Kaplan Tevfik, Gulbahar Gultekin, Gundogdu Ahmet Gokhan, Han Serdar
Department of Thoracic Surgery, Ufuk University School of Medicine, Ankara, Turkey.
Department of Thoracic Surgery, Sincan Nafiz Korez State Hospital, Ankara, Turkey.
Ann Thorac Surg. 2014 Dec;98(6):2206-9. doi: 10.1016/j.athoracsur.2014.02.054. Epub 2014 Dec 1.
Surgical stabilization of the rib fractures has been successfully performed for the management of pain in multiple rib fractures, fixation of chronically painful nonunion, reduction of overriding ribs, and flail chest cases. Herein we report a patient who was treated with titanium rib clips after a motor vehicle accident leading to pulmonary parenchymal laceration and multiple painful rib fractures. Three of the rib clips were broken 4 months after the operation. The patient underwent the second operation for restabilization of the broken ribs. We review the relevant literature, with particular emphasis on the management of this complication.
肋骨骨折的手术固定已成功用于治疗多根肋骨骨折的疼痛、慢性疼痛性骨不连的固定、重叠肋骨的复位以及连枷胸病例。在此，我们报告一名患者，其在机动车事故导致肺实质撕裂和多根疼痛性肋骨骨折后接受了钛制肋骨夹治疗。术后4个月，其中3个肋骨夹断裂。该患者接受了第二次手术以重新固定断裂的肋骨。我们回顾了相关文献，特别强调了这种并发症的处理。
