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Year : 2019  |  Volume : 4  |  Issue : 1  |  Page : 52-54

Vertical plate for flail chest repair

1 Department of Surgery, Albany Medical College, Albany, New York, USA
2 Department of Thoracic Medicine and Surgery, Temple University Hospital, Philadelphia, PA, USA

Correspondence Address:
Marcel Tafen
Department of Surgery, Albany Medical College, Albany, New York
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jctt.jctt_10_19

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Operative treatment of rib fractures in the context of flail chest and respiratory failure is a well-established approach. In-line rib osteosynthesis with plates is the standard treatment sufficient to eliminate flail, achieve sufficient stability, and create chest rigidity to improve the respiratory cycle and maintain reduction. However, bridging large skeletal defects with missing portion of ribs is very challenging, particularly in the absence of suitable anchoring rib fragments. We describe an unusual use of vertical plate rib osteosynthesis in a patient with traumatic flail chest, exacerbated by a prior thoracoplasty and severe osteoporosis.

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