Year : 2019 | Volume
: 4 | Issue : 1 | Page : 3-
Chest wall injury society editorial
Thomas W White1, SarahAnn S Whitbeck2,
1 Department of Trauma Surgery, Critical Care, Intermountain Medical Center, Murray, United States of America
2 Chest Wall Injury Society, Salt Lake City, Utah, United States of America
SarahAnn S Whitbeck
Chest Wall Injury Society, Salt Lake City, Utah
United States of America
|How to cite this article:|
White TW, Whitbeck SS. Chest wall injury society editorial.J Cardiothorac Trauma 2019;4:3-3
|How to cite this URL:|
White TW, Whitbeck SS. Chest wall injury society editorial. J Cardiothorac Trauma [serial online] 2019 [cited 2020 May 24 ];4:3-3
Available from: http://www.jctt.org/text.asp?2019/4/1/3/274208
The modern age of surgical stabilization of rib fractures, or SSRF, began in the mid-1990s with plate and screw systems designed specifically for the fractured rib. These allowed for easier and quicker application and low mechanical failure rates. Advances in patient selection, preparation, incision placement, and muscle-sparing access to the chest wall rapidly followed. These efforts were being made by a few intrepid surgeons as the general culture of conservative management of rib fractures held sway. The available literature, although supportive, was sparse and unconvincing for many. Clinical experience, as often happens, outpaced the science, and more surgeons and institutions began to see the benefits of chest wall stabilization.
In 2016, the first formal meeting of clinicians curious about SSRF met in Park City, Utah. This gathering solidified for many, the importance of a collective, organized expansion of training opportunities and research initiatives for the burgeoning field of rib fracture repair. During the following year, the Chest Wall Injury Society (CWIS) was developed and formalized, with a mission of optimizing the operative and nonoperative care of the patient with chest wall injury. Our vision is to advance the care of the patient with chest wall injury through rigorous research, promotion of patient access, navigation and advocacy, coordination of education and networking, and practice of high-quality, evidence-based, cost-effective care.
Our journey has just begun. We are obligated and committed to tackling many outstanding questions, such as does SSRF improve long-term outcomes? Can we get patients back to normal lives? What can we do to lower the risk of opiate addiction in destructive chest wall injury patients? How do we continue to make this operation less invasive? How can we minimize mechanical failure? Can we develop an effective, lower cost alternative for use in the developing world?
We are grateful to our new friend Dr. Moheb Rashid (JCTT Editor-In-Chief) for his interest in surgery for rib fracture repair and the CWIS. It is an exciting time for trauma surgeons, regardless of their specialty, who now have a surgical alternative for the highly painful and morbid malady of traumatic chest wall injury. These emerging technologies and techniques are here to stay. Our task is to further refine the proper indications for and the optimal technique of SSRF to provide the most cost-effective benefit with the least risk for our patients.