Prognostic factors for outcomes following surgical stabilization of rib fractures: A review of the literature.

Injury · Nov 2024 · Review

Fitzpatrick A, Lampridis S, Gangadharan R, Melling D, Lampridis V

Department of Orthopaedics, Aintree University Hospital, Liverpool University Hospitals NHS Foundation Trust, UK

Orthopaedic Trauma

SUMMARY — THE REDUCTIONThis literature review examines how flail chest injury, fracture pattern, timing to surgery, and patient age influence outcomes after surgical stabilization of rib fractures, highlighting the need for clearer indications.
Abstract, as published

Rib fractures are a common injury following blunt thoracic trauma, often resulting in high levels of morbidity and mortality. With the ageing global population, the incidence of rib fractures is expected to increase, posing a significant burden on healthcare systems worldwide. With advancements in surgical techniques and pioneering research on the topic the use of surgical stabilisation of rib fractures (SSRF) has increased significantly over the past two decades. However, the relationship between certain prognostic factors and patient outcomes following surgery is still contested and there lacks a consensus on definitive indications for the operation. This literature review presents the current research on SSRF outcomes for; patients with flail chest injuries and multiple-non flail rib fractures, optimal timing between injury and operation, and patient age. This article contributes to the ongoing dialogue surrounding chest wall trauma management and may be drawn upon to aid future research and develop clinical practice guidelines.

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