Operative Treatment of Chest Wall Injuries: Indications, Technique, and Outcomes

Most injuries to the chest wall with residual deformity do not result in long-term respiratory dysfunction unless they are associated with pulmonary contusion.Indications for operative fixation include flail chest, reduction of pain and disability, a chest wall deformity or defect, symptomatic nonun...

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Bibliographic Details
Published in:Journal of bone and joint surgery. American volume 2011-01, Vol.93 (1), p.97-110
Main Authors: Lafferty, Paul M, Anavian, Jack, Will, Ryan E, Cole, Peter A
Format: Article
Language:English
Subjects:
Biological and medical sciences
Bone Plates
Contusions - diagnostic imaging
Diseases of the osteoarticular system
Flail Chest - diagnostic imaging
Flail Chest - surgery
Fracture Fixation, Internal - methods
Humans
Lung Injury - diagnostic imaging
Medical sciences
Orthopedic surgery
Radiography
Rib Fractures - diagnostic imaging
Rib Fractures - surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Thoracic Wall - injuries
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Summary:Most injuries to the chest wall with residual deformity do not result in long-term respiratory dysfunction unless they are associated with pulmonary contusion.Indications for operative fixation include flail chest, reduction of pain and disability, a chest wall deformity or defect, symptomatic nonunion, thoracotomy for other indications, and open fractures.Operative indications for chest wall injuries are rare.
ISSN:0021-9355
1535-1386
DOI:10.2106/JBJS.I.00696