Evidence map›Paper›PMID 26530190›Full record

ArticleJournal of cardiothoracic surgery2015

Management of patients with flail chest by surgical fixation using claw-type titanium plate.

Xufeng Zhang, Zhiqiang Guo, Chuncheng Zhao, Chenyuan Xu, Zheng Wang

Open access · goldAbstract read
In one paragraph

Article in Journal of cardiothoracic surgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 pooled it
1.2field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 3 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Comparison of flail and multiple simple rib fracture patterns among patients included in rib fracture studies; A systematic review and meta-analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Pooled it
  2. Pooled it
  3. Fixation of flail chest or multiple rib fractures: current evidence and how to proceed. A systematic review and meta-analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2019
    Pooled it
  4. Review
  5. Application of Titanium Mesh in the Early Treatment of Flail Chest.International journal of biomaterials · 2024
    Article
  6. Article
  7. Observational
  8. Observational
  9. Review
  10. The Chinese consensus for surgical treatment of traumatic rib fractures 2021 (C-STTRF 2021).Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2021
    Review
  11. Article
  12. Early results after operatively versus non-operatively treated flail chest: a retrospective study focusing on outcome and complications.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2020
    Article
  13. A new instrument for surgical stabilization of multiple rib fractures.The Journal of international medical research · 2020
    Article
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Xufeng ZhangThe Department of Thoracic Surgery, Putuo Hospital, Shanghai University of Traditional Chinese Medicine, NO.164 Lan Xi Road, Shanghai, 200062, China. zhxfenu@163.com.
Zhiqiang GuoThe Department of Thoracic Surgery, Putuo Hospital, Shanghai University of Traditional Chinese Medicine, NO.164 Lan Xi Road, Shanghai, 200062, China. gzhiqi@yeah.net.
Chuncheng ZhaoThe Department of Thoracic Surgery, Putuo Hospital, Shanghai University of Traditional Chinese Medicine, NO.164 Lan Xi Road, Shanghai, 200062, China. zhchunch@163.com.
Chenyuan XuThe Department of Thoracic Surgery, Putuo Hospital, Shanghai University of Traditional Chinese Medicine, NO.164 Lan Xi Road, Shanghai, 200062, China. xuchyuan@163.com.
Zheng WangThe Department of Thoracic Surgery, Putuo Hospital, Shanghai University of Traditional Chinese Medicine, NO.164 Lan Xi Road, Shanghai, 200062, China. wzheng6@163.com.
Shanghai University of Traditional Chinese Medicine · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe goal of the study was to compare surgical rib fixation using claw-type titanium plate with conservative treatment in the management of patients with flail chest.

methodsThe study retrospectively studied 23 patients suffering from flail chest injury, who admitted to our hospital from October, 2010 to February, 2014. The patients received surgical fixation by using claw-type titanium plate (surgical fixation group). A age and sex-matched cohort of 29 patients received conservative treatment and defined as conservative treatment group. Outcome variables included number of cases undergoing mechanical ventilation, ventilation time, time of hospital stay, incidence of respiratory complications, incidence of thoracic deformity and postoperative forced expiratory volume in the first second (FEV1).

resultsCompared with conservative treatment group, surgical fixation group had fewer cases undergoing mechanical ventilation, shorter ventilation time, shorter hospital stay, lower incidence of respiratory complications and thoracic deformity and improved pulmonary function. Patients undergoing surgery earlier had shorter time of mechanical ventilation.

conclusionsSurgical rib fixation with claw-type titanium plate is a reliable and efficient method in the management of patients with flail chest.

Indexed as

Bone PlatesFemaleFlail ChestHumansLength of StayMaleMiddle AgedRetrospective StudiesTitaniumTreatment OutcomeTitanium

Identifiers

PMID26530190
PMCPMC4632363
OpenAlexW2100174265

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.