Rib fracture repair

Indications, technical issues, and future directions

Raminder Nirula, Jose J. Diaz, Donald Trunkey, John C. Mayberry

    Research output: Contribution to journalArticle

    113 Citations (Scopus)

    Abstract

    Rib fracture repair has been performed at selected centers around the world for more than 50 years; however, the operative indications have not been established and are considered controversial. The outcome of a strictly nonoperative approach may not be optimal. Potential indications for rib fracture repair include flail chest, painful, movable rib fractures refractory to conventional pain management, chest wall deformity/defect, rib fracture nonunion, and during thoracotomy for other traumatic indication. Rib fracture repair is technically challenging secondary to the human rib's relatively thin cortex and its tendency to fracture obliquely. Nonetheless, several effective repair systems have been developed. Future directions for progress on this important surgical problem include the development of minimally invasive techniques and the conduct of multicenter, randomized trials.

    Original languageEnglish (US)
    Pages (from-to)14-22
    Number of pages9
    JournalWorld Journal of Surgery
    Volume33
    Issue number1
    DOIs
    StatePublished - Jan 2009

    Fingerprint

    Rib Fractures
    Flail Chest
    Thoracic Wall
    Ribs
    Thoracotomy
    Pain Management
    Multicenter Studies
    Direction compound

    ASJC Scopus subject areas

    • Surgery

    Cite this

    Rib fracture repair : Indications, technical issues, and future directions. / Nirula, Raminder; Diaz, Jose J.; Trunkey, Donald; Mayberry, John C.

    In: World Journal of Surgery, Vol. 33, No. 1, 01.2009, p. 14-22.

    Research output: Contribution to journalArticle

    Nirula, Raminder ; Diaz, Jose J. ; Trunkey, Donald ; Mayberry, John C. / Rib fracture repair : Indications, technical issues, and future directions. In: World Journal of Surgery. 2009 ; Vol. 33, No. 1. pp. 14-22.
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