Surgical and perioperative management of flail chest with titanium plates: a French cohort series from a thoracic referral center.

ABSTRACT:

Background

The development of titanium claw plates has made rib osteosynthesis easy to achieve and led to a renewed interest for this surgery. We report the management of patients referred to the intensive care unit (ICU) of a referral center for surgical rib fracture fixation (SRFF) after chest trauma.

Methods

We performed a retrospective observational cohort study describing the patients' characteristics and analyzing the determinants of postoperative complications.

Results

From November 2013 to December 2016, 42 patients were referred to our center for SRFF: 12 patients (29%) had acute respiratory failure, 6 of whom received invasive mechanical ventilation. The Thoracic Trauma Severity Score (TTSS) was 11.0 [9-12], with 7 [5-9] broken ribs and a flail chest in 92%

SUBMITTER: Feray S 

PROVIDER: S-EPMC9850677 | biostudies-literature | 2023 Jan

REPOSITORIES: biostudies-literature