PMID- 29959488
OWN - NLM
STAT- MEDLINE
DCOM- 20190204
LR  - 20190308
IS  - 1432-2323 (Electronic)
IS  - 0364-2313 (Linking)
VI  - 42
IP  - 12
DP  - 2018 Dec
TI  - Operative Stabilization of Chest Wall Trauma: Single-Center Report of Initial 
      Management and Long-Term Outcome.
PG  - 3918-3926
LID - 10.1007/s00268-018-4721-8 [doi]
AB  - BACKGROUND: Conservative treatment of even severe thoracic trauma including flail 
      chest was traditionally the standard of care. Recently, we reported possible 
      benefits of surgical chest wall stabilization in accordance with other groups. 
      The aim of this study was to critically review our indications and results of 
      internal fixation of rib fractures in the long-term course. METHODS: We 
      retrospectively analyzed the data of a consecutive series of patients with 
      internal rib fracture fixation at our institution from 8/2009 until 12/2014, and 
      we retrospectively studied the late outcome through clinical examination or 
      personal interview. RESULTS: From 1398 patients, 235 sustained a severe thoracic 
      trauma (AIS >/=3). In 23 of these patients, 88 internal rib fixations were 
      performed using the MatrixRIB((R)) system. The median age of these operated 
      patients was 56 years [interquartile range (IQR) 49-63] with a median ISS of 21 
      [IQR 16-29]. From 18 local resident patients, follow-up was obtained after an 
      average time period of 27.6 (12-68) months. Most of these patients were free of 
      pain and had no limitations in their daily routine. Out of all implants, 5 splint 
      tips perforated the ribs in the postoperative course, but all patients remained 
      clinically asymptomatic. Plate osteosynthesis showed no loss of reduction in the 
      postoperative course. No cases of hardware prominence, wound infection or 
      non-union occurred. CONCLUSIONS: In our carefully selected thoracic trauma 
      patients, locked plate rib fixation seemed to be safe and beneficial not only in 
      the early posttraumatic course, but also after months and years, patients remain 
      asymptomatic and complete recovery as a rule. Trial registration number KEK BASEC 
      Nr. 2016-01679.
FAU - Michelitsch, Christian
AU  - Michelitsch C
AUID- ORCID: 0000-0002-6561-9555
AD  - Division of Thoracic Surgery, Department of Surgery, Cantonal Hospital, 
      Loestrasse 170, 7000, Graubunden, Switzerland. chris.michelitsch@me.com.
FAU - Acklin, Yves Pascal
AU  - Acklin YP
AD  - Division of Trauma Surgery, Department of Surgery, Cantonal Hospital, Graubunden, 
      Switzerland.
FAU - Hassig, Gabriela
AU  - Hassig G
AD  - Division of Thoracic Surgery, Department of Surgery, Cantonal Hospital, 
      Loestrasse 170, 7000, Graubunden, Switzerland.
FAU - Sommer, Christoph
AU  - Sommer C
AD  - Division of Trauma Surgery, Department of Surgery, Cantonal Hospital, Graubunden, 
      Switzerland.
FAU - Furrer, Markus
AU  - Furrer M
AD  - Division of Thoracic Surgery, Department of Surgery, Cantonal Hospital, 
      Loestrasse 170, 7000, Graubunden, Switzerland.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - World J Surg
JT  - World journal of surgery
JID - 7704052
SB  - IM
MH  - Female
MH  - Fracture Fixation, Internal/*methods
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Retrospective Studies
MH  - Rib Fractures/*surgery
MH  - Thoracic Injuries/*surgery
MH  - Thoracic Wall/*injuries
MH  - Wounds, Nonpenetrating/*surgery
EDAT- 2018/07/01 06:00
MHDA- 2019/02/05 06:00
CRDT- 2018/07/01 06:00
PHST- 2018/07/01 06:00 [pubmed]
PHST- 2019/02/05 06:00 [medline]
PHST- 2018/07/01 06:00 [entrez]
AID - 10.1007/s00268-018-4721-8 [pii]
AID - 10.1007/s00268-018-4721-8 [doi]
PST - ppublish
SO  - World J Surg. 2018 Dec;42(12):3918-3926. doi: 10.1007/s00268-018-4721-8.