SynthesisEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2021
The evaluation of pulmonary function after rib fixation for multiple rib fractures and flail chest: a retrospective study and systematic review of the current evidence.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 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
- Severely displaced rib fractures are independently associated with reduced pulmonary function at 3 months.World journal of emergency surgery : WJES · 2025Article
- Implant irritation and removal rates in operatively treated multiple rib fractures: a 49-month follow-up study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Observational
- Implant irritation and removal rates in operatively treated multiple rib fractures: a 49-month follow-up study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Observational
- Costal fracture assessment for relief and enhancement of quality of life-CARE study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Observational
- Retrospective cohort study of video-assisted thoracoscopic precise positioning reduction and internal fixation and thoracotomy reduction and internal fixation in treating multiple rib fractures.Pakistan journal of medical sciences · 2024Article
- Comparative study of wound outcomes and surgical strategies: Internal fixation versus external stabilization in rib fracture patients with traumatic chest wounds.International wound journal · 2024Article
- Outcomes after fixation of rib fractures sustained during cardiopulmonary resuscitation: A retrospective single center analysis.Frontiers in surgery · 2023Article
- Surgical Rib Fixation in Obese Patients with Isolated Flail Chest Improves Outcomes: A Matched Cohort Study.World journal of surgery · 2022Article
- The Surgical Timing and Complications of Rib Fixation for Rib Fractures in Geriatric Patients.Journal of personalized medicine · 2022Article
- Surgical treatment of costal cartilage fractures with titanium plate internal fixation.Journal of cardiothoracic surgery · 2022Article
- Long-term quality of life and functional outcome after rib fracture fixation.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- The Feasibility and Efficiency of Remote Spirometry System on the Pulmonary Function for Multiple Ribs Fracture Patients.Journal of personalized medicine · 2021Article
Corrections and comments
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Authors and funding
10 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe primary aim of this retrospective cohort study was to evaluate the pulmonary function after rib fixation for patients with multiple rib fractures and flail chest. Secondary, a systematic review was performed to give an overview of the current literature and to allow comparison with our results.
methodsAll adult (≥ 18 years) patients who underwent rib fixation for multiple rib fractures or flail chest between 2010 and 2018 and who received a control pulmonary function test during the postoperative follow-up at our level-1 trauma center were retrospectively reviewed. Secondary, the PubMed, EMBASE and Cochrane databases were searched to identify studies reporting on the pulmonary function after rib fixation. The primary outcome parameters were the forced vital capacity (FVC), forced expiratory volume in 1 s (FEV
resultsOf the 103 patients who underwent rib fixation, a total of 61 (59%) patients underwent a pulmonary function test in our hospital and were ultimately included. In the majority of patients all pulmonary function parameters fell within the normal range of the reference values. Obstructive impairment was predominantly seen in patients with pre-existing chronic obstructive pulmonary disease (COPD). Patients with multiple rib fractures had better recovery compared to those with a flail chest. The systematic review included a total of 15 studies and showed comparable results.
conclusionThe present study demonstrates that rib fixation for multiple rib fractures or flail chest results in adequate recovery of the pulmonary function within 3 months after surgery. In addition, based on the current literature, further gradual improvement to maximum pulmonary values appears to occur during the first 12 months after rib fixation.
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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.