Progress and existing problems in surgical treatment of rib fractures

doi:10.3877/cma.j.issn.2095-8773.2023.03.04

Abstract

Abstract:

Rib fractures are the most common injury in thoracic trauma. As one of the important treatment methods for rib fractures, surgery has been developed in China and abroad for more than one hundred years, but the pace of its development has always been slow. In recent years, with the advancement of science and technology and concepts, research related to the surgical treatment of rib fractures has been increasing. The research mainly focuses on surgical indications, surgical timing, and surgical methods. At the same time, some unresolved problems have also been exposed. This article reviews the progress and existing problems of surgical treatment of rib fractures.

Key words: Rib fracture, Surgical treatment, Internal fixation

Kaile Jiang, Yi Yang. Progress and existing problems in surgical treatment of rib fractures[J]. Chinese Journal of Thoracic Surgery(Electronic Edition), 2023, 10(03): 149-152.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhxbwkdzzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2095-8773.2023.03.04

https://zhxbwkdzzz.cma-cmc.com.cn/EN/Y2023/V10/I03/149

References 23

1	He W，Yang Y，Wu W，et al．Chest wall stabilization (CWS) in China: current situation and prospect[J]．J Thorac Dis，2019，11（Suppl 8）：S1044-S1048．
2	Cataneo AJ，Cataneo DC，de Oliveira FH，et al．Surgical versus nonsurgical interventions for flail chest[J]．Cochrane Database Syst Rev，2015，2015（7）：CD009919．
3	Coughlin TA，Ng JW，Rollins KE，et al．Management of rib fractures in traumatic flail chest: a meta-analysis of randomised controlled trials[J]．Bone Joint J，2016，98-B（8）：1119-1125．
4	Leinicke JA，Elmore L，Freeman BD，et al．Operative management of rib fractures in the setting of flail chest: a systematic review and meta-analysis[J]．Ann Surg，2013，258（6）：914-921．
5	Long R，Tian J，Wu S，et al．Clinical efficacy of surgical versus conservative treatment for multiple rib fractures: A meta-analysis of randomized controlled trials[J]．Int J Surg，2020，83：79-88．
6	Perentes JY，Christodoulou M，Abdelnour-Berchtold E，et al．Effectiveness of rib fixation compared to pain medication alone on pain control in patients with uncomplicated rib fractures: study protocol of a pragmatic multicenter randomized controlled trial-the PAROS study（Pain After Rib OSteosynthesis）[J]．Trials，2022，23（1）：732．
7	Choi J，Badrinathan A，Shine R，et al．Challenges in closing the gap between evidence and practice: International survey of institutional surgical stabilization of rib fractures guidelines[J]．J Trauma Acute Care Surg，2023，94（4）：562-566．
8	Voggenreiter G，Neudeck F，Aufmkolk M，et al．Operative chest wall stabilization in flail chest--outcomes of patients with or without pulmonary contusion[J]．J Am Coll Surg，1998，187（2）：130-138．
9	Van Wijck SFM，Pieracci FM，Smith EF，et al．Rib fixation in patients with severe rib fractures and pulmonary contusions: Is it safe?[J]．J Trauma Acute Care Surg，2022，93（6）：721-726．
10	Aldarragi A，Lythgoe C，Katsanouli T，et al．Retrospective study of consecutive rib fracture patients treated by open reduction internal fixation in a single major trauma centre, UK[J]．Injury，2022，53（8）：2768-2773．
11	何伟伟，杨异，吴伟铭，等．多发肋骨骨折患者手术时机和合并伤联合手术的临床研究[J] ．上海医学，2020，43（7）：407-412．
12	Schots JP，Vissers YL，Hulsewé KW，et al．Addition of Video-Assisted Thoracoscopic Surgery to the Treatment of Flail Chest[J]．Ann Thorac Surg，2017，103（3）：940-944．
13	李杰实．3D打印技术辅助肋骨骨折手术与常规手术疗效对比[D]．福州：福建医科大学，2020．
14	Xia HG，Zhu DQ，Li J，et al．Application of fracture body surface localization film combined with CT volume rendering in the minimally invasive rib fractures internal fixation[J]．Eur Rev Med Pharmacol Sci，2020，24（24）：12948-12954．
15	Zhang J，Hong Q，Mo X，et al．Complete Video-assisted Thoracoscopic Surgery for Rib Fractures: Series of 35 Cases[J]．Ann Thorac Surg，2022，113（2）：452-458．
16	Sarani B，Schulte L，Diaz JJ．Pitfalls associated with open reduction and internal fixation of fractured ribs[J]．Injury，2015，46（12）：2335-2340．
17	Bauman ZM，Grams B，Yanala U，et al．Rib fracture displacement worsens over time[J]．Eur J Trauma Emerg Surg，2021，47（6）：1965-1970．
18	Marasco S，Liew S，Edwards E，et al．Analysis of bone healing in flail chest injury: do we need to fix both fractures per rib?[J]．J Trauma Acute Care Surg，2014，77（3）：452-458．
19	Lodhia JV，Konstantinidis K，Papagiannopoulos K．Surgical management of multiple rib fractures/flail chest[J]．J Thorac Dis，2019，11（4）：1668-1675．
20	Gao E，Li Y，Zhao T，et al．Simultaneous Surgical Treatment of Sternum and Costal Cartilage Fractures[J]．Ann Thorac Surg，2019，107（2）：e119-e120．
21	El Husseiny M，Karam L，Haddad F，et al．Perforation of the aorta by a rib edge: an unusual complication after chest wall resection[J]．Ann Vasc Surg，2012，26（4）：574. e15-e17.
22	Wang L，Wu W，Guo X，et al．The clinical characteristics and surgical treatment for delayed blunt thoracic aortic injury-a case series[J]．J Thorac Dis，2022，14（10）：4136-4142．
23	Zhao W，He W，Yang Y，et al．A case of thoracic aortic injury caused by multiple rib fractures[J]．AME Case Rep，2021，5：8．

