Abstract

NAVARRO MILIAN, Miguel; GALLEGO DIAZ, José B; GOMEZ TRIANA, Jesús  and  FUENTES DIAZ, Raimundo. Fijador externo para el tratamiento del Volet Costal. Rev Cubana Cir [online]. 1997, vol.36, n.3, pp. 183-191. ISSN 1561-2945.

For the definitive treatment of flail chest we have introduced a technical innovation to make an external fixative aimed at attaining a thoracic stabilization by traction through external support. Only cheap surgical accesories and easily available materials are used for its construction. To place and withdraw it, it is only necessary a procedure of corporal penetration of minimun access. 40 patients treated with the device were presented. An effective skeletal traction, a low index of complications and a definitive resolution of the paradoxical movement of the costal wall were obtained. Multiperforated plastic tubes for external support, Kirschner's wires penetrating supraperiostically into the unstable thoracic wall, Steiman's pins maintaining the structural stability of aggregate, as well as 50 cm of tubular elastic gum guaranteeing an adjustable accesory traction, form a single biomechanical model that allows to obtain the desired force of traction

Keywords : THORACIC INJURIES [surgery]; EXTERNAL FIXATORS; FRACTURE FIXATION; INTERNAL.