Operative vs Nonoperative Treatment of Acute Unstable Chest Wall Injuries: A Randomized Clinical Trial.

ABSTRACT:

Importance

Unstable chest wall injuries have high rates of mortality and morbidity. In the last decade, multiple studies have reported improved outcomes with operative compared with nonoperative treatment. However, to date, an adequately powered, randomized clinical trial to support operative treatment has been lacking.

Objective

To compare outcomes of surgical treatment of acute unstable chest wall injuries with nonsurgical management.

Design, setting, and participants

This was a multicenter, prospective, randomized clinical trial conducted from October 10, 2011, to October 2, 2019, across 15 sites in Canada and the US. Inclusion criteria were patients between the ages of 16 to 85 years with displaced rib fractures with a flail chest or non-flail chest injuries with

SUBMITTER: Dehghan N 

PROVIDER: S-EPMC9494266 | biostudies-literature | 2022 Nov

REPOSITORIES: biostudies-literature