If we should remove internal fixation devices for rib fractures?

Area of Science:

• Orthopedic surgery
• Trauma surgery
• Thoracic surgery

Background:

• Internal fixation is a common treatment for rib fractures.
• Controversy exists regarding the necessity of removing internal fixation implants.
• Limited research addresses implant removal complications and outcomes.

Purpose of the Study:

• To analyze implant-related and postoperative complications.
• To evaluate the postoperative remission rate after implant removal.
• To assess the safety and efficacy of internal fixation removal in rib fracture patients.

Main Methods:

• Retrospective analysis of 143 patients undergoing rib fracture internal fixation removal (2020-2021).
• Statistical analysis of implant-related complications, postoperative complications, and remission rates.
• Evaluation of outcomes for patients with and without preoperative symptoms.

Main Results:

• 73 patients had preoperative implant-related complications; 70 had no preoperative discomfort.
• Postoperative complications included wound infection (1) and pulmonary embolism (1).
• 82% remission rate for patients with preoperative complications; 10% developed discomfort after removal in asymptomatic group.

Conclusions:

• Implant removal is beneficial for patients with rib fracture fixation complications.
• Removal offers low complication rates, high safety, and reliability.
• Asymptomatic patients can retain implants; informed consent is crucial for those electing removal.