ArticleDer Unfallchirurg2016
[Bony injuries of the thoracic cage in multiple trauma : Incidence, concomitant injuries, course and outcome].
Article in Der Unfallchirurg, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.
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Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it, 60 citations in OpenAlex.
- Epidemiology of combined clavicle and rib fractures: a systematic review.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Pooled it
- The distribution of lateral rib fractures: a validation and further development of the AO/OTA classification system in patients with fractures at the rib shaft.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Improved Discriminability of Severe Lung Injury and Atelectasis in Thoracic Trauma at Low keV Virtual Monoenergetic Images from Photon-Counting Detector CT.Diagnostics (Basel, Switzerland) · 2024Article
- [Treatment strategy for severe implosion injuries of the lateral chest wall].Unfallchirurgie (Heidelberg, Germany) · 2024Review
- [Complications after conservative vs. operative treatment of severe thoracic trauma].Unfallchirurgie (Heidelberg, Germany) · 2024Review
- [Bilateral thoracic trauma-"double the trouble"?]Chirurgie (Heidelberg, Germany) · 2023Article
- Surgical strategy for treating multiple symptomatic rib fracture malunions with bridging heterotopic ossifications: A case report.Trauma case reports · 2023Article
- Effect of surgical stabilization of rib fractures in polytrauma: an analysis of the TraumaRegister DGUEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Outcome after surgical stabilization of symptomatic rib fracture nonunion: a multicenter retrospective case series.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Is it Necessary to Stabilize Every Fracture in Patients with Serial Rib Fractures in Blunt Force Trauma?Frontiers in surgery · 2022Article
- Influence of surgical stabilization of clavicle fractures in multiply-injured patients with thoracic trauma.Scientific reports · 2021Article
- What is the optimal timing to perform surgical stabilization of rib fractures?Journal of thoracic disease · 2021Review
- Abdominal flank bulge following intercostal neurectomy for symptomatic rib fracture nonunion.BMJ case reports · 2021Article
- Morphology of direct and indirect rib fractures.International journal of legal medicine · 2021Article
- Demographic, Clinical Features and Outcome Determinants of Thoracic Trauma in Sri Lanka: A Multicentre Prospective Cohort Study.Canadian respiratory journal · 2020Article
- Osteosynthesis of sternal fractures with double locking compression plate fixation: a retrospective cohort study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2020Article
- Efficacy of nickel-titanium memory alloy in the treatment of multiple rib fracture combined with sternal fracture.Experimental and therapeutic medicine · 2019Article
- A case of severe flail chest with several dislocated sterno-chondral fractures.International journal of surgery case reports · 2019Article
- [Frequency and age distribution of combined sternovertebral injuries : Analysis of routine data from German hospitals 2005-2012].Der Unfallchirurg · 2018Article
- [Anesthesia, ventilation and pain treatment in thoracic trauma].Der Unfallchirurg · 2018Review
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThoracic trauma is considered to be responsible for 25 % of fatalities in multiple trauma and is a frequent injury with an incidence of 50 %. In addition to organ injuries, severe injuries to the bony parts of the thorax also occur and these injuries are described very differently mostly based on single center data.
objectivesThe focus of this study was on a holistic presentation of the prevalence and the incidence of thoracic trauma in patients with multiple trauma from the data of the large collective of the TraumaRegister DGU® (TR-DGU) with the objective of an analysis of concomitant injuries, therapy options and outcome parameters. MATERIAL AND
methodsA retrospective analysis was carried out based on the data set of the TR-DGU from the years 2009-2013. Inclusion criteria were an injury severity scale (ISS) score ≥ 16 and primary admission to a trauma center but isolated craniocerebral injury was an exclusion criterium. Patients were separated into two groups: those with rib fractures (RF) and those with flail chest (FC).
resultsA total of 21,741 patients met the inclusion criteria including 10,474 (48.2 %) suffering from either RF or FC. The mean age was 49.8 ± 19.9 years in the RF group and 54.1 ± 18.2 years in the FC group. Approximately 25 % were female in both groups, 98.1 % were blunt force injuries and the median ISS was 28.0 ± 11.2 in RF and 35.1 ± 14.2 in FC. Shock, insertion of a chest tube, (multi) organ failure and fatality rates were significantly higher in the FC group as were concomitant thoracic injuries, such as pneumothorax and hemothorax. Sternal fractures without rib fractures were less common (3.8 %) than concomitant in the RF (10.1 %) and FC (14 %) groups, as were concomitant fractures of the clavicle and the scapula. Out of all patients 32.6 % showed fractures of the thoracolumbar spine, 26.5 % without rib fractures, 36.6-38.6 % with rib fractures or monolateral FC and 48.6 % concomitant to bilateral FC. Thoracotomy was carried out only in isolated cases in RF and in 10.2 % of the FC group. Operative stabilization of the thoracic cage was carried out in 3.9-9.1 % of patients in the RF group and in 17.9-23.9 % in the FC group.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.