Evidence map›Paper›PMID 41609836›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2026

"Anchor-type" incision for surgical stabilization of anterior rib fractures: a single center experience and evaluation.

Vladislav Muldiiarov, Hason Khan, Allie Daro, Sophie Bouldoukian, John Lui, Charity Evans, Mike Matos, Hillman Terzian, John Tierney, Gina Lamb and 3 more

Abstract read
PubMed Publisher
In one paragraph

Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

13 authors.

Vladislav MuldiiarovNorton Thoracic Institute, St. Joseph's Hospital and Medical Center, Phoenix, AZ, USA.
Hason KhanDivision of Trauma, Emergency General Surgery and Critical Care Surgery, Department of Surgery, University of Nebraska Medical Center, 983280 Nebraska Medical Center, Omaha, NE, 68198-3280, USA.
Allie DaroDivision of Trauma, Emergency General Surgery and Critical Care Surgery, Department of Surgery, University of Nebraska Medical Center, 983280 Nebraska Medical Center, Omaha, NE, 68198-3280, USA.
Sophie BouldoukianDivision of Trauma, Emergency General Surgery and Critical Care Surgery, Department of Surgery, University of Nebraska Medical Center, 983280 Nebraska Medical Center, Omaha, NE, 68198-3280, USA.
John LuiDivision of Trauma, Emergency General Surgery and Critical Care Surgery, Department of Surgery, University of Nebraska Medical Center, 983280 Nebraska Medical Center, Omaha, NE, 68198-3280, USA.
Charity EvansDivision of Trauma, Emergency General Surgery and Critical Care Surgery, Department of Surgery, University of Nebraska Medical Center, 983280 Nebraska Medical Center, Omaha, NE, 68198-3280, USA.
Mike MatosDivision of Trauma, Emergency General Surgery and Critical Care Surgery, Department of Surgery, University of Nebraska Medical Center, 983280 Nebraska Medical Center, Omaha, NE, 68198-3280, USA.
Hillman TerzianDivision of Trauma, Emergency General Surgery and Critical Care Surgery, Department of Surgery, University of Nebraska Medical Center, 983280 Nebraska Medical Center, Omaha, NE, 68198-3280, USA.
John TierneyDivision of Trauma, Emergency General Surgery and Critical Care Surgery, Department of Surgery, University of Nebraska Medical Center, 983280 Nebraska Medical Center, Omaha, NE, 68198-3280, USA.
Gina LambDivision of Trauma, Emergency General Surgery and Critical Care Surgery, Department of Surgery, University of Nebraska Medical Center, 983280 Nebraska Medical Center, Omaha, NE, 68198-3280, USA.
Emily CantrellDivision of Trauma, Emergency General Surgery and Critical Care Surgery, Department of Surgery, University of Nebraska Medical Center, 983280 Nebraska Medical Center, Omaha, NE, 68198-3280, USA.
Jonathan NguyenDivision of Acute Care Surgery, Department of Surgery, Grady Memorial Hospital, Atlanta, GA, 30303, USA.
Zachary M BaumanDivision of Trauma, Emergency General Surgery and Critical Care Surgery, Department of Surgery, University of Nebraska Medical Center, 983280 Nebraska Medical Center, Omaha, NE, 68198-3280, USA. zachary.bauman@unmc.edu.ORCID http://orcid.org/0000-0001-9409-2193

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeRib fixation is increasingly used, but bilateral anterior fractures are difficult to access. We assessed feasibility and outcomes of a single muscle-sparing "anchor-type" anterior exposure for bilateral parasternal fractures with or without sternal fractures.

methodsSingle-center retrospective study at a level I trauma center from January 1, 2016 to April 30, 2024. Adults with bilateral parasternal rib fractures who underwent surgical stabilization of rib fractures (SSRF) through an anchor-type incision were included; sternal plating was performed when indicated. Collected variables included demographics, injury severity, fixation extent, and postoperative outcomes. Outcomes were postoperative complications and outpatient functional scores.

resultsTwenty-five patients were included (mean age 55 ± 15 years; 84% male; median Injury Severity Score 21 [IQR 17-32]). A mean of 11.8 ± 3.4 fractures were stabilized with 9.6 ± 2.5 plates; sternal fixation was performed in 17 patients (68%). Mean postoperative ventilator duration was 2.1 ± 3.6 days. Tracheostomy was required in 4 patients (16%). Complications occurred in 3 patients (12%): surgical-site infection (n = 2), and wound dehiscence (n = 1). In-hospital mortality was 2 patients (8%). Follow-up was available in 21 of 23 survivors at 107 ± 87 days; the mean functional score was 4.1 ± 0.9 (out of 5) and 77.7% reported return to usual daily activities.

conclusionA single anterior anchor-type, muscle-sparing exposure provides reliable access for bilateral parasternal rib and sternal fixation with low morbidity and favorable early functional recovery. Multicenter comparative studies are warranted to evaluate pain, pulmonary complications, and longer-term function.

Indexed as

Fracture Fixation, InternalRib FracturesSuture AnchorsAdultAgedBone PlatesFemaleHumansInjury Severity ScoreMaleMiddle AgedPostoperative ComplicationsRetrospective StudiesSternumTrauma CentersTreatment OutcomeChest wall injuryRib fracturesSternal fractureSurgical stabilization of rib fractures (SSRF)Trauma surgery

Identifiers

PMID41609836

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.