| About the author: |
I. M. Shevchuk, S. S. Snizhko, M. M. Dronyak, V. I. Pylypchuk, R. T. Kuzenko |
| Heading |
CLINICAL MEDICINE |
| Type of article |
Scentific article |
| Annotation |
The choice of the method of surgical stabilization of the chest wall in case of multiple rib fractures is controversial in the case of various types of injuries and the presence of intrapleural complications. Clinical trials were based on a group of 637 patients with complicated rib fractures. Thoracoscopic external fixation of rib fractures was performed in 388 patients, rib plates fixation – 194, intramedullary osteosynthesis – 34, pneumatic stabilization of the chest wall – in 21 patients. We observed a significant reduction in the length of stay of patients in the intensive care unit in patients who underwent thoracoscopic external fixation of rib fractures. The use of rib plates is a reliable method of treating multiple rib fractures without additional damage to the lungs and pleura. Thoracoscopic external fixation of costal fragments has significant advantages over other methods in the presence of intrapleural pathology and traumatic lung injury. |
| Tags |
rib fractures,surgical treatment of rib fractures,thoracoscopic external fixation of rib fractures |
| Bibliography |
- Panasenko SI, Kovalchuk SB, Huryev SO, Horyk OV, Sheyko VD, Burlaka OA. Biomekhanichni kharakterystyky okremykh metodiv osteosyntezu reber. Travma. 2017. № 2; T. 18: 122–127. DOI: 10.22141/1608-1706.2.18.2017.102570. [in Ukrainian]
- Beks RB, Peek J, Jong MB. Fixation of flail chest or multiple rib fractures: current evidence and how to proceed. A systematic review and meta-analysis. Eur J Trauma Emerg Surg. 2019 Aug;45(4):631–644. doi: 10.1007/s00068-018-1020-x.
- Brasel KJ, Moore ER, Albrecht RA. Western Trauma Association critical decisions in trauma: management of rib fractures J Trauma Acute Care Surg, 82 (2017): 200–203. DOI: 10.1097/TA.0000000000001301
- Edwards JG, Clarke P, Pieracci FM. Taxonomy of multiple rib fractures: results of the chest wall injury society international consensus survey J Trauma Acute Care Surg, 88 (2020): 40–45. doi: 10.1097/TA.0000000000002282.
- Ingoe HM, Coleman E, Eardley W. Systematic review of systematic reviews for effectiveness of internal fixation for flail chest and rib fractures in adults BMJ Open. 2019 Apr 1;9(4):e023444. doi: 10.1136/bmjopen-2018-023444.
- He WW, Yang Y, Wu WM. Chest wall stabilization (CWS) in China: current situation and prospect J Thorac Dis, 11 (2019): 1104–1148. DOI: 10.21037/jtd.2019.03.31
- He Z, Zhang DS, Xiao HP. The ideal methods for the management of rib fractures J Thorac Dis, 11 (2019):1078–1089. DOI: 10.21037/jtd.2019.04.109
- Honggang Xia, Deqing Zhu, Jing Li. Current status and research progress of minimally invasive surgery for flail chest. Exp Ther Med . 2020 Jan;19(1): 421–427. doi: 10.3892/etm.2019.8264
- Kasotakis G, Hasenboehler EA, Streib EW. Operative fixation of rib fractures after blunt trauma: a practice management guideline from the Eastern Association for the Surgery of Trauma. J Trauma Acute Care Surg, 82 (2017): 618–626. DOI: 10.1097/TA.0000000000001350.
- Pieracci FM, Leasia K, Bauman ZA. Multicenter, prospective, controlled clinical trial of surgical stabilization of rib fractures in patients with severe, nonflail fracture patterns (Chest Wall Injury Society). J Trauma Acute Care Surg, 88 (2020): 249–257. DOI: 10.1097/TA.0000000000002559.
- Pieracci FM, Coleman J, Ali-Osman FA. Mmulticenter evaluation of the optimal timing of surgical stabilization of rib fractures J Trauma Acute Care Surg, 84 (2018): 1–10. DOI: 10.1097/TA.0000000000001729.
- Peek J, Beks RB, Hietbrink F. Complications and outcome after rib fracture fixation: A systematic review. J Trauma Acute Care Surg. 2020 Aug;89(2):411–418. DOI: 10.1097/TA.0000000000002716.
- Prins JTH, Lieshout EMMV, Ali-Osman F. Outcome after surgical stabilization of rib fractures versus nonoperative treatment in patients with multiple rib fractures and moderate to severe traumatic brain injury (CWIS-TBI) J Trauma Acute Care Surg, 90 (2021): 492–500. DOI: 10.1097/TA.0000000000002994.
- Taylor BC, Fowler TT, Reddy H. Functional outcomes after muscle-sparing fixation of flail chest injuries J Orthop Trauma, 33 (2019): 366–369. DOI: 10.1097/BOT.0000000000001456.
|
| Publication of the article |
«World of Medicine and Biology» №1(83), 2023 year, 179-183 pages, index UDK 616.712–001:616.712.1–001.5: 617.54 |
| DOI |
10.26724/2079-8334-2023-1-83-179-183 |
