Open AccessManejo actualizado de las fracturas costales
Author(s) -
Guillermo Carriquiry,
Julio L. Trostchansky
Publication year - 2020
Publication title -
revista argentina de cirugía/revista argentina de cirugía
Language(s) - English
Resource type - Journals
eISSN - 2250-639X
pISSN - 0048-7600
DOI - 10.25132/raac.v112.n4.anca
Subject(s) - flail chest , medicine , fixation (population genetics) , osteosynthesis , surgery , contraindication , intensive care unit , polytrauma , mechanical ventilation , respiratory failure , anesthesia , intensive care medicine , population , alternative medicine , environmental health , pathology
Rib fractures are the most common injuries in chest trauma. Fracture fixation has been traditionally performed in flail chest patients. Over the past years, the indication has been extended to multiple, severely displaced non-flail pattern fractures. Other less common indications for osteosynthesis have also been considered. Severe pneumonia and lung contusion requiring mechanical ventilation are considered contraindication for surgical fixation. The optimal timing for the intervention is the first week. Several devices have been developed for fracture fixation; titanium plates are the most commonly used. Rib fixation offers patients a more rapid recovery with shorter length of hospital stay and of intensive care unit stay with improved respiratory function and pain management in the short and long term.