Timing of Surgical Stabilization of Rib Fractures

AbstractPurpose of ReviewSurgical stabilization of rib fractures (SSRF) has a proven benefit in patients with flail chest. However, the timing of intervention is currently unclear. We aim to evaluate and summarize current evidence related to the time interval for the surgical stabilization of rib fractures.Recent FindingsRetrospective studies specifically addressing when to perform SSRF in patients with severely displaced rib fractures have reported a benefit for patients who underwent the procedure within 72  h of injury. There are currently no prospective trials specifically addressing timing of rib fixation. Delayed (i.e., months to years) SSRF may be indicated in highly select cases with both physical exam findings of “clicking” or instability and radiographic evidence of nonunion.SummaryFor patients in whom there are no contra-indications, current evidence suggests that surgical stabilization of rib fractures should occur as early as possible, and ideally within 72  h of injury. The decision to perform delayed SSRF should be undertaken cautiously and on a case-by-case basis.

Source: Current Surgery Reports - June 27, 2019 Category: Surgery Source Type: research