Treatment of traumatic flail chest with muscular sparing open reduction and internal fixation: Description of a surgical technique

Journal of Trauma - Injury, Infection and Critical Care

Volumn 71, Issue 2, 2011, Pages 494-501

  Hasenboehler, Erik A ^a   Bernard, Andrew C ^a   Bottiggi, Anthony J ^a   Moghadamian, Eric S ^b   Wright, Raymond D ^b   Chang, Philip K ^a   Boulanger, Bernard R ^a   Kearney, Paul A ^a  

^a Section on Acute Care Surgery Trauma and Critical Care   (United States)

^b UNIVERSITY OF KENTUCKY   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ARTICLE; BONE PLATE; BONE SCREW; CASE REPORT; COMPUTER ASSISTED TOMOGRAPHY; FLAIL CHEST; HUMAN; IMAGE RECONSTRUCTION; MALE; OPEN REDUCTION; OSTEOSYNTHESIS; PATIENT POSITIONING; PATIENT SELECTION; POSTOPERATIVE COMPLICATION; PRIORITY JOURNAL; SPLINT; SURGICAL TECHNIQUE; THORAX BLUNT TRAUMA; THREE DIMENSIONAL IMAGING; TREATMENT INDICATION; TREATMENT OUTCOME;

ACCIDENTS, TRAFFIC; AGED; FLAIL CHEST; HUMANS; MALE; MIDDLE AGED; THORACOTOMY; WOUNDS, NONPENETRATING; YOUNG ADULT;

EID: 80051710054     PISSN: 00225282     EISSN: 15298809     Source Type: Journal    
DOI: 10.1097/TA.0b013e3182255d30     Document Type: Article

References (41)

