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Related Concept Videos

Flail Chest-II01:26

Flail Chest-II

322
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:
322
Flail Chest-I01:24

Flail Chest-I

348
Overview of Flail Chest
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
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Fractures: Bone Repair01:27

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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...
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The Thoracic Cage: Sternum01:17

The Thoracic Cage: Sternum

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The thoracic or rib cage forms the body's thorax (chest) portion. Its primary function in the body is to protect vital organs in the thoracic cavity, such as the heart and the lungs. It consists of 12 pairs of ribs with their costal cartilages and the sternum. The ribs are anchored posteriorly to the 12 thoracic vertebrae (T1-T12).
The sternum is the elongated bony structure on the anterior side of the thoracic cage. It consists of three parts: the manubrium, the body, and the xiphoid...
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Related Experiment Video

Updated: Nov 1, 2025

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling
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Cartilage Plating in Flail Chest Fixation.

Hayden B Schuette1, Benjamin C Taylor2, Paul Rutkowski3

  • 1OhioHealth/Doctors Hospital, Department of Orthopedics, Columbus, OH.

Injury
|June 25, 2021
PubMed
Summary
This summary is machine-generated.

Open reduction and internal fixation (ORIF) for anterior rib fractures involving costal cartilage is a safe surgical option. This study shows ORIF has low complication rates and favorable outcomes for flail chest patients.

Keywords:
“anterior rib fracture”“costal cartilage fracture”“flail chest”“rib open reduction and internal fixation”“rib plating”“rib surgical fixation”

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Area of Science:

  • Trauma Surgery
  • Thoracic Surgery
  • Orthopedic Surgery

Background:

  • Flail chest injuries often involve anterior ribs and costal cartilage.
  • Operative stabilization of flail chest offers benefits over nonoperative management.
  • Literature on surgical approach and outcomes for anterior rib ORIF involving costal cartilage is limited.

Purpose of the Study:

  • To describe the surgical approach for anterior rib ORIF involving costal cartilage.
  • To report the first clinical series of patients undergoing this procedure.
  • To evaluate the safety and efficacy of ORIF for anterior rib fractures involving costal cartilage.

Main Methods:

  • Retrospective case series at a single urban level 1 trauma center.
  • Inclusion of patients aged 18+ undergoing ORIF of anterior rib fractures involving costal cartilage.
  • Muscle-sparing surgical techniques and analysis of operative and postoperative outcomes.

Main Results:

  • Thirty patients with flail chest treated with ORIF, with a mean age of 54.4 years.
  • No intraoperative complications; 100% union rate and 0% one-year mortality.
  • Favorable outcomes including reduced hospital/ICU stay, low pneumonia rates, and minimal need for tracheostomy or mechanical ventilation.

Conclusions:

  • ORIF of anterior rib fractures involving costal cartilage is a safe procedure.
  • The technique is associated with low complication rates.
  • Favorable postoperative outcomes support ORIF as a viable treatment option for selected patients.