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Related Concept Videos

Flail Chest-II01:26

Flail Chest-II

219
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:
219

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Related Experiment Video

Updated: Aug 4, 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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Hardware Infection From Surgical Stabilization of Rib Fractures Is Lower Than Previously Reported.

Zachary M Bauman1, Krysta Sutyak1, Trevor A Daubert1

  • 1Surgery, University of Nebraska Medical Center, Omaha, USA.

Cureus
|April 5, 2023
PubMed
Summary

Surgical stabilization of rib fractures (SSRF) has a very low hardware infection rate, under 0.5%, contrary to previous estimates. This multicenter study confirms SSRF is a safe procedure with minimal complications.

Keywords:
chest wall injuryhardware infectionnon-unionrib fixationsurgical stabilization of rib fractures

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Area of Science:

  • Trauma Surgery
  • Orthopedic Surgery
  • Critical Care Medicine

Background:

  • Surgical stabilization of rib fractures (SSRF) is an emerging treatment for traumatic rib fractures.
  • Existing literature suggests hardware infection rates up to 4%, necessitating further investigation.
  • The safety and complication profile of SSRF require detailed evaluation.

Purpose of the Study:

  • To determine the actual incidence of hardware infection following SSRF.
  • To assess secondary outcomes including mortality rate and hospital length of stay.
  • To compare observed infection rates with previously published data.

Main Methods:

  • A four-year multicenter descriptive review of prospectively collected data (January 2016 - June 2022).
  • Inclusion of all patients aged 18+ undergoing SSRF, with exclusion of pediatric cases.
  • Data collection included demographics, Injury Severity Score (ISS), AIS-chest, flail chest, delayed SSRF, pre-SSRF chest tube use, and number of ribs fixated.

Main Results:

  • A total of 453 patients were included; mean age 63 years, 71% male.
  • Hardware infection occurred in only 2 patients (0.4%), requiring reoperation.
  • Mean hospital length of stay was 10.5 days, with a mortality rate of 1.1% (primarily in high ISS patients).

Conclusions:

  • The incidence of SSRF hardware infection is significantly lower (<0.5%) than previously reported.
  • SSRF demonstrates a low rate of complications, morbidity, and mortality.
  • This study represents the largest case series to date on SSRF hardware infections, supporting its safety.