Evidence map›Paper›PMID 35088110›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2022

Outcome after surgical stabilization of symptomatic rib fracture nonunion: a multicenter retrospective case series.

Suzanne F M Van Wijck, Esther M M Van Lieshout, Jonne T H Prins, Michael H J Verhofstad, Pieter J Van Huijstee, Jefrey Vermeulen, Mathieu M E Wijffels

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
4.8field-weighted citation impact, top 4% 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, 24 citations in OpenAlex.

  1. Observational
  2. Article
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  6. 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 · 2025
    Observational
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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

7 authors at 3 institutions in 1 country.

Suzanne F M Van WijckTrauma Research Unit, Department of Surgery, Erasmus MC, University Medical Center Rotterdam, P.O. Box 2040, 3000 CA, Rotterdam, The Netherlands.
Esther M M Van LieshoutTrauma Research Unit, Department of Surgery, Erasmus MC, University Medical Center Rotterdam, P.O. Box 2040, 3000 CA, Rotterdam, The Netherlands.
Jonne T H PrinsTrauma Research Unit, Department of Surgery, Erasmus MC, University Medical Center Rotterdam, P.O. Box 2040, 3000 CA, Rotterdam, The Netherlands.
Michael H J VerhofstadTrauma Research Unit, Department of Surgery, Erasmus MC, University Medical Center Rotterdam, P.O. Box 2040, 3000 CA, Rotterdam, The Netherlands.
Pieter J Van HuijsteeDepartment of Surgery, HagaZiekenhuis, Els Borst-Eilersplein 275, 2545 AA, Den Haag, The Netherlands.
Jefrey VermeulenDepartment of Surgery, Maasstad Ziekenhuis, 3007 AC, Rotterdam, The Netherlands.
Mathieu M E WijffelsTrauma Research Unit, Department of Surgery, Erasmus MC, University Medical Center Rotterdam, P.O. Box 2040, 3000 CA, Rotterdam, The Netherlands. m.wijffels@erasmusmc.nl.
Erasmus MC · NLHaga Hospital · NLMaasstad Ziekenhuis · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed to determine the long-term level of pain after surgical treatment of one or more symptomatic rib fracture nonunions. Secondary aims were to evaluate the occurrence of adverse events, satisfaction, and activity resumption. The final aim was to assess the association between pain and the presence of bridging callus at the nonunified fracture. Hypothesized was that thoracic pain would diminish after surgery.

methodsThis retrospective case series included adults who underwent surgery for a symptomatic rib fracture nonunion from three hospitals. Symptomatic nonunion was defined as persistent pain associated with nonbridging callus of ≥1 rib fractures on a chest CT scan at ≥3 months after the initial injury. Patients completed questionnaires about pain, satisfaction, and activity resumption ≥3 months postoperatively.

resultsThirty-six patients (26 men, 10 women), with a median age of 55 (P

conclusionMost patients reported less pain and better daily functioning after surgical stabilization of symptomatic rib fracture nonunions, although causality cannot be proven with this retrospective case series. Additional intercostal nerve treatment was not associated with pain relief. Despite surgery-related complications being common, patient satisfaction was high. LEVEL OF EVIDENCE: Level V. STUDY TYPE: Therapeutic.

Indexed as

Fractures, UnunitedRib FracturesAdultBone PlatesFemaleFracture Fixation, InternalHumansMalePainRetrospective StudiesLong-term outcomeNonunionPainRib fractureSurgical stabilization of rib fractures

Identifiers

PMID35088110
PMCPMC9360056
OpenAlexW4210638504

What OpenQuestion holds

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LicenceCC BY
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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.