In addition, with the development of biomedical engineering, various types of rib plates can be chosen for internal fixation surgery of multiple rib fractures. Conservative treatment is generally associated with safety and lower hospitalization costs, although surgical treatment can correct the thoracic deformity better ( 10, 11). Different treatments for rib stabilization have been reported in recent years ( 7) Therefore, the goals of surgical treatment are to stabilize the chest wall, however, the treatment of rib fractures remains controversial ( 8, 9).
The recent goals of multiple rib fracture treatment are to eliminate the symptoms of pain and breathing difficulty, and to recover thoracic stability. Without effective treatment, multiple fractures of multiple ribs can cause the partial chest wall lose the ribs to support, and also causes paradoxical breathing, the softening area of chest wall invagination when inhaling, and outer protrusion when exhaling, it is called the flail chest ( 5), can cause long-term disability, chest wall pain, and the paradoxical motion of the chest wall inducing respiratory distress ( 6).
Displaced ribs treatment serial#
However, some cases are complicated by serial rib fractures ( 4).
Most patients with thoracic trauma do not undergo surgical treatment. Thoracic trauma is often associated with significant morbidity and mortality ( 2, 3). Thoracic trauma is a major traumatic injury throughout the world, and it has very high incidence in developing countries ( 1). Keywords: Plate fixator multiple rib fractures surgical Severe rib fracture patients might benefit from surgical fixation. Our data suggested that surgical treatment can significantly shorten the patients’ pain-endurance time, hospitalization time, and can reduce complication incidence. Delayed hemopneumothorax occurred in 7 cases in the surgical group and in 16 cases in the conservative group (P=0.012).Ĭonclusions: Surgical treatment is a safe and effective therapy for multiple rib fractures. Atelectasis occurred in 10 cases in the surgical group and in 17 cases in the conservative group (P=0.046). The number of rib displacement cases after treatment was 1 case in the surgical group and 2 cases in the conservative group (P=0.475). The hospitalization cost was 6,206.44☓71.42 USD for the surgical group and 4,544.61±524.79 USD for the conservative group (P<0.001). The index of partial pressure of carbon dioxide (PaCO 2) was 37.80☒.86 mmHg 24 h after surgery and it was 39.08☒.46 mmHg 24 h after conservative treatment. The index of partial pressure of arterial oxygen (PaO 2) was 91.05☑0.88 mmHg 24 h after surgery whereas 86.49☑1.69 mmHg 24 h after conservative treatment (P=0.036).
The indwelling thoracic drainage tube time was 5.85☑.52 days in the surgical group and 8.26☑.96 days in the conservative group (P<0.001). The duration of the thoracic intensive care unit (ICU) stay was 4.02☑.41 days in the surgical group and 5.06☑.80 days in the conservative group (P=0.001). Results: The hospital stay for the surgical group was 13.12±4.21 days, whereas for the conservative group, it was 18.57±5.39 days (P<0.001). We compared surgical rib plate fixation with conservative treatment for patients with multiple rib fractures. Methods: From June 2014 to December 2016, 110 cases of patients with multiple rib fractures were collected for our study from the 105th Hospital of PLA 59 patients were treated by surgery, and 51 patients received conservative treatment.
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