[1]	Zhe Yi, Zhixin Wang, Wei Chen, Weiya Qi, Jie Fang, Haifei Shi, Xia Zhao, Zhe Zhao, Feng Zhu, Wei Sheng, Yan Chen, Yuhao Zhang, Jin Zhu, Yaobin Yin, Yong Yang, Shanlin Chen, Bo Liu. Surgical operation specifications for robot-assisted percutaneous fixation of non-displaced acute scaphoid fracture [J]. Chinese Journal of Injury Repair and Wound Healing(Electronic Edition), 2023, 18(06): 464-468.
[2]	Yasenjiang Gulimila, Aierken Ayinuer, Jialong Li, Qiang Guo, Tiemin Jiang, Aji Tuerganaili. Analysis of different treatment methods for bile duct injury after cholecystectomy [J]. Chinese Archives of General Surgery(Electronic Edition), 2023, 17(04): 262-266.
[3]	Xu Peng, Yongfu Shao, Duo Li, Rui Zhou, Zhenming Xing. Diagnosis and surgical treatment of hepatocolon flexure [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2024, 18(01): 108-110.
[4]	Nan Zuo, Yan Liu, Dahui Sun, Zhewen Liu, Guang Yang. Therapeutic effect analysis of pectoralis major deltoid approach and trans-deltoid lateral approach on proximal humeral fracture [J]. Chinese Journal of Shoulder and Elbow(Electronic Edition), 2023, 11(03): 252-257.
[5]	Zhuang Hao, Jiyuan Ma, Mengmei He, Xingyu Li, Xinting Lu, Jing Wu, Jian Zhou. Clinical features, surgical treatment and its effectiveness of late-onset capsular block syndrome [J]. Chinese Journal of Ophthalmologic Medicine(Electronic Edition), 2023, 13(02): 70-75.
[6]	Dong Zhong. Individualized full process management of cerebral convex meningioma [J]. Chinese Journal of Neurotraumatic Surgery(Electronic Edition), 2023, 09(04): 193-198.
[7]	Min Zhu, Faqiang Li. Diagnostic value of CD64 index combined with PCT, IL-6 and SAA test for intracranial bacterial infection after severe traumatic brain injury [J]. Chinese Journal of Neurotraumatic Surgery(Electronic Edition), 2023, 09(01): 26-31.
[8]	Yunlu Wang, Xiyong Li, Lun Liu, Peng Zhang, Pengfei Han, Xiaodong Li. Radial head arthroplasty versus Open reduction and internal fixation for the treatment of the terrible triad injury of the elbow: a systematic review and Meta-analysis [J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2023, 09(04): 240-246.
[9]	Jialun Liu, Zhanle Zheng. Research advances in the anatomy and clinical application of calcaneal carrier distance [J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2023, 09(03): 188-192.
[10]	Yan Gao, Ze Zhang, Jin Zhang, Dengfeng Zhang, Jie Liu, Peidong Liu, Qinji Bao, Yonghong Zhang. Preliminary clinical study of main and auxiliary plates internal fixation in the treatment of middle and lower 1/3 tibial fractures [J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2023, 09(01): 39-44.
[11]	Sihai Ma, Jian Yang, Xianwu Ma, Min Zhang, Mingli Lv, Qiju Li, Yisheng Yang, Haisheng Liu. Diagnosis and treatment of Shamblin Ⅱ carotid body tumor: a case report and literature review [J]. Chinese Journal of Clinicians(Electronic Edition), 2023, 17(04): 467-470.
[12]	Yang Yang, Yongzhi Liu, Junfeng Liu, Xuetao Zhou, Dongsheng Zhang. A retrospective analysis of the clinical effects of complete thoracoscopic rib fracture internal fixation surgery in patients with rib fracture [J]. Chinese Journal of Thoracic Surgery(Electronic Edition), 2023, 10(03): 137-142.
[13]	Zhiming Zhou, Wei Jiang, Zexue Wang, Bo Qu, Lei Liang, Min Zhang. Internal fixation of costal arch fracture [J]. Chinese Journal of Thoracic Surgery(Electronic Edition), 2023, 10(02): 63-69.
[14]	Kaibin Liu, Yi Yang. Analysis of risk factors and construction of risk prediction model for venous thromboembolism in 787 patients with thoracic trauma in a single center [J]. Chinese Journal of Thoracic Surgery(Electronic Edition), 2023, 10(02): 57-62.
[15]	Qiang Zhang, Bowen Li, Zhenzhen Liu. Surgical treatment of sternal fracture [J]. Chinese Journal of Thoracic Surgery(Electronic Edition), 2023, 10(02): 80-85.

Please choose a citation manager

Content to export