[Treatment of multiple ribs fractures]

Of 267 patients with multiple fractures of the ribs, 69 patients had mobile costal valves. As a rule, the presence of the floatable chest wall site, is a cause of increasing respiratory failure ending in lethal outcome in 40 to 80% of cases. Indications for combined conservative therapy and its scope are specified and efficiency of different methods of restoration the chest wall frame is evaluated. The technique of pericostal ligature fixation of the mobile costal valves to the thorax splint offered by the authors was improved. The performance of this manipulation may be essentially easier thanks to the use of the device for passing ligature around the ribs and breast bone, which was developed by the authors and patented in Russian Federation. Clinical application of the developed technique allows rather quickly to control respiratory failure. The lethality tell 6 times in comparison with patients who were treated with the use of the other methods of the floatable costal valves fixation.