Injury
Volume 40, Issue 10 , Pages 1104-1110 , October 2009

Evaluation of intramedullary rib splints for less-invasive stabilisation of rib fractures

  • Inga Helzel

      Affiliations

    • Biomechanics Laboratory, Legacy Research & Technology Centre, Portland, OR, USA
  • ,
  • William Long

      Affiliations

    • Biomechanics Laboratory, Legacy Research & Technology Centre, Portland, OR, USA
  • ,
  • Daniel Fitzpatrick

      Affiliations

    • Slocum Centre for Orthopaedics, Eugene, OR, USA
  • ,
  • Steven Madey

      Affiliations

    • Biomechanics Laboratory, Legacy Research & Technology Centre, Portland, OR, USA
  • ,
  • Michael Bottlang

      Affiliations

    • Biomechanics Laboratory, Legacy Research & Technology Centre, Portland, OR, USA
    • Corresponding Author InformationCorresponding author at: Legacy Biomechanics Laboratory, 1225 NE 2nd Ave, Portland, OR 97232, USA. Tel.: +1 503 413 5457; fax: +1 503 413 4942.

,Accepted 2 June 2009.

References 

  1. Ahmed Z, Mohyuddin Z. Management of flail chest injury: internal fixation versus endotracheal intubation and ventilation. J Thorac Cardiovasc Surg. 1995;110:1676–1680
  2. Albrecht F, Brug E. Stabilisation of the flail chest with tension band wires of ribs and sternum (author's transl). Zentralbl Chir. 1979;104:770–776
  3. Balci AE, Eren S, Cakir O, Eren MN. Open fixation in flail chest: review of 64 patients. Asian Cardiovasc Thorac Ann. 2004;12:11–15
  4. Beal SL, Oreskovich MR. Long-term disability associated with flail chest injury. Am J Surg. 1985;150:324–326
  5. Bulger EM, Arneson MA, Mock CN, Jurkovich GJ. Rib fractures in the elderly. J Trauma. 2000;48:1040–1046
  6. Cacchione RN, Richardson JD, Seligson D. Painful nonunion of multiple rib fractures managed by operative stabilisation. J Trauma. 2000;48:319–321
  7. Cormier JM, Stitzel JD, Duma SM, Matsuoka F. Regional variation in the structural response and geometrical properties of human ribs. Annu Proc Assoc Adv Automot Med. 2005;49:153–170
  8. Di Fabio D, Benetti D, Benvenuti M, Mombelloni G. Surgical stabilisation of post-traumatic flail chest. Our experience with 116 cases treated. Minerva Chirurgica. 1995;50:227–233
  9. Engel C, Krieg JC, Madey SM, et al. Operative chest wall fixation with osteosynthesis plates. J Trauma. 2005;58:181–186
  10. Granik G, Stein I. Human ribs: static testing as a promising medical application. J Biomech. 1973;6:237–240
  11. Haasler GB. Open fixation of flail chest after blunt trauma. Ann Thorac Surg. 1990;49:993–995
  12. Hellberg K, de Vivie ER, Fuchs K, et al. Stabilisation of flail chest by compression osteosynthesis—experimental and clinical results. Thorac Cardiovasc Surg. 1981;29:275–281
  13. Ho JD, Dawes DM, Bultman LL, et al. Respiratory effect of prolonged electrical weapon application on human volunteers. Acad Emerg Med. 2007;14:197–201
  14. Karev DV. Operative management of the flail chest. Wiad Lek. 1997;50(Suppl 1 (Pt 2)):205–208
  15. Landercasper J, Cogbill TH, Lindesmith LA. Long-term disability after flail chest injury. J Trauma. 1984;24:410–414
  16. Mayberry JC, Terhes JT, Ellis TJ, et al. Absorbable plates for rib fracture repair: preliminary experience. J Trauma. 2003;55:835–839
  17. Meier P, Schupbach P. Therapy of the unstable thorax in serial fractures of the ribs. Schweiz Med Wochenschr. 1978;108:608–613
