Surveyed Opinion of American Trauma, Orthopedic, and Thoracic Surgeons On Rib and Sternal Fracture Repair

Mayberry, John C.; Ham, L. Bruce; Schipper, Paul H.; Ellis, Thomas J.; Mullins, Richard J.

doi:10.1097/ta.0b013e318190c3d3

Cited by 127 publications

(96 citation statements)

References 35 publications

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“…The results in the current study were similar to these studies. Long-term disability is reported in over one third of these patients [21]. In our study, return to full-time employment was found to be 85.71 % in the surgical group, whereas it was only 47.06 % in the non-surgical group.…”

Section: Discussionmentioning

confidence: 51%

Potential Benefits of Rib Fracture Fixation in Patients with Flail Chest and Multiple Non-flail Rib Fractures

et al. 2015

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The purpose of this study is to evaluate the potential benefits of rib fracture fixation in patients with flail chest and multiple non-flail rib fractures versus conventional treatment modalities. A retrospective reviewed study compared 86 cases which received surgical treatment between June 2009 and May 2013 to 76 cases which received conservative treatment between January 2006 and May 2009. The patients were divided into the flail chest (n=38) and multiple non-flail rib fracture groups (n=124). In the flail chest group, the mechanical ventilation time, ICU monitoring time, tracheostomies, thoracic deformity, and impaired pulmonary function and return to full-time employment were compared. In the multiple non-flail rib fracture group, fracture healing, visual analog scale (VAS) pain score, inpatient length of stay, atelectatic, pulmonary complications, and normal activity-returning time were compared. Patients in the flail chest operative fixation group had significantly shorter ICU stay, decreased ventilator requirements, fewer tracheostomies, less thoracic deformity and impaired pulmonary function, and more returned to fulltime employment. Patients in the multiple non-flail rib fracture operative fixation had shorter hospital stay, less pain, earlier return to normal activity, more fracture healing, less atelectasis, and fewer pulmonary infections. This study demonstrates the potential benefits of surgical stabilization of flail chest and multiple non-flail rib fractures with plate fixation. When compared with conventional conservative management, operatively managed patients demonstrated improved clinical outcomes.

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Section: Discussionmentioning

confidence: 51%

Potential Benefits of Rib Fracture Fixation in Patients with Flail Chest and Multiple Non-flail Rib Fractures

et al. 2015

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“…Our results are also supported by a recent survey where the majority of surveyed surgeons reported that rib and sternal fracture repair is indicated in selected patients; even if a much smaller proportion indicated that they had performed the procedures. 13 We conclude that surgical stabilization of severe flail chest with titanium clips has been a safe and effective treatment option in selected patients in our series. The primary rational for fixation of rib fractures is to reduce early respiratory morbidity due to chest wall deformities.…”

Section: Discussionmentioning

confidence: 88%

Traumatic Ribs Fracture: How to Treat Them?

Scarci

Billè

Imran

et al. 2011

Surgical Techniques Development

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Flail chest complicates about 10% of patients with chest trauma and is associated with a mortality rate of 10-20% in older series, while a recent one reports no mortality. The majority of the cases are treated conservatively with internal pneumatic stabilization and pain control. In recent years, nevertheless, we assisted in the resurgence of chest wall fixation due to the availability of new devices. We report our experience in the use of mouldable titanium clips (STRACOS, Strasbourg Thoracic Osteosyntheses System; MedXpert, Heitersheim, Germany) to fix traumatic rib fracture. This device presents an advantage over previous strategies, as it is easy to apply and doesn't require drilling and screwing of the ribs.

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“…That is why in 2009 Mayberry et al discussed the issue of different surgical disciplines involved in the performance of chest surgery. There lies the reluctance of various surgical, and in particular, orthopaedic disciplines, to make any fixation of the chest [13]. Another aspect of the implants is sometimes their poor patient acceptance and/or soft tissue irritation [19].…”

Section: Discussionmentioning

confidence: 99%

“…Mayberry et al discussed this issue in 2009 in association with the competency of the various surgical disciplines [13]. An orthopedic surgeon would have a high confidence in dealing with plate fixation, however, would be reluctant to operate on the chest.…”

Section: Introductionmentioning

confidence: 99%

Surgical fixation of sternal fractures: locked plate fixation by low-profile titanium plates—surgical safety through depth limited drilling

Schulz-Drost

Mauerer

Grupp

et al. 2013

International Orthopaedics (SICOT)

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Purpose Operative treatment of sternal fractures has become a matter of increasing interest. Anterior plating seems to be the most appropriate method for fixing sternal fractures. However, there are several concerns in relation to the operative procedure such as severe injuries to mediastinal organs, patient comfort and proper stabilisation, for example. This paper describes a safe method of anterior sternal plating using locked plate fixation with limited depth drilling. Methods Ten patients with sternal fractures were included in this cohort study and were treated by anterior plating using one or two plates in parallel through a median approach to the sternum. Follow up was performed after six weeks, 12 weeks and six months. Results Follow up revealed no serious complications. One patient suffered from postoperative wound seroma. No problems were caused by the plates. Conclusions Sternal plating using low profile locked titanium plates seems to be a safe and stable method with a high level of patient comfort.

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Surveyed Opinion of American Trauma, Orthopedic, and Thoracic Surgeons On Rib and Sternal Fracture Repair

Cited by 127 publications

References 35 publications

Potential Benefits of Rib Fracture Fixation in Patients with Flail Chest and Multiple Non-flail Rib Fractures

Potential Benefits of Rib Fracture Fixation in Patients with Flail Chest and Multiple Non-flail Rib Fractures

Traumatic Ribs Fracture: How to Treat Them?

Surgical fixation of sternal fractures: locked plate fixation by low-profile titanium plates—surgical safety through depth limited drilling

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