DeGenova Daniel T, Schmitz Nolan P, Lin Jia Bao, Jones Travis J, Taylor Benjamin C
Orthopedic Surgery, OhioHealth Grant Medical Center, Columbus, USA.
Orthopedic Trauma, OhioHealth Grant Medical Center, Columbus, USA.
Cureus. 2022 Nov 25;14(11):e31890. doi: 10.7759/cureus.31890. eCollection 2022 Nov.
Rib fractures are common injuries observed in trauma patients that will often heal without operative intervention. However, patients can infrequently have continued pain. Operative fixation of these symptomatic rib fractures has traditionally led to the patient requiring hospital admission for observation and pain control. The purpose of this study was to review three cases of outpatient rib fracture, open reduction and internal fixation (ORIF) surgery. Three patients with symptomatic rib fractures treated with ORIF at a single urban level one trauma center underwent outpatient same-day surgery. Pertinent demographic, clinical, radiographic, and surgical data were collected. All patients had decreased preoperative pain and no complications. This case series demonstrates that outpatient surgery for rib fracture ORIF can be performed safely in a select patient population. Additionally, it has similar efficacy as inpatient operative fixation with the main added benefit being decreased costs to both the patient and the healthcare system. We suggest that outpatient operative fixation of rib fractures should be considered for select patients.
肋骨骨折是创伤患者中常见的损伤，通常无需手术干预即可愈合。然而，患者偶尔会持续疼痛。传统上，对这些有症状的肋骨骨折进行手术固定会导致患者需要住院观察和控制疼痛。本研究的目的是回顾三例门诊肋骨骨折切开复位内固定（ORIF）手术病例。三名有症状的肋骨骨折患者在一家城市一级创伤中心接受了ORIF治疗，并接受了门诊当日手术。收集了相关的人口统计学、临床、影像学和手术数据。所有患者术前疼痛均减轻，且无并发症。该病例系列表明，对于特定的患者群体，肋骨骨折ORIF门诊手术可以安全进行。此外，它与住院手术固定具有相似的疗效，主要的额外好处是降低了患者和医疗系统的成本。我们建议，对于特定患者应考虑门诊肋骨骨折手术固定。
