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Year : 2019  |  Volume : 4  |  Issue : 1  |  Page : 41-47

Surgical stabilization of rib fractures

1 Division of Traumatology, Surgical Critical Care and Emergency Surgery, The University of Pennsylvania, Philadelphia, Pennsylvania, USA
2 Division of Thoracic Surgery, University of Sao Paulo, Sao Paulo, Brazil
3 Intermountain Medical Center, Salt Lake City, Utah, USA

Correspondence Address:
Thomas W White
Intermountain Medical Center, Salt Lake City, Utah
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jctt.jctt_19_19

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Multiple rib fractures from trauma are common and nonoperative management, including pain control and aggressive pulmonary care, are the mainstay of treatment. However, patients with hindered pulmonary function despite maximal medical therapy, either from acute pain or chest wall instability (flail chest) should be considered for surgical rib stabilization. Additionally, patients with persistent pain or with rib fractures that do not heal (nonunion) should also be considered for surgery. Indications, contraindications, surgical considerations, complications, and future directions of surgical stabilization of rib fractures are reviewed here.

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