Department of Surgery, Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805, USA.
Department of Surgery, Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805, USA.
Adv Surg. 2022 Sep;56(1):321-335. doi: 10.1016/j.yasu.2022.02.009.
Rib fractures are a morbid consequence of blunt trauma and are associated with a highly variable clinical presentation ranging from nondisplaced rib fractures causing limited, manageable pain to severely displaced rib fractures with concomitant thoracic injuries leading to respiratory failure. Due to an evolution of techniques, hardware technology, and general acceptance, rib plating has increased substantially at trauma centers all throughout the United States over the past decade. This article aims to review the most recent and current reports for rib plating with respect to indications, preoperative evaluation and imaging, approaches, timing for intervention, outcomes in patients with flail chest and nonflail injuries, and the management of complications. From these data, it becomes clear that the surgical stabilization of rib fractures (SSRF) has a firm place in the management of thoracic trauma.
肋骨骨折是钝性创伤的一种严重后果，其临床表现差异很大，从无移位的肋骨骨折引起的有限、可控制的疼痛到严重移位的肋骨骨折合并胸部损伤导致呼吸衰竭。由于技术、硬件技术和普遍接受程度的发展，过去十年，美国各地的创伤中心的肋骨板的使用都大大增加。本文旨在回顾肋骨板的最新和当前报告，包括适应证、术前评估和影像学检查、手术入路、干预时机、连枷胸和非连枷损伤患者的结果以及并发症的处理。从这些数据可以清楚地看出，肋骨骨折的手术固定（SSRF）在胸外伤的治疗中占有重要地位。
