Is There a Role for Rib Plating in Thoracic Trauma?
Chaitan K Narsule1, Anne C Mosenthal1
1Department of Surgery, Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805, USA.
Advances in Surgery
|September 12, 2022
Summary
Surgical stabilization of rib fractures (SSRF) is increasingly used for blunt trauma. This review covers current evidence on rib plating techniques, indications, and outcomes for thoracic trauma management.
Area of Science:
- Trauma Surgery
- Thoracic Surgery
- Orthopedic Surgery
Background:
- Rib fractures are common after blunt trauma, with varied severity and outcomes.
- Management ranges from conservative care to surgical intervention for severe injuries.
Purpose of the Study:
- To review current literature on surgical stabilization of rib fractures (SSRF).
- To discuss indications, preoperative evaluation, surgical approaches, and timing for rib plating.
- To analyze outcomes and complications associated with SSRF in thoracic trauma.
Main Methods:
- Comprehensive literature review of recent reports on rib plating.
- Analysis of data concerning flail chest and nonflail rib injuries.
- Evaluation of surgical techniques, hardware, and patient outcomes.
Main Results:
- Surgical stabilization of rib fractures (SSRF) has seen increased adoption in US trauma centers.
- Evidence supports SSRF in managing severe rib fractures and associated thoracic injuries.
- Successful outcomes reported for SSRF in both flail chest and nonflail injuries.
Conclusions:
- Surgical stabilization of rib fractures (SSRF) is a valuable component of thoracic trauma care.
- The review highlights the evolving role and established place of rib plating.
- SSRF offers improved outcomes for patients with significant rib fractures.
Keywords:
Flail chestNonflail rib fracturesRib fracturesRib platingSurgical stabilization of rib fracturesMore Related Videos
Related Concept Videos
01:26Flail Chest-II
226
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:
Assessment:
1. Clinical Evaluation:
History:
226
01:20The Thoracic Cage: Ribs
4.0K
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...
4.0K
01:24Flail Chest-I
266
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...
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...
266
01:17The Thoracic Cage: Sternum
3.0K
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...
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...
3.0K
01:27Pneumothorax-II
297
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
297
01:26Pneumothorax-I
310
A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
310