Multiple Rib Fractures
- Prospective randomized controlled trial of operative rib fixation in traumatic flail chest.
- Marasco SF, Davies AR, Cooper J, Varma D, Bennett V, Nevill R, Lee G, Bailey M, Fitzgerald M.
- J Am Coll Surg. 2013 May;216(5):924-32.
Rationale for inclusion: Prospective, randomized trial comparing operative rib fixation with mechanical ventilation for flail chest injuries.
Citations - 120 (as of July 2017)
- Rib fracture repair: indications, technical issues, and future directions.
- Nirula R, Diaz JJ Jr, Trunkey DD, Mayberry JC.
- World J Surg. 2009 Jan;33(1):14-22.
Rationale for inclusion: A widely cited and comprehensive review regarding operative rib fixation.
Citations - 247 (as of July 2017)
- Epidural analgesia improves outcome after multiple rib fractures.
- Bulger EM, Edwards T, Klotz P, Jurkovich GJ.
- Surgery. 2004 Aug;136(2):426-30.
Rationale for inclusion: Prospective, randomized trial compared epidural analgesia versus IV opioids for rib fractures. The use of epidural analgesia improved mechanical ventilation duration and pneumonia rates.
Citations - 205 (as of July 2017)
- A comprehensive analysis of traumatic rib fractures: morbidity, mortality and management.
- Sirmali M, Türüt H, Topçu S, Gülhan E, Yazici U, Kaya S, Tastepe I.
- Eur J Cardiothorac Surg. 2003 Jul;24(1):133-8.
Rationale for inclusion: Large retrospective study correlating age and number of rib fractures with outcomes.
Citations - 313 (as of July 2017)
- Morbidity from rib fractures increases after age 45.
- Holcomb JB, McMullin NR, Kozar RA, Lygas MH, Moore FA.
- J Am Coll Surg. 2003 Apr;196(4):549-55.
Rationale for inclusion: Retrospective cohort study of 171 patients with rib fractures that were compared with respect to number of rib fractures and age.
Citations - 189 (as of July 2017)
- Elderly trauma patients with rib fractures are at greater risk of death and pneumonia.
- Bergeron E, Lavoie A, Clas D, Moore L, Ratte S, Tetreault S, Lemaire J, Martin M.
- J Trauma. 2003 Mar;54(3):478-85.
Rationale for inclusion: Mortality was greater (19%) in patients >65 years with multiple rib fractures.
Citations - 230 (as of July 2017)
- Surgical stabilization of internal pneumatic stabilization? A prospective randomized study of management of severe flail chest patients.
- Tanaka H, Yukioka T, Yamaguti Y, Shimizu S, Goto H, Matsuda H, Shimazaki S.
- J Trauma. 2002 Apr;52(4):727-32; discussion 732.
Rationale for inclusion: Surgical rib fixation was compared with internal pneumatic stabilization in this prospective, randomized trial.
Citations - 377 (as of July 2017)
- The morbidity and mortality of rib fractures.
- Ziegler DW, Agarwal NN.
- J Trauma. 1994 Dec;37(6):975-9.
Rationale for inclusion: An initial study documenting the morbidity and mortality associated with rib fractures.
Citations - 332 (as of July 2017)
- Management of flail chest without mechanical ventilation.
- Trinkle JK, Richardson JD, Franz JL, Grover FL, Arom KV, Holmstrom FM.
- Ann Thorac Surg. 1975 Apr;19(4):355-63.
Rationale for inclusion: Challenged convention by comparing patient with flail chests who underwent intubation and mechanical ventilation versus treatment of the underlying pulmonary contusion alone.
Citations - 260 (as of July 2017)