Evidence map›Paper›PMID 41390722›Full record

ArticleWorld journal of emergency surgery : WJES2025

Risk of delayed displacement and biomechanical analysis of unstable rib fractures postsurgical.

Guangqi Dong, Pengzhi Zhu, Zhiyong Su, Zhongyi Sun, Yongmin Zhang, Haiquan Zhang, Hao Gong, Jihui Zhang, Tianshuo Jiang, Dongbin Wang and 1 more

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In one paragraph

Article in World journal of emergency surgery : WJES, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

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.

2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Guangqi Dong *Cardiothoracic Surgery Department, Tianjin University Tianjin Hospital, Tianjin, 300200, China.
Pengzhi Zhu *Cardiothoracic Surgery Department, Tianjin University Tianjin Hospital, Tianjin, 300200, China.
Zhiyong SuCardiothoracic Surgery Department, Tianjin University Tianjin Hospital, Tianjin, 300200, China.
Zhongyi SunCardiothoracic Surgery Department, Tianjin University Tianjin Hospital, Tianjin, 300200, China.
Yongmin ZhangCardiothoracic Surgery Department, Tianjin University Tianjin Hospital, Tianjin, 300200, China.
Haiquan ZhangCardiothoracic Surgery Department, Tianjin University Tianjin Hospital, Tianjin, 300200, China.
Hao GongCardiothoracic Surgery Department, Tianjin University Tianjin Hospital, Tianjin, 300200, China.
Jihui ZhangCardiothoracic Surgery Department, Tianjin University Tianjin Hospital, Tianjin, 300200, China.
Tianshuo JiangThoracic Surgery Department, Chifeng University Affiliated Hospital, Chifeng, 024000, China.
Dongbin WangCardiothoracic Surgery Department, Tianjin University Tianjin Hospital, Tianjin, 300200, China. tjdgwdb@163.com.
Honggang XiaCardiothoracic Surgery Department, Tianjin University Tianjin Hospital, Tianjin, 300200, China.

Funding

Project of the Public Hospital Scientific Research Joint Fund of Inner Mongolia Academy of Medical Sciences 2024GLLH1006Tianjin University Medical Plus Special fund 24JCZDJC01170Tianjin Youth Medical Talents Fund No. TJSQNYXXR-D2-142
6 · The paper itself

Abstract

backgroundRib fractures, particularly multiple fractures, are common in patients with chest trauma and can lead to complications and an increased risk of mortality. Surgical treatment can improve patient prognosis, but fixation of nondisplaced fractures is often overlooked, and nonfixed nondisplaced fractures may undergo delayed displacement postsurgery. This study explored the risk of delayed displacement of nonfixed fractures during surgical treatment and its biomechanical mechanisms.

methodsA total of 105 patients with multiple rib fractures were included. CT scans were used to assess fracture displacement, and finite element analysis was applied to simulate the effect of thoracic movement on displacement.

resultsPostoperatively, 56.1% of patients experienced delayed displacement, with posterior rib fractures being the most prone to displacement. Finite element analysis revealed that the posterior ribs exhibited the most significant displacement at the end of inspiration. Statistical analysis indicated that posterior rib fractures were associated with delayed displacement (OR = 0.225, p = 0.025).

conclusionNonfixed, nondisplaced rib fractures are at high risk of delayed displacement postsurgery, particularly in the posterior rib region. Attention should be focused on posterior rib fractures to reduce delayed displacement and improve patient prognosis.

Indexed as

Postoperative ComplicationsRib FracturesAdultAgedBiomechanical PhenomenaFemaleFinite Element AnalysisHumansMaleMiddle AgedRetrospective StudiesRisk FactorsTomography, X-Ray ComputedDelayed displacementFinite element analysisRib fracturesSurgical stabilization

Identifiers

PMID41390722
PMCPMC12817873

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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.