Open AccessPlacement of KANI ® plate inside the chest wall for rib fixation: Prevention for organ injuries caused by crossed rib edges and plate claws
Author(s) -
Uebayashi Asuka,
Takanashi Yusuke,
Oka Mikako,
Mizuno Kiyomichi,
Kawase Akikazu,
Funai Kazuhito
Publication year - 2022
Publication title -
respirology case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.304
H-Index - 9
ISSN - 2051-3380
DOI - 10.1002/rcr2.914
Subject(s) - flail chest , medicine , claw , rib cage , fixation (population genetics) , surgery , anatomy , population , engineering , mechanical engineering , environmental health
Abstract The claw‐type titanium plate has been successfully applied to manage a flail chest. However, rare and life‐threatening organ injury occurs due to an insufficient claw bend. We report an ingenuity of surgical fixation using KANI® plates (USCI Japan, Tokyo, Japan) in a flail chest. A 60‐year‐old man with a severe flail chest underwent a surgical rib fixation. He had multiple rib fractures accompanied by dislocation and protruding crossed rib edges; we assumed a possibility of lung injury during a standard procedure in which the KANI® plates would be placed from outside the chest wall. Therefore, we placed KANI® plates inside the chest wall to ensure sufficient claw bend and to cover crossed rib edges to prevent organ injuries. We propose that our new ingenuity provides a safe and tight rib fixation in rib fractures with protruding crossed rib edges which the standard method cannot flatten.