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The surgical stabilization of multiple rib fractures using titanium elastic nail in blunt chest trauma with acute respiratory failure
BACKGROUND: Blunt chest injuries are usually combined with multiple rib fractures and severe lung contusions. This can occasionally induce acute respiratory failure and prolong ventilations. In order to reduce the periods of ventilator dependency, we propose a less invasive method of fixing multiple...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer US
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4710669/ https://www.ncbi.nlm.nih.gov/pubmed/25875089 http://dx.doi.org/10.1007/s00464-015-4207-9 |
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author | Tarng, Yih-Wen Liu, Yuan-Yuarn Huang, Fong-Dee Lin, Hsing-Lin Wu, Tzu-Chin Chou, Yi-Pin |
author_facet | Tarng, Yih-Wen Liu, Yuan-Yuarn Huang, Fong-Dee Lin, Hsing-Lin Wu, Tzu-Chin Chou, Yi-Pin |
author_sort | Tarng, Yih-Wen |
collection | PubMed |
description | BACKGROUND: Blunt chest injuries are usually combined with multiple rib fractures and severe lung contusions. This can occasionally induce acute respiratory failure and prolong ventilations. In order to reduce the periods of ventilator dependency, we propose a less invasive method of fixing multiple rib fractures. METHODS: Since October 2009, we have developed a new method to fix fractured ribs caused by blunt trauma. Rib fixations were performed using 2.0- or 2.5-mm intramedullary titanium elastic nails (TEN), with the help of video-assisted thoracoscopic surgery (VATS) and minimal thoracic incisions. All the patients’ demographics and postoperative data were collected. RESULTS: From January 2010 to December 2012, a total of 65 patients presenting with multiple rib fractures resulting in acute respiratory failure were included in the study. Twelve patients received the new surgical fixation. Rib fixations were performed at an average of 4 days after trauma. Patients were successfully weaned off ventilators after an average of 3 days. The average length of stay in the hospital and the intensive care unit (ICU) was shorter for the patients with fixation than for nonsurgical patients. All twelve patients returned to normal daily activities and work. CONCLUSIONS: In the reconstruction of an injured chest wall, the VATS with TENs fixation in multiple rib fractures is feasible. This method is also effective in decreasing the length of the surgical wound. Because the structure of the chest cage is protected, the period of mechanical ventilation is shortened and the length of stay in the hospital and the ICU can be reduced. |
format | Online Article Text |
id | pubmed-4710669 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Springer US |
record_format | MEDLINE/PubMed |
spelling | pubmed-47106692016-01-19 The surgical stabilization of multiple rib fractures using titanium elastic nail in blunt chest trauma with acute respiratory failure Tarng, Yih-Wen Liu, Yuan-Yuarn Huang, Fong-Dee Lin, Hsing-Lin Wu, Tzu-Chin Chou, Yi-Pin Surg Endosc New Technology BACKGROUND: Blunt chest injuries are usually combined with multiple rib fractures and severe lung contusions. This can occasionally induce acute respiratory failure and prolong ventilations. In order to reduce the periods of ventilator dependency, we propose a less invasive method of fixing multiple rib fractures. METHODS: Since October 2009, we have developed a new method to fix fractured ribs caused by blunt trauma. Rib fixations were performed using 2.0- or 2.5-mm intramedullary titanium elastic nails (TEN), with the help of video-assisted thoracoscopic surgery (VATS) and minimal thoracic incisions. All the patients’ demographics and postoperative data were collected. RESULTS: From January 2010 to December 2012, a total of 65 patients presenting with multiple rib fractures resulting in acute respiratory failure were included in the study. Twelve patients received the new surgical fixation. Rib fixations were performed at an average of 4 days after trauma. Patients were successfully weaned off ventilators after an average of 3 days. The average length of stay in the hospital and the intensive care unit (ICU) was shorter for the patients with fixation than for nonsurgical patients. All twelve patients returned to normal daily activities and work. CONCLUSIONS: In the reconstruction of an injured chest wall, the VATS with TENs fixation in multiple rib fractures is feasible. This method is also effective in decreasing the length of the surgical wound. Because the structure of the chest cage is protected, the period of mechanical ventilation is shortened and the length of stay in the hospital and the ICU can be reduced. Springer US 2015-04-15 2016 /pmc/articles/PMC4710669/ /pubmed/25875089 http://dx.doi.org/10.1007/s00464-015-4207-9 Text en © The Author(s) 2015 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | New Technology Tarng, Yih-Wen Liu, Yuan-Yuarn Huang, Fong-Dee Lin, Hsing-Lin Wu, Tzu-Chin Chou, Yi-Pin The surgical stabilization of multiple rib fractures using titanium elastic nail in blunt chest trauma with acute respiratory failure |
title | The surgical stabilization of multiple rib fractures using titanium elastic nail in blunt chest trauma with acute respiratory failure |
title_full | The surgical stabilization of multiple rib fractures using titanium elastic nail in blunt chest trauma with acute respiratory failure |
title_fullStr | The surgical stabilization of multiple rib fractures using titanium elastic nail in blunt chest trauma with acute respiratory failure |
title_full_unstemmed | The surgical stabilization of multiple rib fractures using titanium elastic nail in blunt chest trauma with acute respiratory failure |
title_short | The surgical stabilization of multiple rib fractures using titanium elastic nail in blunt chest trauma with acute respiratory failure |
title_sort | surgical stabilization of multiple rib fractures using titanium elastic nail in blunt chest trauma with acute respiratory failure |
topic | New Technology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4710669/ https://www.ncbi.nlm.nih.gov/pubmed/25875089 http://dx.doi.org/10.1007/s00464-015-4207-9 |
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