Surgical fixation of rib fractures with clips and titanium bars (STRATOS System). Preliminary experience

Cirugía española
Pablo Moreno De La Santa BarajasMaria L Choren Durán

Abstract

Rib fractures are very common in closed chest injuries. The majority of these patients suffer significant pain with movement and cough. The purpose of this study is to assess the usefulness of titanium rib bars and clips in stabilising rib fractures. Twenty-two patients with rib fractures were treated with open reduction and internal fixation between 2008 and 2009. Indications for treatment were defined as; 1) Patients with unstable chest (13 patients), 2) Patients with pain or instability due to rib fractures (6 patients), and 3) Significant traumatic deformities of the chest wall (3 patients). Age, traumatic mechanism, chest and associated injuries, surgical data, complications and follow-up were prospectively analysed. The surgical technique is described. The majority of patients were extubated immediately after surgery. All patients with pain or instability showed a subjective improvement or disappearance of pain after the surgery. Four patients had a wound infection which had to be drained. After 3 months, 55% of the patients had returned to work or normal life. The results in each group are described. Open reduction with internal fixation of rib fractures is a good alternative. The use of titanium rib bars and clips give ...Continue Reading

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Citations

Dec 23, 2011·Interactive Cardiovascular and Thoracic Surgery·Elie GirsowiczGilbert Massard
Dec 18, 2013·Cirugía española·Juan Manuel Córcoles PadillaJosé Manuel Rodriguez Paniagua
Sep 7, 2014·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Mark Nikolaj WieseDidier Lardinois
Jul 17, 2018·Journal of Dairy Science·Maxwell J HolleMichael J Miller
Aug 28, 2014·The Journal of Trauma and Acute Care Surgery·Silvana MarascoRobyn Summerhayes
May 23, 2018·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Mathieu M E WijffelsMichael H J Verhofstad
Sep 26, 2012·The Journal of Trauma and Acute Care Surgery·Silvana F MarascoIlija D Šutalo
Aug 9, 2016·Journal of Cardiothoracic Surgery·Silvana MarascoPetar Liovic
Feb 16, 2021·Journal of Cardiothoracic Surgery·Xuetao ZhouShujun Li

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