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Related Concept Videos

The Thoracic Cage: Ribs01:20

The Thoracic Cage: Ribs

11.7K
Ribs are curved, flattened bones forming the thoracic cavity wall with the thoracic muscles. There are 12 pairs of thoracic ribs. The posterior ends of all the ribs articulate with the T1–T12 thoracic vertebrae. In contrast,the anterior ends of most ribs attach to the sternum via their costal cartilages.
Parts of a Typical Rib
A typical rib has a head, neck, and body. The posterior end of the rib is called the head, followed by a narrow neck. The head articulates primarily with the costal...
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Flail Chest-II01:26

Flail Chest-II

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Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
938

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Related Experiment Video

Updated: Apr 18, 2026

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling
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Surgical rib fixation - technical aspects.

Silvana Marasco1, Pankaj Saxena1

  • 1CJOB Cardiothoracic Surgery Department, The Alfred Hospital, Australia.

Injury
|January 28, 2015
PubMed
Summary
This summary is machine-generated.

Surgical rib fixation (SRF) for severe rib fractures improves outcomes for flail chest patients, reducing ventilator time and intensive care stays. Despite evidence, SRF is not yet standard care, highlighting a gap in widespread adoption for severe injuries.

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Area of Science:

  • Trauma Surgery
  • Thoracic Surgery
  • Surgical Innovation

Background:

  • Severe rib fractures and flail chest injuries pose significant clinical challenges.
  • Surgical rib fixation (SRF) is an emerging treatment for these severe injuries.
  • Evidence from randomized controlled trials supports SRF's benefits.

Observation:

  • SRF in flail chest patients reduces ventilator duration, intensive care unit (ICU) stay, and treatment costs.
  • Despite positive evidence, SRF is not universally adopted as standard care.
  • Practice is concentrated in high-volume trauma centers.

Findings:

  • This article details current SRF prostheses, indications, and surgical techniques.
  • It covers anterior, lateral, and posterior surgical approaches for rib fractures.
  • The use of cortical and medullary fixation devices is described.

Implications:

  • Wider adoption of SRF could improve outcomes for severe rib fracture patients.
  • Standardizing SRF techniques and indications is crucial for broader implementation.
  • Further research may address barriers to SRF becoming standard of care.