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Results of rib fixation in treating rib fractures at Dong Nai General Hospital
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Abstract
Introduction
Rib fractures are a common complication of chest trauma. Fractured rib fixation is an effective method in treating complicated rib fractures, especially cases with flail chest. This study aimed to evaluate the results and effectiveness of rib fixation surgery at Dong Nai General Hospital.
Methods
This is an analytical descriptive cross-sectional study, conducted at Dong Nai general hospital from 2022 to 2023.
Results
The study included 34 patients, 79% were male, 75% of ruptures were caused by traffic accidents. Lesions on the left side are more common than the right side (55.9% vs 32.4%), posterior arch fractures are the most common (88.2%), 41.2% have flail chests. Concomitant injuries consisted of pneumothorax (70.6%), hemothorax (76.5%) and pulmonary contusion (64.7%). Average operating time was 115.1 ± 39.5 minutes, average postoperative time was 10.12 ± 3.15 days. There was 1 case of reoperation due to pleural blood clots. We assessed the pain relief effectiveness by comparing the pain scale before and after surgery, there was a significant difference (7.47 ± 0.75 vs 3.35 ± 0.81, p < 0.001).
Conclusion
Rib fixation surgery is a safe and effective surgery in treating cases of complex rib fractures and flail chest. This can be implemented in provincial hospitals. Fixing more than 50% of broken ribs will help patients recover better and return to their daily work sooner.
Article Details
Keywords
Rib fixation, rib fractures
References
2. Liman Serife Tuba, S.T., Chest injury due to blunt trauma. European Journal of Cardio-Thoracic Surgery. 23(3): p. 374-8.
3. Uoc, N.H., et al., Kết quả phẫu thuật kết hợp xương sườn gãy bằng tấm nẹp vít tại Bệnh viện Hữu nghị Việt Đức. Tạp chí Phẫu thuật Tim mạch và Lồng ngực Việt Nam, 2021. 31: p. 39-46.
4. Davignon, K.K., Pathophysiology and management of the flail chest. Minerva anestesiologica. 70(4): p. 193-9.
5. Dehghan Niloofar, N., Flail chest injuries: a review of outcomes and treatment practices from the National Trauma Data Bank. Journal of Trauma and Acute Care Surgery. 76(2): p. 462-8.
6. Athanassiadi Kalliopi, K., Prognostic factors in flail-chest patients. European Journal of Cardio-Thoracic Surgery. 38(4): p. 466-71.
7. de Moya, M., R. Nirula, and W. Biffl, Rib fixation: Who, What, When? Trauma Surg Acute Care Open, 2017. 2(1): p. e000059.
8. Pieracci Fredric, M.F., A multicenter evaluation of the optimal timing of surgical stabilization of rib fractures. Journal of Trauma and Acute Care Surgery. 84(1): p. 1-10.
9. Pieracci Fredric, M.F., Surgical stabilization of severe rib fractures. Journal of Trauma and Acute Care Surgery. 78(4): p. 883-7.
10. Nickerson Terry, P.T., Outcomes of Complete Versus Partial Surgical Stabilization of Flail Chest. World journal of surgery. 40(1): p. 236-41.
11. Pieracci Fredric, M.F., A prospective, controlled clinical evaluation of surgical stabilization of severe rib fractures. Journal of Trauma and Acute Care Surgery. 80(2): p. 187-94.
12. Holcomb John, B.J., Morbidity from rib fractures increases after age 45. Journal of the American College of Surgeons. 196(4): p. 549-55.