  18. Menard A, Testart J, Philippe JM, Grise P. Treatment of flail chest with Judet's struts. J Thorac Cardiovasc Surg. 1983;86:300–305
  19. Mohr M, Abrams E, Engel C, et al. Geometry of human ribs pertinent to orthopedic chest-wall reconstruction. J Biomech. 2007;40:1310–1317
  20. Moore BP. Operative stabilisation of nonpenetrating chest injuries. J Thorac Cardiovasc Surg. 1975;70:619–630
  21. Mouton W, Lardinois D, Furrer M, et al. Long-term follow-up of patients with operative stabilisation of a flail chest. Thorac Cardiovasc Surg. 1997;45:242–244
  22. Murray JF, Nadel JA. Textbook of respiratory medicine. 2nd ed.. London: Saunders; 1994;
  23. Ng AB, Giannoudis PV, Bismil Q, et al. Operative stabilisation of painful non-united multiple rib fractures. Injury. 2001;32:637–639
  24. Nirula R, Allen B, Layman R, et al. Rib fracture stabilisation in patients sustaining blunt chest injury. Am Surg. 2006;72:307–309
  25. Pettiford BL, Luketich JD, Landreneau RJ. The management of flail chest. Thorac Surg Clin. 2007;17:25–33
  26. Quell M, Vecsei V. Surgical stabilisation of thoracic wall fractures. Unfallchirurg. 1991;94:129–133
  27. Reber P, Ris HB, Inderbitzi R, et al. Osteosynthesis of the injured chest wall. Use of the AO (Arbeitsgemeinschaft fur Osteosynthese) technique. Scand J Thorac Cardiovasc Surg. 1993;27:137–142
  28. Reber PU, Kniemeyer HW, Ris HB. Reconstruction plates for internal fixation of flail chest. Ann Thorac Surg. 1998;66:2158
  29. Rehm KE. Die Osteosynthese der Thoraxwandinstabilitaeten. Hefte zur Unfallheilkunde. 1986;175
  30. Richardson JD, Adams L, Flint LM. Selective management of flail chest and pulmonary contusion. Ann Surg. 1982;196:481–487
  31. Richardson JD, Franklin GA, Heffley S, Seligson D. Operative fixation of chest wall fractures: an underused procedure?. Am Surg. 2007;73:591–596
  32. Sales JR, Ellis TJ, Gillard J, et al. Biomechanical testing of a novel, minimally invasive rib fracture plating system. J Trauma. 2008;64:1270–1274
  33. Samarrai AR. Costosynthetic stabilisation of massive chest wall instability. Int Surg. 1990;75:231–233
  34. Schmit-Neuerburg KP, Weiss H, Labitzke R. Indication for thoracotomy and chest wall stabilisation. Injury. 1982;14:26–34
  35. Schupbach P, Meier P. Indications for the reconstruction of the unstable thorax due to serial rib fractures and respiratory insufficiency. Helv Chir Acta. 1976;43:497–502
  36. Shah TJ. On internal fixation for flail chest. J Thorac Cardiovasc Surg. 1996;112:849–850
  37. Slater MS, Mayberry JC, Trunkey DD. Operative stabilisation of a flail chest six years after injury. Ann Thorac Surg. 2001;72:600–601
  38. Tanaka H, Yukioka T, Yamaguti Y, et al. Surgical stabilisation of internal pneumatic stabilisation? A prospective randomized study of management of severe flail chest patients. J Trauma. 2002;52:727–732[discussion 32]
  39. Velmahos GC, Vassiliu P, Chan LS, et al. Influence of flail chest on outcome among patients with severe thoracic cage trauma. Int Surg. 2002;87:240–244
  40. Voggenreiter G, Neudeck F, Aufmkolk M, et al. Operative chest wall stabilisation in flail chest—outcomes of patients with or without pulmonary contusion. J Am Coll Surg. 1998;187:130–138

PII: S0020-1383(09)00300-3

doi: 10.1016/j.injury.2009.06.004

Injury
Volume 40, Issue 10 , Pages 1104-1110 , October 2009