Division of Trauma, Emergency General Surgery and Critical Care Surgery, Department of Surgery, University of Nebraska Medical Center, Omaha, NE, USA.
Division of Cardiothoracic Radiology, Department of Radiology and Radiologic Science, Medical University of South Carolina, Charleston, SC, USA.
Injury. 2024 Dec;55(12):111969. doi: 10.1016/j.injury.2024.111969. Epub 2024 Oct 20.
Surgical stabilization of rib fractures (SSRF) is a viable treatment option for rib fracture patients. Polyetheretherketone (PEEK) plates have become available for SSRF. The objective of this pilot study was to examine the use of PEEK plates for SSRF.
A prospective, observational, multi-center study of patients undergoing SSRF with PEEK plates from 4/23 through 2/24. Standard indications for SSRF were followed and the decision to use PEEK plates was left to the discretion of the treating surgeon. Basic demographics were obtained. Outcomes included the number of rib fractures stabilized with PEEK plates, complications related to SSRF, and 6-month follow-up with chest computed tomography (CT) to assess healing of PEEK repaired fracture sites, identified as complete or incomplete union. Patients also answered a five-question quality-of-life survey regarding mobility, self-care, usual activities, chest pain/discomfort, and anxiety/depression. Answers were scaled 1 to 5 (1=worse condition possible; 5=best possible condition). Patients rated their health on a scale of 0 to 100 (100=closet to their health preinjury). All data was reported as descriptive.
Forty-six patients were included. Average age was 57(±16) years; 82.6 % were male. Median ISS was 18 (IQR 14,29) and median chest-AIS was 4 (IQR 3,4). 219 rib fractures were stabilized with PEEK plates. Sixteen (34.8 %) had a combination (PEEK + titanium) procedure. Three patients had a complication: one required a second surgery for additional SSRF, and two patients were readmitted. Twenty-seven patients were surveyed at 6 months, and 19 agreed to CT scan. Eighty PEEK repaired rib fractures were assessed for healing. 80 % of fractures had complete union and no hardware failure. Quality-of-life survey averaged >4.5/category and mean overall health was 89.
PEEK plates for SSRF are safe and effective, allowing for adequate rib fracture healing and are associated with positive patient reported outcomes.
手术固定肋骨骨折（SSRF）是肋骨骨折患者的一种可行治疗选择。聚醚醚酮（PEEK）板已可用于 SSRF。本研究的目的是研究 PEEK 板在 SSRF 中的应用。
对 2023 年 4 月 23 日至 2024 年 2 月期间接受 PEEK 板 SSRF 的患者进行前瞻性、观察性、多中心研究。遵循 SSRF 的标准适应证，使用 PEEK 板的决定由治疗外科医生决定。获得基本人口统计学数据。结果包括用 PEEK 板固定的肋骨骨折数量、与 SSRF 相关的并发症以及 6 个月的胸部计算机断层扫描（CT）随访，以评估 PEEK 修复骨折部位的愈合情况，分为完全或不完全愈合。患者还回答了一个关于活动能力、自理能力、日常活动、胸痛/不适以及焦虑/抑郁的五个问题的生活质量调查。答案从 1 到 5（1=最差情况；5=最佳情况）进行评分。患者根据 0 到 100 的量表对自己的健康状况进行评分（100=最接近受伤前的健康状况）。所有数据均以描述性方式报告。
纳入 46 例患者。平均年龄为 57（±16）岁；82.6%为男性。中位 ISS 为 18（IQR 14，29），中位胸部-AIS 为 4（IQR 3，4）。用 PEEK 板稳定了 219 根肋骨骨折。16 例（34.8%）采用了组合（PEEK+钛）手术。有 3 例出现并发症：1 例需要再次手术治疗额外的 SSRF，2 例患者再次入院。27 例患者在 6 个月时接受了调查，19 例同意进行 CT 扫描。评估了 80 例 PEEK 修复肋骨骨折的愈合情况。80%的骨折完全愈合，无内固定失败。生活质量调查平均>4.5/项，总体健康平均为 89。
PEEK 板用于 SSRF 是安全有效的，可促进肋骨骨折的充分愈合，并与患者报告的结果呈正相关。
