Castater Christine, Hazen Ben, Davis Carolyn, Hoppe Samuel, Butler Caroline, Grant April, Archer-Arroyo Krystal, Maceroli Michael, Todd S Rob, Nguyen Jonathan
1371Emory University School of Medicine, Grady Memorial Hospital, Atlanta, GA, USA.
71741Grady Memorial Hospital, Atlanta, GA, USA.
Am Surg. 2022 May;88(5):994-996. doi: 10.1177/00031348211060450. Epub 2021 Dec 3.
Rib fractures result in serious morbidity and mortality after trauma. Although there is ongoing debate about surgical rib fixation, it is increasingly important for some patients. Minimally invasive techniques for rib fixation are gaining traction within the trauma community. We present an observational experience at our level 1 trauma center with our first 10 cases of video-assisted thoracoscopic surgery (VATS) internal rib fixation. Video-assisted thoracoscopic surgery internal plates are especially helpful for rib fractures under the scapula, which are difficult to access traditionally. This technique is also excellent at reducing complex segmental fractures as the bridge can span across multiple fractures with a single post on either side. They also work well for posterior fractures where multiple screws cannot be placed. Video-assisted thoracoscopic surgery internal rib fixation is a viable and exciting option for surgical fixation. The plates work particularly well for certain fracture patterns.
肋骨骨折在创伤后会导致严重的发病率和死亡率。尽管关于肋骨手术固定存在持续的争论，但对一些患者来说它变得越来越重要。肋骨固定的微创技术在创伤领域越来越受到关注。我们在我们的一级创伤中心展示了我们最初10例电视辅助胸腔镜手术（VATS）肋骨内固定的观察经验。电视辅助胸腔镜手术内固定钢板对于肩胛骨下方的肋骨骨折特别有帮助，这些骨折传统上难以触及。该技术在减少复杂节段性骨折方面也非常出色，因为桥接器可以在两侧各有一个支柱跨越多个骨折。它们对于无法放置多个螺钉的后部骨折也效果良好。电视辅助胸腔镜手术肋骨内固定是一种可行且令人兴奋的手术固定选择。这些钢板对于某些骨折类型效果特别好。
