Most injuries to the chest wall with residual deformity do not result in long-term respiratory dysfunction unless they are associated with pulmonary contusion. Indications for operative fixation include flail chest, reduction of pain and disability, a chest wall deformity or defect, symptomatic nonunion, thoracotomy for other indications, and open fractures. Operative indications for chest wall injuries are rare.
Pulmonary contusion causes long-term respiratory dysfunction with decreased functional residual capacity
Three or more rib fractures as an indicator for transfer to a Level I trauma center: a population-based study
Does lung contusion affect both the traumatized and the noninjured lung parenchyma? A morphological and morphometric study in the pig
Occult radiographic fractures of the chest wall identified by nuclear scan imaging: report of seven cases
Osteosynthesis of the injured chest wall. Use of the AO (Arbeitsgemeinschaft für Osteosynthese) technique
Repair of intrathoracic visceral damage using video-assisted thoracoscopic surgery for blunt chest trauma and rib fixation at the site of mini-thoracotomy
Operative chest wall stabilization in flail chest--outcomes of patients with or without pulmonary contusion
As originally published in 1992: Chest wall stabilization with synthetic reabsorbable material. Updated in 1999
Comparison of absorbable poly-L-lactide and metallic intramedullary rods in the fixation of femoral shaft osteotomies: an experimental study in rabbits
Bioabsorbable ciprofloxacin-containing and plain self-reinforced polylactide-polyglycolide 80/20 screws: pullout strength properties in human cadaver parietal bones
Complications in the first 1,043 operations where self-reinforced poly-L-lactide implants were used solely for tissue fixation in orthopaedics and traumatology
In children undergoing chest radiography what is the specificity of rib fractures for non-accidental injury?
Are there any complications with bioabsorbable fixation devices? A 10 year review in orthognathic surgery
Efficacy of bioabsorbable antibiotic containing bone screw in the prevention of biomaterial-related infection due to Staphylococcus aureus
Surveyed opinion of American trauma, orthopedic, and thoracic surgeons on rib and sternal fracture repair
Surgical management of multiple painful rib nonunions in patient with a history of severe shoulder girdle trauma: a case report and literature review
Surgical stabilization of rib fractures using Inion OTPS wraps--techniques and quality of life follow-up
Flail chest injuries: a review of outcomes and treatment practices from the National Trauma Data Bank
Technique for repair of fractures and separations involving the cartilaginous portions of the anterior chest wall
Surgical stabilization of flail chest injuries with MatrixRIB implants: a prospective observational study
The surgical stabilization of multiple rib fractures using titanium elastic nail in blunt chest trauma with acute respiratory failure
Effectiveness of surgical rib fixation on prolonged mechanical ventilation in patients with traumatic rib fractures: A propensity score-matched analysis
Stabilization of flail chest injuries: minimized approach techniques to treat the core of instability
Bony injuries of the thoracic cage in multiple trauma : Incidence, concomitant injuries, course and outcome
Better short-term efficacy of treating severe flail chest with internal fixation surgery compared with conservative treatments
Physical function and pain after surgical or conservative management of multiple rib fractures - a follow-up study
Operative Treatment of Rib Fractures in Flail Chest Injuries: A Meta-analysis and Cost-Effectiveness Analysis
Multidisciplinary Approach to Lifesaving Measures in the Elderly Individuals With Flail Chest Injury With ORIF of Rib Fractures: A Report of 2 Cases
Operative Stabilization of Flail Chest Injuries Reduces Mortality to That of Stable Chest Wall Injuries
Does Surgery Reduce the Risk of Complications Among Patients with Multiple Rib Fractures? A Meta-analysis
Biomechanical investigation of different surgical strategies for the treatment of rib fractures using a three-dimensional human respiratory model
Comparison of the Effectiveness of Surgical Versus Nonsurgical Treatment for Multiple Rib Fractures Accompanied with Pulmonary Contusion
Rib fractures after blunt thoracic trauma in patients with normal versus diminished bone mineral density: a retrospective cohort study.
Effect of surgical rib fixation for rib fracture on mortality: A multicenter, propensity score matching analysis
Treatment of traumatic flail chest with muscular sparing open reduction and internal fixation: description of a surgical technique
Early versus late surgical stabilization of severe rib fractures in patients with respiratory failure: A retrospective study
Operative management of rib fractures in the setting of flail chest: a systematic review and meta-analysis
Indications for surgical stabilization of rib fractures in patients without flail chest: surveyed opinions of members of the Chest Wall Injury Society
Risk factors for prolonged mechanical ventilation in patients with severe multiple injuries and blunt chest trauma: a single center retrospective case-control study
Combined reconstruction of the medial patellofemoral and medial patellotibial ligaments: outcomes and prognostic factors
Rib osteosynthesis is a safe and effective treatment and leads to a significant reduction of trauma associated pain
Operative Stabilization of Chest Wall Trauma: Single-Center Report of Initial Management and Long-Term Outcome
Early fixation versus conservative therapy of multiple, simple rib fractures (FixCon): protocol for a multicenter randomized controlled trial
Potential Benefits of Rib Fracture Fixation in Patients with Flail Chest and Multiple Non-flail Rib Fractures
Taxonomy of multiple rib fractures: Results of the chest wall injury society international consensus survey.
Diagnosis and management of a trapped lung or diaphragm by fractured ribs: analysis of patients undergoing rib fracture repair
Quantifying the expense of deferring surgical stabilization of rib fractures: Operative management of rib fractures is associated with significantly lower charges.
Plates versus struts versus an extracortical rib fixation in flail chest patients: Two-center experience.
Effectiveness of surgical fixation for rib fractures in relation to its timing: a retrospective Japanese nationwide study
Surgical Management of Multiple Rib Fractures Reduces the Hospital Length of Stay and the Mortality Rate in Major Trauma Patients: A Comparative Study in a UK Major Trauma Center
Surgical Stabilization Improves 30-day Mortality in Patients With Traumatic Flail Chest: A Comparative Case Series at a Major Trauma Center
Outcome after surgical stabilization of rib fractures versus nonoperative treatment in patients with multiple rib fractures and moderate to severe traumatic brain injury (CWIS-TBI).
The Effects of Add-On Self-Care Therapy on Epidural Catheter Analgesia and Pain in Patients after Surgical Stabilization of Multiple Rib Fractures.
Race and Insurance Status are Associated With Different Management Strategies After Thoracic Trauma.
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