Neckelmann Kirsten, Hagelberg Rikke
Ugeskr Laeger. 2018 Feb 5;180(6).
Several patients suffer from rib fractures after traumas, and in severe cases it can be life-threatening. Until recently, attempts to perform surgical fixation in patients with instability have been unsuccessful. Chronic non-union causes persistent pain, disability and loss of quality of life. Implementation of surgical stabilization of rib fractures with tailored plates seems to improve pain relief, especially in cases of non-union but also in patients with instability of the chest wall after severe traumas, where advanced pain treatment (epidural catheter) is insufficient or weaning off fails.
数名患者在创伤后发生肋骨骨折，严重时可能危及生命。直到最近，对不稳定患者进行手术固定的尝试均未成功。慢性骨不连会导致持续疼痛、功能障碍和生活质量下降。使用定制钢板对肋骨骨折进行手术稳定似乎能改善疼痛缓解情况，尤其是在骨不连的病例中，对于严重创伤后胸壁不稳定且高级疼痛治疗（硬膜外导管）不足或撤机失败的患者也是如此。
