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Updated: Jan 25, 2026

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Current and Emerging Techniques for Surgical Stabilisation of Rib Fractures: A Systematic Scoping Review.

Nejo Joseph1,2, Matthew J McGuinness1,2,3, Milidu Ratnayake1,2

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|January 24, 2026
PubMed
Summary

Surgical stabilization of rib fractures improves outcomes, but techniques vary widely. More comparative studies are needed to refine surgical stabilization of rib fractures (SSRF) indications and practices.

Keywords:
SSRFflail chestrib fractures

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Area of Science:

  • Trauma Surgery
  • Orthopedic Surgery
  • Surgical Innovation

Background:

  • Surgical stabilization of rib fractures (SSRF) significantly improves patient outcomes.
  • Current surgical techniques for SSRF exhibit considerable variation.
  • A comprehensive analysis of existing SSRF practices is necessary.

Purpose of the Study:

  • To systematically analyze and classify current surgical stabilization of rib fracture techniques.
  • To describe variations in surgical approaches, indications, and complications.
  • To identify trends and gaps in the literature regarding SSRF.

Main Methods:

  • Systematic literature search across multiple databases (MEDLINE, EMBASE, Cochrane, etc.) from 2000-2021.
  • Classification of surgical fixation techniques based on design principles.
  • Inclusion of 132 clinical and 22 pre-clinical studies.

Main Results:

  • Plating with screw fixation is the most studied technique (87/132 clinical studies).
  • Limited clinical data exists for other techniques like clip fixation, intramedullary implants, and bioresorbable devices.
  • Paucity of data prevents statistical comparisons of postoperative outcomes between different SSRF systems.

Conclusions:

  • A wide array of SSRF techniques exist, with increasing clinical study publication.
  • Geographical variations and growing interest in minimally invasive SSRF are noted.
  • The field requires multicenter collaborative studies and refined indications for SSRF.