Successful operative rib fixation of traumatic flail chest in a patient with osteogenesis imperfecta
Afif N Kulaylat1, Charles H Chesnut2, Ariel P Santos2
1Division of Trauma, Acute Care and Critical Care Surgery, Department of Surgery, Penn State Hershey Medical Center, PA, USA akulaylat@hmc.psu.edu.
Abstract:
Increasing attention has been directed towards operative rib fixation of traumatic flail chest; reported benefits include more rapid weaning from the ventilator, decreased intensive care unit stays, decreased complications and improved functional results. The outcomes of this surgical intervention in patients with osteogenesis imperfecta, a rare condition characterized by low bone density and bone fragility, are unknown. This case demonstrates that, in the management of traumatic flail chest in a patient with osteogenesis imperfecta, surgical fixation can be successful and should be considered early.
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