Application of Titanium MatrixRib Fixation System in the treatment of flail chest

doi:10.3877/cma.j.issn.2095-8773.2015.03.010

Abstract

Abstract:

Objective

To investigate the application of Titanium MatrixRib Fixation System in the treatment of flail chest.

Methods

From January 2014 to January 2015, 58 patients with flail chest underwent internal fixation with Titanium MatrixRib Fixation System in Tongren Hospital affiliated to Shanghai Jiao Tong University School of Medicine.

Results

All operations were successfully completed, with favorable postoperative recovery and significantly decreased postoperative pain score(t=37.55, P<0.05). The mean operation time was (96.7±28.2)min, the mean volume of peri-operative bleeding was (284.5±46.3)ml, and the mean duration of postoperative hospital stay was (14.8±2.7) d. Postoperative pulmonary infection and atelectasis occurred in 3 cases and 4 cases, respectively, all of whom recovered after treatment. All incisions obtained healing by first intention. The shape of bony thorax recovered, and paradoxical respiration vanished in all cases after operation. The patients were followed up for 6 months, the chest X-Ray film demonstrated full thorax, firm internal fixationand osseous healing of fracture end, and there was nosevere complication.

Conclusions

Titanium MatrixRib Fixation System is simple and less invasive in the treatment of flail chest, with good tissue compatibility, stable fixation, less complications and favorable clinical results.

Key words: flail chest, Titanium MatrixRib Fixation System, internal fixation

Chen Zhu, Ye Xu, Wenliang Qian, Qichen Ding, Min Zheng. Application of Titanium MatrixRib Fixation System in the treatment of flail chest[J]. Chinese Journal of Thoracic Surgery(Electronic Edition), 2015, 02(03): 188-191.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhxbwkdzzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2095-8773.2015.03.010

https://zhxbwkdzzz.cma-cmc.com.cn/EN/Y2015/V02/I03/188

Figures/Tables 1

References 14

[1]	李智成，王长涛，薛冰，等．肋骨接骨板置入内固定治疗肋骨骨折39例：同一机构2年资料回顾[J]．中国组织工程研究与临床康复，2010，14(22)：4155-4159.
[2]	Pettiford BL, Luketich JD, Landreneau RJ. The management of flailchest[J]. Thorac Surg Clin，2007，17(1)：25-33.
[3]	Bastos R, Calhoon JH, Baisden CE. Flail chest and pulmonary contusion[J]. Semin Thorac Cardiovasc Surg，2008, 20(1)：39-45.
[4]	徐靖，许国安，力向明，等．微创肋骨内固定术治疗多发肋骨骨折[J]．中国微创外科杂志，2012，12(1)：64-66.
[5]	苏志勇，张镱雷，姜天烁，等．聚左乳酸可吸收类固定治疗重症肋骨骨折患者的适应证探讨[J]．中国胸心血管外科临床杂志，2010，17(5)：423-424.
[6]	李刚建，赵鑫．可吸收固定钉与记忆金属接骨板治疗多发性肋骨骨折的疗效比较[J]．海南医学，2015，26(8)：1138-1140.
[7]	石勇，阚奇伟；刘泗军，等.81例肋骨骨折切开复位内固定手术疗效分析[J]．局解手术学杂志，2015，26(4)：414-416.
[8]	徐新建，何明．连枷胸的肋骨固定治疗及进展[J]．国际外科学杂志，2011，38(1)：63-65.
[9]	陈希涛，孙筱笛，韩立波，等．双侧连枷胸合并严重肺挫伤21例的呼吸机治疗体会[J]．临床肺科杂志，2013，18(2)：253-254.
[10]	高劲谋，都定元，刘朝普，等．伴多发伤连枷胸的损伤控制外科治疗[J]．中华创伤杂志，2013, 29 (4)：343-347.
[11]	Park S. Clinical analysis for the correlation of intra-abdominalorgan injury in the patients with rib fracture[J]．Korean J Thorac Cardiovasc Surg，2012，45 (4) ：246-250.
[12]	徐志飞，孙居仙．肋骨骨折的诊疗进展[J]．中华创伤杂志，2010，26(6)：481-482.
[13]	Gadsden J, Kwofie K, Shastri U．Continuous intercostal versusparavertebral blockade for multiple fractured ribs[J]．J Trauma Acute Care Surg，2012，73(1)：293-294.
[14]	陈文，杨正府．早期内固定治疗多发性肋骨骨折40例[J]．创伤外科杂志，2011，13(4)：356-358.

[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]	Xuyong Cao, Yaosheng Liu. Research progress of surgical complications of spinal metastasis [J]. Chinese Journal of Injury Repair and Wound Healing(Electronic Edition), 2022, 17(05): 435-439.
[3]	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.
[4]	Yanmao Wang, Tao He, Shengdi Lu, Jian Ding. Comparison of arthroscopic and open reduction with internal fixation in the treatment of radial head fractures: a preliminary report [J]. Chinese Journal of Shoulder and Elbow(Electronic Edition), 2022, 10(04): 319-326.
[5]	Bing Liu, Xiangyu Ma, Chao Yang, Dapeng Zhou. Clinical efficacy of PHILOS plate combined with individualized intramedullary anatomic bone cement occupying device in the treatment of osteoporotic proximal humeral fractures in the elderly [J]. Chinese Journal of Shoulder and Elbow(Electronic Edition), 2022, 10(04): 293-299.
[6]	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.
[7]	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.
[8]	Leyi Cai, Wenhao Zheng, Guangheng Xiang, Hua Chen, Long Chen. Management of internal fixation-related nonunion of peritrochanteric fractures of the femur: a summary of 55 cases [J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2022, 08(06): 330-337.
[9]	Zhongyou Zeng, Jianqiao Zhang, Yongxing Song, Wei Yu, Shunwu Fan, Xiangqian Fang, Fei Pei, Guohao Song, Shiyang Fan. Comparative study of oblique lateral approach and posterior fusion in the treatment of grade Ⅰ-Ⅱ lumbar spondylolisthesis [J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2022, 08(02): 80-90.
[10]	Jibao Chen, Yuliang Ju, Shiwei Guan, Jiafeng Yang, Feng Zhou, Jin Zhang, Wei Liu, Mei Ying. Finite element analysis of the effect of the FNS and CCS on the stability of Pauwels Ⅲ femoral neck fracture [J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2022, 08(02): 65-73.
[11]	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.
[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]	Qiang Zhang, Bowen Li, Zhenzhen Liu. Surgical treatment of sternal fracture [J]. Chinese Journal of Thoracic Surgery(Electronic Edition), 2023, 10(02): 80-85.
[14]	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.
[15]	Yawei Mao. Clinical efficacy of key rib internal fixation combined with ventilator breathing for flail chest with lung contusion [J]. Chinese Journal of Hygiene Rescue(Electronic Edition), 2022, 08(03): 153-155.

Please choose a citation manager

Content to export