Absorbable Plates for Rib Fracture Repair: Preliminary Experience

John C. Mayberry, John T. Terhes, Thomas J. Ellis, Sandra Wanek, Richard Mullins

    Research output: Contribution to journalArticle

    57 Citations (Scopus)

    Abstract

    Background: Absorbable prostheses are currently used in a variety of bone reconstructions and fixations. Methods: This is a case series of rib fracture fixation using absorbable plates and screws consisting of 70:30 poly(L-lactide-CO-D,L-lactide) from April 2001 through November 2002. Results: Ten patients underwent rib fracture fixation with absorbable plates and screws. Indications included flail chest with failure to wean (five patients), acute pain with instability (four patients), and chest wall defect (one patient). All patients with flail chest weaned from mechanical ventilation successfully. All patients with pain and instability reported rapid subjective improvement or resolution. The patient with a chest wall defect repair returned to full athletic activity without limitations at 6 months. Thoracoscopic assistance was used in three cases and muscle-sparing incisions were used in eight cases. Two patients with screw fixation only developed loss of rib fracture reduction. One patient developed a wound infection requiring drainage. The period of follow-up ranged from 3 to 18 months. Conclusion: Absorbable plates produce good clinical results and are an option for rib fracture repair. Two-point fixation (screw fixation plus suture cerclage) is required. Further refinements in technique should focus on minimally invasive methods.

    Original languageEnglish (US)
    Pages (from-to)835-839
    Number of pages5
    JournalJournal of Trauma - Injury, Infection and Critical Care
    Volume55
    Issue number5
    DOIs
    StatePublished - Nov 2003

    Fingerprint

    Rib Fractures
    Fracture Fixation
    Flail Chest
    Thoracic Wall
    Acute Pain
    Wound Infection
    Carbon Monoxide
    Artificial Respiration
    Sutures
    Prostheses and Implants
    Sports
    Drainage
    Bone and Bones
    Pain
    Muscles

    Keywords

    • Absorbable plates
    • Repair
    • Rib fracture

    ASJC Scopus subject areas

    • Surgery

    Cite this

    Absorbable Plates for Rib Fracture Repair : Preliminary Experience. / Mayberry, John C.; Terhes, John T.; Ellis, Thomas J.; Wanek, Sandra; Mullins, Richard.

    In: Journal of Trauma - Injury, Infection and Critical Care, Vol. 55, No. 5, 11.2003, p. 835-839.

    Research output: Contribution to journalArticle

    Mayberry, John C. ; Terhes, John T. ; Ellis, Thomas J. ; Wanek, Sandra ; Mullins, Richard. / Absorbable Plates for Rib Fracture Repair : Preliminary Experience. In: Journal of Trauma - Injury, Infection and Critical Care. 2003 ; Vol. 55, No. 5. pp. 835-839.
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