Surgical Stabilization of Rib Fractures

AbstractPurpose of ReviewSurgical stabilization of rib fractures (aka rib plating) is underutilized, partly due to a perceived lack of evidence of benefit and unfamiliarity with the operation. The goal of this review is to identify and summarize the evidence surrounding surgical stabilization of chest wall injury in flail and non-flail injury patterns and highlight the limitations of our current knowledge.Recent FindingsRecent meta-analyses and prior trials have provided evidence that rib fixation in flail chest injuries decreases the need for mechanical ventilation, decreases risk of pneumonia, and decreases mortality. Additionally, the Eastern Association for the Surgery of Trauma and the Rib Fracture Colloquium have provided statements supporting rib fixation in flail injuries. The role of rib plating for patients with non-flail rib fractures remains controversial and requires further study.SummarySurgical stabilization of rib fractures in flail injuries is supported by the evidence and should be utilized in these select patients. More evidence is needed in non-flail injuries before recommendations can be made for rib fixation.

Source: Current Surgery Reports - August 3, 2017 Category: Surgery Source Type: research