Sen Serdar, Sen Selda, Sentürk Ekrem, Pabuşcu Engin, Savk Oner
Department of Chest Surgery, Faculty of Medicine, Adnan Menderes University, Aydin, Turkey.
Tuberk Toraks. 2009;57(3):342-7.
Flail chest is the most serious form of blunt thoracic trauma that occurs as a result of fracture of three or more ribs from at least two places or sternal fractures and/or separation of costochondral junctions. Existence of life-threatening physiopathological changes almost always affects the clinical status of the patients. Typically the fractured segment moves in the interior and exterior directions during inspirations and expirations, respectively and this paradoxical motion is called as flail chest. Non-operative treatment approaches are usually preferred for the flail chest cases. However, surgery constitutes the unavoidable treatment procedure in the existence of severe chest wall deformities, unstable ventilation dynamics, lung and diaphragmatic injuries and prolonged mechanical ventilation. Here we present a case of traumatic flail chest in a patient with traumatic severe chest wall deformity treated by chest wall reconstruction with AO-ASIF [Arbeitsgemeindschaft fur Osteosynthesefragen (Association for the Study of Internal Fixation)] osteosynthesis plaque.
连枷胸是钝性胸部创伤最严重的形式，它是由三根或更多肋骨在至少两个部位骨折或胸骨骨折和/或肋软骨关节分离所致。危及生命的生理病理变化几乎总会影响患者的临床状况。典型的情况是，骨折段在吸气和呼气时分别向内和向外移动，这种反常运动被称为连枷胸。连枷胸病例通常首选非手术治疗方法。然而，在存在严重胸壁畸形、不稳定的通气动力学、肺和膈肌损伤以及长期机械通气的情况下，手术是不可避免的治疗手段。在此，我们展示一例创伤性连枷胸患者的病例，该患者有严重创伤性胸壁畸形，采用AO-ASIF[骨科学研究协会（内固定研究协会）]接骨板进行胸壁重建治疗。
