AI Article Synopsis
- The study focused on the impact of surgical stabilization for patients with nonunion of traumatic rib fractures, a condition that significantly affects pain and quality of life.
- In a retrospective analysis of 19 patients, the average age was 49, with a median hospital stay of 5.4 days and no in-hospital deaths reported.
- After an average follow-up of nearly 47 months, 84.2% of patients were symptom-free post-surgery, indicating that the procedure is both safe and effective.
Article Abstract
Purpose: Nonunion of traumatic rib fractures is a clinical/radiological diagnosis caused by an alteration of bone healing reparative process. Since it is a painful condition, nonunion has a significative impact on patient's morbidity and quality of life. The aim of this study was to evaluate the outcomes after surgical stabilization of ribs affected by nonunion after traumatic fractures.
Methods: We conducted a retrospective cohort analysis of all patients who were treated with surgical stabilization of nonunion after traumatic rib fractures. We analyzed demographic data as well as clinical and patient-reported outcomes.
Results: Nineteen patients were identified and included in this analysis. Median age was 49 years (range 25-69 years). Mean length of stay was 5.4 days. No in-hospital mortality was observed. After a median follow-up of 46.94 months (range 0-103), 16 (84.2%) patients were completely asymptomatic, while 3 (15.8%) were still suffering from pain after surgery.
Conclusions: Surgical stabilization in patients affected by rib nonunion can be safely performed with few complications, good clinical outcomes and satisfactory quality of life.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1007/s00068-021-01865-z | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Simultaneous Traumatic Fractures of the Atlas and Axis: Presentation, Management, and Outcomes from a Series of 103 Consecutive Patients.
World Neurosurg
December 2024
Department of Neurological Surgery, The University of Pittsburgh Medical Center, Pittsburgh, PA, United States.
Background: Simultaneous fractures of C1 and C2 are increasingly common, but contemporary series are limited in their evaluation.
Methods: All patients with traumatic fractures of both C1 and C2 admitted to an academic trauma center from 2012 to 2022 were retrospectively analyzed. Multivariable regression was used to identify characteristics relevant to management and outcomes.
The Induced Membrane Technique for Bone Defects in the Hand and Upper Extremity: A Case Series.
Hand (N Y)
December 2024
Christine M. Kleinert Institute for Hand and Microsurgery, Louisville, KY, USA.
Background: We present a series of cases in which the induced membrane technique (IMT) was used to treat segmental bone defects from trauma and chronic infection nonunion in the hand and upper extremity. The aims of the study were to present the rates of union and complications using this technique.
Methods: Our institutional database was queried between 2012 and 2018.
Far Posterior Approach for Rib Fracture Fixation: Surgical Technique and Tips.
JBJS Essent Surg Tech
December 2024
Department of Orthopedics, OhioHealth Health System, Columbus, Ohio.
Article Synopsis
- The video article discusses the far posterior or paraspinal approach for treating posterior rib fractures, which enhances intraoperative visibility and minimizes muscle damage.
- This method helps preserve periscapular strength, achieving up to 95% recovery six months after surgery through muscle-sparing techniques.
- The surgical process involves precise skin incision and careful dissection of muscles like the trapezius, rhomboids, and latissimus dorsi to allow for effective access and treatment of the fractures without significant tissue loss.
Staged Fixation with Respect to Soft Tissue in Tibial Plateau Fractures with Acute Compartment Syndrome: Correlation Analysis of Complications.
Clin Orthop Surg
December 2024
Department of Orthopedic Surgery, School of Medicine, Kyungpook National University, Kyungpook National University Hospital, Daegu, Korea.
Backgroud: Staged operations are commonly employed in the management of high-energy tibial plateau fractures (TPF) complicated by acute compartment syndrome (ACS); however, complications, such as nonunion, deep wound infection, and traumatic arthritis, often occur due to severe bone and soft-tissue damage. We aimed to report the radiological and clinical outcomes of staged surgical interventions performed following complete closure of the fasciotomy wound for the treatment of TPF complicated by ACS. Additionally, we analyzed factors associated with complications arising from these procedures.
View Article and Find Full Text PDFEffects of Autologous Conditioned Serum on Non-Union After Open Reduction Internal Fixation Failure: A Case Series and Literature Review.
Medicina (Kaunas)
November 2024
Department of Orthopedics, Cheng-Ching General Hospital, Taichung 40764, Taiwan.
Article Synopsis
- - Non-union is a serious complication of traumatic fractures that can result in long-term disability; this study explores the treatment of non-union with autologous conditioned serum (ACS) in patients who had unsuccessful open reduction internal fixation (ORIF).
- - The study involved 11 patients with non-union who received ACS therapy on their injury sites at varying frequencies, with progress monitored through monthly X-rays for signs of bone healing.
- - Out of the 11 participants, 10 successfully achieved bone union, suggesting that ACS may be an effective alternative treatment for non-unions not responsive to traditional surgical methods, and further research is warranted to examine its benefits.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!