ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2017
Stabilization of flail chest injuries: minimized approach techniques to treat the core of instability.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 14 papers.
What it found
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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.
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.
Point of Care Ultrasound (POCUS) for Diagnosis and Treatment of Fractures in the Costal Cartilage
Surgery for Unstable Chest Wall Injuries - How Many Fractures Should be Fixed?
Who cites it
14 citing papers in PubMed, 32 citations in OpenAlex.
- Comparison of long-term outcome between muscle sparing and non-muscle sparing surgical techniques in rib plating.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Observational
- Long-term outcomes after removal of rib stabilization hardware in patients with blunt chest trauma.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Observational
- Ultra minimally invasive surgical stabilization of Rib fractures (uMI-SSRF): reduction and fixation techniques to minimize the surgical wound.World journal of emergency surgery : WJES · 2024Article
- [Treatment strategy for severe implosion injuries of the lateral chest wall].Unfallchirurgie (Heidelberg, Germany) · 2024Review
- Minimally invasive surgery rib fracture fixation based on location and anatomical landmarks.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Iatrogenic rib fractures and the associated risks of mortality.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Diagnostic Accuracy of Physical Examination and History Taking in Traumatic Rib Fracture; A Single Center Experience.Bulletin of emergency and trauma · 2020Article
- Efficacy of nickel-titanium memory alloy in the treatment of multiple rib fracture combined with sternal fracture.Experimental and therapeutic medicine · 2019Article
- Three common exposures of the chest wall for rib fixation: anatomical considerations.Journal of thoracic disease · 2019Review
- [Injuries of the posterior and lateral chest wall-importance of an additional clavicular fracture].Der Unfallchirurg · 2018Review
- Reply to the letter to the editor "Minimized approaches to the posterolateral chest wall in the fixation of rib fracture" by Yih-Wen Tarng, Yi-Pin Chou, Tung-Ho Wu, Hsing-Lin Lin.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2018Article
- Reduced invasive and muscle-sparing operative approaches to the posterolateral chest wall provide an excellent accessibility for the operative stabilization! : Minimized approaches to the posterolateral chest wall.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2018Article
- [Single-port VATS-assisted internal fixation of serial rib fractures].Der Unfallchirurg · 2018Review
- Focus on chest trauma.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeStabilizing techniques of flail chest injuries usually need wide approaches to the chest wall. Three main regions need to be considered when stabilizing the rib cage: median-anterior with dissection of pectoral muscle; lateral-axillary with dissection of musculi (mm) serratus, externus abdominis; posterior inter spinoscapular with division of mm rhomboidei, trapezius and latissimus dorsi. Severe morbidity due to these invasive approaches needs to be considered. This study discusses possibilities for minimized approaches to the shown regions.
methodFifteen patients were stabilized by locked plate osteosynthesis (MatrixRib
resultsOne minimized approach offered sufficient access at least to four ribs posterior and laterally, four pairs of ribs anterior in all cases. There was no need to divide latissimus dorsi muscle. Trapezius und rhomboid muscles were only limited divided, whereas a subcutaneous dissection of serratus and abdominis muscles was necessary. A follow-up showed sufficient consolidation. COMPLICATIONS: pneumothorax (2) and seroma (2).
conclusionMinimized approaches allow sufficient stabilization of severe dislocated rib fractures without extensive dissection or division of the important muscles. Keeping the arm and, thus, the scapula mobile is very important for providing the largest reachable surface of the rib cage through each approach.
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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.