1. Wanek S, Mayberry JC. Blunt thoracic trauma: flail chest, pulmonary contusion, and blast injury. Crit Care Clin. 2004;20:71-81. (Pubitemid 38167293)
2. Stawicki SP, Grossman MD, Hoey BA, Miller DL, Reed JF III. Rib fractures in the elderly: a marker of injury severity. J Am Geriatr Soc. 2004;52:805-808. (Pubitemid 38596504)
3. Ali BA, Sanfilippo F. Management of flail chest in trauma: analysis of risk factors affecting outcome. ANZ J Surg. 2007;77:A93.
4. Sirmali M, Turut H, Topcu S, et al. A comprehensive analysis of traumatic rib fractures: morbidity, mortality and management. Eur J Cardiothorac Surg. 2003;24:133-138. (Pubitemid 36802352)
5. Nirula R, Mayberry JC. Rib fracture fixation: controversies and technical challenges. Am Surg. 2010;76:793-802.
6. Ahmed Z, Mohyuddin Z. Management of flail chest injury: internal fixation versus endotracheal intubation and ventilation. J Thorac Cardiovasc Surg. 1995;110:1676-1680.
7. Lardinois D, Krueger T, Dusmet M, Ghisletta N, Gugger M, Ris HB. Pulmonary function testing after operative stabilisation of the chest wall for flail chest. Eur J Cardiothorac Surg. 2001;20:496-501. (Pubitemid 32743332)
8. Nirula R, Allen B, Layman R, Falimirski ME, Somberg LB. Rib fracture stabilization in patients sustaining blunt chest injury. Am Surg. 2006;72:307-309. (Pubitemid 351837680)
9. Tanaka H, Yukioka T, Yamaguti Y, et al. Surgical stabilization of internal pneumatic stabilization? A prospective randomized study of management of severe flail chest patients. J Trauma. 2002;52:727-732; discussion 732. (Pubitemid 34437236)
10. Trinkle JK, Richardson JD, Franz JL, Grover FL, Arom KV, Holmstrom FM. Management of flail chest without mechanical ventilation. Ann Thorac Surg. 1975;19:355-363.
11. Bastos R, Calhoon JH, Baisden CE. Flail chest and pulmonary contusion. Semin Thorac Cardiovasc Surg. 2008;20:39-45. (Pubitemid 351506531)
12. Pettiford BL, Luketich JD, Landreneau RJ. The management of flail chest. Thorac Surg Clin. 2007;17:25-33. (Pubitemid 46784036)
13. Piastra M, De Luca D, Zorzi G, et al. Noninvasive ventilation in large postoperative flail chest. Pediatr Blood Cancer. 2008;51:831-833.
14. Strambu V, Stoian S, Popa F. [Technique of internal surgical stabilization for flail chest]. Chirurgia (Bucur). 2007;102:71-74.
15. Lafferty PM, Anavian J, Will RE, Cole PA. Operative treatment of chest wall injuries: indications, technique, and outcomes. J Bone Joint Surg Am. 2011;93:97-110.
16. Fitzpatrick DC, Denard PJ, Phelan D, Long WB, Madey SM, Bottlang M. Operative stabilization of flail chest injuries: review of literature and fixation options. Eur J Trauma Emerg Surg. 2010;36:427-433.
17. Bemelman M, Poeze M, Blokhuis TJ, Leenen L P H. Historic overview of treatment techniques for rib fractures and flail chest. Eur J Trauma Emerg Surg. 2010;5:407-415.
18. Landercasper J, Cogbill TH, Lindesmith LA. Long-term disability after flail chest injury. J Trauma. 1984;24:410-414. (Pubitemid 14101805)
19. Beal SL, Oreskovich MR. Long-term disability associated with flail chest injury. Am J Surg. 1985;150:324-326. (Pubitemid 15242526)
20. Cohen EA. Treatment of the flail chest by towel clip traction. Am J Surg. 1955;90:517-521.
21. Paris F, Tarazona V, Blasco E, et al. Surgical stabilization of traumatic flail chest. Thorax. 1975;30:521-527.
22. Schmit-Neuerburg KP, Weiss H, Labitzke R. Indication for thoracotomy and chest wall stabilization. Injury. 1982;14:26-34. (Pubitemid 12090714)
23. Menard A, Testart J, Philippe JM, Grise P. Treatment of flail chest with Judet's struts. J Thorac Cardiovasc Surg. 1983;86:300-305. (Pubitemid 13033171)
24. Bottlang M, Walleser S, Noll M, et al. Biomechanical rationale and evaluation of an implant system for rib fracture fixation. Eur J Trauma Emerg Surg. 2010;36:417-426.
25. Voggenreiter G, Neudeck F, Aufmkolk M, Obertacke U, Schmit-Neuerburg KP. Operative chest wall stabilization in flail chest-outcomes of patients with or without pulmonary contusion. J Am Coll Surg. 1998;187:130-138. (Pubitemid 28392273)
26. Haasler GB. Open fixation of flail chest after blunt trauma. Ann Thorac Surg. 1990;49:993-995. (Pubitemid 20216058)
27. Bottlang M, Helzel I, Long WB, Madey S. Anatomically contoured plates for fixation of rib fractures. J Trauma. 2010;68:611-615.
28. Engel C, Krieg JC, Madey SM, Long WB, Bottlang M. Operative chest wall fixation with osteosynthesis plates. J Trauma. 2005;58:181-186. (Pubitemid 40221749)
29. Granetzny A, Abd El-Aal M, Emam E, Shalaby A, Boseila A. Surgical versus conservative treatment of flail chest. Evaluation of the pulmonary status. Interact Cardiovasc Thorac Surg. 2005;4:583-587. (Pubitemid 41744463)
30. Mouton W, Lardinois D, Furrer M, Regli B, Ris HB. Long-term follow-up of patients with operative stabilisation of a flail chest. Thorac Cardiovasc Surg. 1997;45:242-244. (Pubitemid 27489472)
31. Simon B, Ebert J, Bokhari F, et al. Practice Management Guideline for "Pulmonary Contusion-Flail Chest. Chicago, Illinois: Eastern Association for the Surgery of Trauma; 2006.
32. Gabram SG, Schwartz RJ, Jacobs LM, et al. Clinical management of blunt trauma patients with unilateral rib fractures: a randomized trial. World J Surg. 1995;19:388-393.
33. Cacchione RN, Richardson JD, Seligson D. Painful nonunion of multiple rib fractures managed by operative stabilization. J Trauma. 2000;48:319-321. (Pubitemid 30112088)
34. Reber P, Ris HB, Inderbitzi R, Stark B, Nachbur B. Osteosynthesis of the injured chest wall. Use of the AO (Arbeitsgemeinschaft fur Osteosynthese) technique. Scand J Thorac Cardiovasc Surg. 1993;27:137-142. (Pubitemid 24073206)
35. Slater MS, Mayberry JC, Trunkey DD. Operative stabilization of a flail chest six years after injury. Ann Thorac Surg. 2001;72:600-601. (Pubitemid 32734078)
36. Landreneau RJ, Hinson JM Jr, Hazelrigg SR, Johnson JA, Boley TM, Curtis JJ. Strut fixation of an extensive flail chest. Ann Thorac Surg. 1991;51:473-475.
37. Oyarzun JR, Bush AP, McCormick JR, Bolanowski PJ. Use of 3.5-mm acetabular reconstruction plates for internal fixation of flail chest injuries. Ann Thorac Surg. 1998;65:1471-1474. (Pubitemid 28241727)
38. Reber PU, Kniemeyer HW, Ris HB. Reconstruction plates for internal fixation of flail chest. Ann Thorac Surg. 1998;66:2158. (Pubitemid 29087237)
39. Campbell N, Richardson M, Antippa P. Biomechanical testing of two devices for internal fixation of fractured ribs. J Trauma. 2010;68:1234-1238.
40. Sommer C. Locking Compression Plate. Injury. 2003;34(Suppl 2):B4-B5.
41. Perren SM. Evolution of the internal fixation of long bone fractures. The scientific basis of biological internal fixation: choosing a new balance between stability and biology. J Bone Joint Surg Br. 2002;84:1093-1110.