Surgical fixation of rib fractures with clips and titanium bars (STRATOS System). Preliminary experience.
Summary of "Surgical fixation of rib fractures with clips and titanium bars (STRATOS System). Preliminary experience."
INTRODUCTION:
Rib fractures are very common in closed chest injuries. The majority of these patients suffer significant pain with movement and cough. The purpose of this study is to assess the usefulness of titanium rib bars and clips in stabilising rib fractures. MATERIAL AND
METHODS:
Twenty-two patients with rib fractures were treated with open reduction and internal fixation between 2008 and 2009. Indications for treatment were defined as; 1) Patients with unstable chest (13 patients), 2) Patients with pain or instability due to rib fractures (6 patients), and 3) Significant traumatic deformities of the chest wall (3 patients). Age, traumatic mechanism, chest and associated injuries, surgical data, complications and follow-up were prospectively analysed. The surgical technique is described.
RESULTS:
The majority of patients were extubated immediately after surgery. All patients with pain or instability showed a subjective improvement or disappearance of pain after the surgery. Four patients had a wound infection which had to be drained. After 3 months, 55% of the patients had returned to work or normal life. The results in each group are described.
CONCLUSIONS:
Open reduction with internal fixation of rib fractures is a good alternative. The use of titanium rib bars and clips give good clinical results, are easy to apply and have few complications.
Affiliation
Servicio de Cirugía Torácica, Hospital POVISA, Vigo, España.
Journal Details
This article was published in the following journal.
Name: Cirugia espanola
ISSN: 1578-147X
Pages:
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/20638653
- DOI: http://dx.doi.org/10.1016/j.ciresp.2010.06.004
Medical and Biotech [MESH] Definitions
Jaw Fixation Techniques
The stable placement of surgically induced fractures of the mandible or maxilla through the use of elastics, wire ligatures, arch bars, or other splints. It is used often in the cosmetic surgery of retrognathism and prognathism. (From Dorland, 28th ed, p636)
Titanium
A dark-gray, metallic element of widespread distribution but occurring in small amounts; atomic number, 22; atomic weight, 47.90; symbol, Ti; specific gravity, 4.5; used for fixation of fractures. (Dorland, 28th ed)
Surgical Fixation Devices
Devices used to hold tissue structures together for repair, reconstruction or to close wounds. They may consist of adsorbable or non-adsorbable, natural or synthetic materials. They include tissue adhesives, skin tape, sutures, buttons, staples, clips, screws, etc., each designed to conform to various tissue geometries.
Shoulder Fractures
Fractures of the proximal humerus, including the head, anatomic and surgical necks, and tuberosities.
Polydioxanone
An absorbable suture material used also as ligating clips, as pins for internal fixation of broken bones, and as ligament reinforcement for surgically managed ligament injuries. Its promising characteristics are elasticity, complete biodegradability, and lack of side effects such as infections.
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