EBPs for rib fractures across US trauma centers and the association with in-hospital mortality.

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Section: Jama Network Open | Surgerymentioning

confidence: 99%

Association Between Adherence to Evidence-Based Practices for Treatment of Patients With Traumatic Rib Fractures and Mortality Rates Among US Trauma Centers

et al. 2020

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“…ISSN: 2379-4550 http://digitalcommons.wayne.edu/crp, © 2019 The Author(s) 4 Licensed under Creative Commons Attribution Non-Commercial 4.0 3. Although supported by previous studies, a larger multi-institutional study should be performed to further solidify the results and strength of recommendation.…”

Section: Clinical Applicationmentioning

confidence: 99%

Surgical stabilization of traumatic flail chest is superior to conservative management

Cheng

2019

Clin. Res. Pract.

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“…They occur in approximately 10% of all traumatically injured patients and are associated with significant pulmonary-related morbidity and mortality [[1], [2], [3]]. Although vast improvements have been made in the care of rib fracture patients, including surgical stabilization of rib fractures (SSRF), outcomes for this population still remain poor with limited change over the past decade [1,3].…”

Section: Introductionmentioning

confidence: 99%

“…In fact, data from the National Trauma Data Bank(NTDB) indicates that less than 1% of patients with flail chest receive SSRF [1,3], an indication clearly evident in recent literature [[4], [5], [6]]. Furthermore, there is uncertainty about which patients without a flail segment would benefit from SSRF, likely due to a lack of evidence-based research surrounding this patient population [1,2,7]. …”

Section: Introductionmentioning

confidence: 99%

“…In an effort to better guide SSRF among the trauma community, various consensus statements and guidelines have been proposed based on current research [1,2]. One of the current guidelines from the Rib Fracture Colloquium 2016 states “repair of ribs 1,2, 11 and 12 does not confer additional benefit in terms of either chest wall stability or pain control.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Taking the bull by the horns: Patient trampled by bull requiring surgical fixation of multiple rib fractures including rib 11

Bauman

Cemaj

Schlitzkus

2018

Trauma Case Reports

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Rib fractures are a serious problem in thoracic trauma resulting in high morbidity and mortality. Surgical stabilization in the management of rib fractures is gaining more popularity and recognition as outcomes continue to show positive results, however, there is still hesitancy among the trauma community to recommend this intervention. Although there still remains questions as to which patients to provide surgical stabilization to in the non-flail rib fracture patient population, surgical stabilization of rib fractures have been shown to be extremely beneficial in those patients with flail chest and should be strongly considered in this patient population, especially if they require ventilatory support. Here we present a 62-year-old female with severe chest wall deformity from 21 rib fractures after being trampled by a bull. This included a flail segment and a severely angulated 11th rib fracture piercing through the lung into the retroperitoneum. Furthermore, we also introduce a new technique for stabilization of rib fractures that are more posterior. Given the fact we surgically intervened early in our patient with severe chest wall trauma, she had a very favorable outcome, allowing her to be discharged from the hospital in a timely fashion with minimal overall morbidity.

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Operative fixation of rib fractures after blunt trauma

Abstract: Systematic review/meta-analysis, level III.

Cited by 222 publications

References 30 publications

Association Between Adherence to Evidence-Based Practices for Treatment of Patients With Traumatic Rib Fractures and Mortality Rates Among US Trauma Centers

Association Between Adherence to Evidence-Based Practices for Treatment of Patients With Traumatic Rib Fractures and Mortality Rates Among US Trauma Centers

Surgical stabilization of traumatic flail chest is superior to conservative management

Taking the bull by the horns: Patient trampled by bull requiring surgical fixation of multiple rib fractures including rib 11

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