Evidence map›Paper›PMID 39268098›Full record

ReviewJournal of thoracic disease2024

Treatment of traumatic rib fractures: an overview of current evidence and future perspectives.

Aimée J P M Franssen, Jean H T Daemen, Julien A Luyten, Berry Meesters, Annette M Pijnenburg, Kostan W Reisinger, Raoul van Vugt, Karel W E Hulsewé, Yvonne L J Vissers, Erik R de Loos

Abstract readReview
In one paragraph

Review in Journal of thoracic disease, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. From rib fixation to dynamic chest wall reconstruction: historical lessons for modern surgical stabilization of rib fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
    Review
  4. Effects of early surgery (within 48 hours)Journal of thoracic disease · 2026
    Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
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

10 authors.

Aimée J P M Franssen *Division of General Thoracic Surgery, Department of Surgery, Zuyderland Medical Centre, Heerlen, the Netherlands.ORCID https://orcid.org/0000-0001-6399-1663
Jean H T Daemen *Division of General Thoracic Surgery, Department of Surgery, Zuyderland Medical Centre, Heerlen, the Netherlands.ORCID https://orcid.org/0000-0002-4878-3951
Julien A LuytenDivision of General Thoracic Surgery, Department of Surgery, Zuyderland Medical Centre, Heerlen, the Netherlands.ORCID https://orcid.org/0000-0003-2350-1521
Berry MeestersDivision of Trauma Surgery, Department of Surgery, Zuyderland Medical Centre, Heerlen, the Netherlands.ORCID https://orcid.org/0009-0002-6069-1627
Annette M PijnenburgDivision of Trauma Surgery, Department of Surgery, Zuyderland Medical Centre, Heerlen, the Netherlands.
Kostan W ReisingerDivision of Trauma Surgery, Department of Surgery, Zuyderland Medical Centre, Heerlen, the Netherlands.
Raoul van VugtDivision of Trauma Surgery, Department of Surgery, Zuyderland Medical Centre, Heerlen, the Netherlands.ORCID https://orcid.org/0000-0002-3293-7223
Karel W E HulsewéDivision of General Thoracic Surgery, Department of Surgery, Zuyderland Medical Centre, Heerlen, the Netherlands.ORCID https://orcid.org/0000-0001-8131-1895
Yvonne L J VissersDivision of General Thoracic Surgery, Department of Surgery, Zuyderland Medical Centre, Heerlen, the Netherlands.ORCID https://orcid.org/0000-0002-2890-8390
Erik R de LoosDivision of General Thoracic Surgery, Department of Surgery, Zuyderland Medical Centre, Heerlen, the Netherlands.ORCID https://orcid.org/0000-0001-6313-2658

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Operative management of rib fractures has gained significant popularity over the last years, however, it remains a controversial topic, due to the substantial heterogeneity among rib fracture patients with considerable differences in epidemiology. Hence, the present narrative review aims to provide an overview of the treatment and (long-term) outcomes of rib fractures, with an emphasis on the surgical treatment. Nowadays, computed tomography (CT) has been shown to be most practical and sensitive for detecting rib fractures, of which up to 50% is missed on other imaging modalities. Non-operative treatment by patient-tailored multimodal pain management remains the cornerstone. Still, in the presence of-amidst others-chest wall instability or displaced fractures with physiologic derangements, operative treatment is indicated and should be performed within 72 hours after injury. Here, traumatic brain injury (TBI) and pulmonary contusion are no strict contra-indications, while plate osteosynthesis is considered the standard mode for surgical stabilization. To date, surgical stabilization of rib fractures (SSRF) only benefits selected groups of patients, awaiting results of ongoing studies. Future directions may include the sole use of percutaneous cryoablation of the intercostal nerves as part of conservative management, as well as the application of three-dimensional (3D) printing and use of bio-absorbable materials in the surgical treatment of rib fractures.

Indexed as

non-operative managementRib fracturessurgical stabilization of rib fractures (SSRF)thoracic injuries

Identifiers

PMID39268098
PMCPMC11388240

What OpenQuestion holds

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Registered trials

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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.