[Nuss procedure for multiple floating rib and sternum fractures]

Area of Science:

• Trauma Surgery
• Thoracic Surgery
• Surgical Innovation

Background:

• Multiple floating rib fractures represent a severe form of blunt chest trauma, with incidence up to 20% and mortality around 40%.
• Current surgical approaches focus on rib osteosynthesis and chest stabilization to mitigate mortality.
• Anterior floating fractures, including sternal fractures, pose unique stabilization challenges.

Purpose of the Study:

• To report the first experience using the Nuss procedure for chest stabilization in a patient with multiple trauma, including floating rib and sternal fractures.
• To highlight the role of thoracoscopy in managing complex chest trauma.
• To discuss modern trends in surgical management of chest trauma.

Main Methods:

• Case report of a patient with multiple trauma, floating rib fractures, and sternal fracture.
• Detailed description of the surgical intervention using the Nuss procedure.
• Emphasis on the utility of thoracoscopy in chest trauma management.

Main Results:

• The Nuss procedure was successfully applied for chest stabilization in a complex trauma case.
• Thoracoscopy played a crucial role in the surgical intervention.
• The study underscores the benefits of an active surgical approach and minimally invasive techniques.

Conclusions:

• The Nuss procedure is a viable option for chest stabilization in patients with anterior floating rib and sternal fractures.
• Thoracoscopy is invaluable in the surgical management of chest trauma.
• Modern trends favor active surgical intervention, combined resuscitation, and minimally invasive techniques for improved outcomes in chest trauma.