Recent advances in rib fracture fixation.
Qiang Zhang1, Lei Song1, Shaonan Ning1
1Department of Thoracic Surgery, Beijing Jishuitan Hospital, Beijing 100009, China.
Journal of Thoracic Disease
|June 18, 2019
Summary
Surgical stabilization of rib fractures (SSRF) has advanced significantly with new technologies. These innovations improve fracture localization and fixation, leading to less invasive procedures for better patient outcomes.
Area of Science:
- Orthopedic Surgery
- Medical Technology
- Chest Wall Reconstruction
Background:
- Surgical stabilization of rib fractures (SSRF) has a long history but has seen recent acceleration in development.
- Advancements in materials and technology have significantly increased the rate of progress and data availability for SSRF.
Purpose of the Study:
- To review the recent advancements in surgical stabilization of rib fractures.
- To highlight new technologies and materials improving SSRF procedures.
- To identify future research directions in minimally invasive rib fracture treatment.
Main Methods:
- Improved preoperative localization using CT scanning, 3D reconstruction, and ultrasound.
- Utilization of specialized rib fracture plates, intramedullary fixation devices, and SSRF tools.
- Application of 3D printing for accurate anatomical reproduction and planning.
Main Results:
- Enhanced accuracy in fracture localization and surgical planning.
- Development of specific implants and tools simplifying SSRF procedures.
- Successful implementation of minimally invasive techniques, including thoracoscopy-assisted fixation.
Conclusions:
- Modern SSRF techniques, aided by advanced imaging and 3D printing, enable more precise and less invasive treatments.
- Future research should focus on absorbable internal fixation materials and thoracoscopic SSRF for further improvements.
Related Concept Videos
01:20The Thoracic Cage: Ribs
8.3K
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...
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...
8.3K
01:03Fixation and Sectioning
7.5K
Two basic types of preparation are used to visualize specimens with a light microscope: wet mounts and fixed specimens.
The simplest type of preparation is the wet mount, in which the specimen is placed in a drop of liquid on the slide. A liquid specimen can be directly deposited on the slide using a dropper. Solid specimens, such as skin scraping, can be placed on the slide before adding a drop of liquid to prepare the wet mount. Sometimes the liquid is simply water, but stains are often added...
The simplest type of preparation is the wet mount, in which the specimen is placed in a drop of liquid on the slide. A liquid specimen can be directly deposited on the slide using a dropper. Solid specimens, such as skin scraping, can be placed on the slide before adding a drop of liquid to prepare the wet mount. Sometimes the liquid is simply water, but stains are often added...
7.5K
01:28Carbon-dioxide Fixation
678
Carbon dioxide fixation in prokaryotes enables the assimilation of inorganic carbon into organic molecules, supporting biosynthetic pathways, sustaining ecosystems, and contributing to the global carbon cycle. It also has industrial applications in carbon capture and bioproduct synthesis. Autotrophic organisms rely on this process to utilize CO₂ as a carbon source in diverse environments.The Calvin CycleThe Calvin cycle is the most widespread carbon fixation mechanism, primarily used by...
678
01:27Fractures: Bone Repair
5.2K
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
5.2K
00:56Extraction: Advanced Methods
1.1K
Metal ions can be separated from one another by complexation with organic ligands–the chelating agent– to form uncharged chelates. Here, the chelating agent must contain hydrophobic groups and behave as a weak acid, losing a proton to bind with the metal. Since most organic ligands used in this process are insoluble or undergo oxidation in the aqueous phase, the chelating agent is initially added to the organic phase and extracted into the aqueous phase. The metal-ligand complex is...
1.1K
02:22Overview of Advanced Functional Groups
29.3K
Functional groups are groups of atoms with specific chemical properties that occur within organic molecules and are sometimes denoted as “R”. Functional groups can “functionalize” a compound by enabling it to adopt different physical and chemical properties.
Types of Advanced Functional Groups
The table below summarizes some of the major functional groups in organic chemistry.
29.3K