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Revista Cubana de Cirugía
On-line version ISSN 1561-2945
Abstract
OLIU LAMBERT, Hernán et al. Osteosynthesis of multiple displaced costal fractures in a patient with flail chest. Rev Cubana Cir [online]. 2018, vol.57, n.2, pp. 1-7. ISSN 1561-2945.
The treatment of costal fractures should be individualized according to the severity of the injuries and the magnitude of trauma. The objective of this investigation is to present a case where titanium plates were used in a patient with multiple rib fractures. We report the case of a patient with multiple rib fractures of a linear and parallel shape of the costal arches with a swinging thorax, who arrives the emergency room with moderate chest pain and dyspnea. Although there is still not enough scientific evidence that favors the costal fixation methods, the fixation with titanium plates was performed, achieving the stability of the wall, relieving pain, improving the ventilatory mechanics, and achieving the patient's quick reincorporation to the society.
Keywords : thoracic trauma; costal fractures; flail chest.