[Indications for thoracotomy and rib stabilization in thoracic trauma in the aged].

In trauma patients with chest injuries, serial rib fractures and intrathoracic lacerations, the indication for primary thoracotomy is usually limited to life-threatening organ ruptures. In our own experience with 13 patients, primary thoracotomy offers the chance of immediate closure of lung lacerations, suture of pleural and pericardial tears, ligature of torn intercostal vessels, and stabilization of the chest wall by rib plating. Postoperative, respiration, free of pain, is restored immediately. Complications and duration of respirator treatment can be reduced. This will reduce the high lethality rates of chest injuries significantly.