Performed titanium locking plate <i>versus</i> nickel-titanium memory alloy embracing fixator in the treatment of multiple rib fractures _Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

HAO Yi ,  WU Jun , WANG Lijie , SUN Lin , YANG Haiping , WANG Yanyu , LI Weiqiang , ZHANG Jianpeng , CHEN Lin , ZHANG Zhenhua

Department of Cardiothoracic Surgery, Beijing Luhe Hospital of Capital Medical University, Beijing, 101149, P.R.China;

Corresponding?author：

WU Jun, Email: 13661239970@163.com

Keywords：

Performed titanium locking plate; nickel-titanium memory alloy embracing fixator; multiple rib fractures

DOI：

10.7507/1007-4848.201703033

Video：

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Objective To compare clinical outcomes between the performed titanium locking plate and nickel-titanium memory alloy embracing fixator for the treatment of multiple rib fractures, and to select a better internal fixator for multiple rib fractures. Methods A total of 206 consecutive patients with multiple rib fractures were admitted to Department of Cardiothoracic Surgery in Beijing Luhe Hospital of Capital Medical University from October 2011 to September 2016. According to different treatment strategies, the patients were divided into 2 groups: a performed titanium locking plate group (a titanium plate group, n=105) and a nickel-titanium memory alloy embracing fixator group (an embracing fixator group, n=101). There were 82 males and 23 females with a mean age of 46.5±9.7 years ranging from 23 to 65 years in the titanium plate group, and 83 males and 18 females with a mean age of 44.7±10.3 years ranging from 19 to 63 years in the embracing fixator group. The preoperative data, curative outcomes, visual analogue scale (VAS) and postoperative complications were compared between the two groups. Results There was no statistical difference in the preoperative data between the two groups, and all patients successfully completed the operation. Compared with the embracing fixator group, the incision length and operation time were shorter, intraoperative bleeding and VAS score were less, and curative outcome was better in the titanium plate group. Conclusion The performed titanium locking plate has a great advantage in the clinic, which can be preferred.

Citation： HAO Yi, WU Jun, WANG Lijie, SUN Lin, YANG Haiping, WANG Yanyu, LI Weiqiang, ZHANG Jianpeng, CHEN Lin, ZHANG Zhenhua. Performed titanium locking plate versus nickel-titanium memory alloy embracing fixator in the treatment of multiple rib fractures . Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2018, 25(5): 397-400. doi: 10.7507/1007-4848.201703033 Copy

1.	馬雙慰, 李向東, 何明, 等. 形狀記憶環抱接骨板治療多發性肋骨骨折72例臨床觀察. 重慶醫學, 2009, 38(2): 201-202.
2.	王輝, 鄭翔, 聞作川. 多發肋骨骨折保守治療與環抱器外科手術治療的療效對比研究. 河北醫藥, 2014, 36(8): 1182-1183.
3.	滕洪生, 隋鐵泉, 張秀強. 記憶金屬胸部護板與可吸收肋骨釘治療多發性肋骨骨折療效比較. 陜西醫學雜志, 2012, 41(11): 1494-1495.
4.	楊曉松, 于在誠. 60例多發性肋骨骨折患者手術與非手術治療效果對比. 安徽醫科大學學報, 2014, 49(5): 689-691.
5.	朱建和, 蘭雷鈞, 王啟斌, 等. 可吸收肋骨釘多發性肋骨骨折內固定. 中華急診醫學雜志, 2012, 21(12): 1393-1395.
6.	Pieracci FM, Majercik S, Ali-Osman F, et al. Consensus statement: Surgical stabilization of rib fractures rib fracture colloquium clinical practice guidelines. Injury, 2017, 48(2): 307-321.
7.	Dehghan N, de Mestral C, McKee MD, et al. Flail chest injuries: a review of outcomes and treatment practices from the National Trauma Data Bank. J Trauma Acute Care Surg, 2014, 76(2): 462-468.
8.	Pieracci FM, Rodil M, Stovall RT, et al. Surgical stabilization of severe rib fractures. J Trauma Acute Care Surg, 2015, 78(4): 883-887.
9.	Leinicke JA, Elmore L, Freeman BD, et al. Operative management of rib fractures in the setting of flail chest: a systematic review and meta-analysis. Ann Surg, 2013, 258(6): 914-921.
10.	Marasco SF, Davies AR, Cooper J, et al. Prospective randomized controlled trial of operative rib fixation in traumatic flail chest. J Am Coll Surg, 2013, 216(5): 924-932.
11.	Slobogean GP, MacPherson CA, Sun T, et al. Surgical fixation vs nonoperative management of flail chest: a meta-analysis. J Am Coll Surg, 2013, 216(2): 302-311.
12.	Wada T, Yasunaga H, Inokuchi R, et al. Effectiveness of surgical rib fixation on prolonged mechanical ventilation in patients with traumatic rib fractures: A propensity score-matched analysis. J Crit Care, 2015, 30(6): 1227-1231.
13.	Doben AR, Eriksson EA, Denlinger CE, et al. Surgical rib fixation for flail chest deformity improves liberation from mechanical ventilation. J Crit Care, 2014, 29(1): 139-143.
14.	Fowler TT, Taylor BC, Bellino MJ, et al. Surgical treatment of flail chest and rib fractures. J Am Acad Orthop Surg, 2014, 22(12): 751-760.
15.	Caragounis EC, Fagevik Olsén M, Pazooki D, et al. Surgical treatment of multiple rib fractures and flail chest in trauma: a one-year follow-up study. World J Emerg Surg, 2016, 11: 27.
16.	孫居仙, 徐志飛. 肋骨骨折治療選擇及療效評價. 創傷外科雜志, 2009, 11(3): 275-277.
17.	Nirula R, Mayberry JC. Rib fracture fixation: controversies and technical challenges. Am Surg, 2010, 76(8): 793-802.
18.	駱峰, 季惠. 胸腔鏡下純鈦肋骨爪形接骨板治療多發性肋骨骨折19例臨床分析. 吉林醫學, 2011, 32(16): 3283-3284.
19.	李強, 李曉斌, 喬慶, 等. 胸腔鏡輔助可吸收肋骨釘與爪形接骨板聯合應用治療多發肋骨骨折的臨床研究. 創傷外科雜志, 2014, 16(2): 109-112.
20.	韋春暉, 譚勇明, 鄧濱. 應用可吸收肋骨固定釘治療多根多段肋骨骨折20例報告. 中國微創外科雜志, 2010, 10(6): 76-78.
21.	李澤新. 多發性肋骨骨折不同治療方法對比分析. 中國繼續醫學教育, 2015, 7(25): 125-126.
22.	蘇志勇, 吳駿, 張毅, 主編. 危重胸部創傷處理技術. 北京: 人民軍醫出版社, 2014. 130-158.
23.	顧劍峰, 蔣治平, 張健. 純鈦肋骨爪形接骨板內固定治療多發肋骨骨折療效觀察. 山東醫藥, 2013, 53(30): 43-44.

1. 馬雙慰, 李向東, 何明, 等. 形狀記憶環抱接骨板治療多發性肋骨骨折72例臨床觀察. 重慶醫學, 2009, 38(2): 201-202.
2. 王輝, 鄭翔, 聞作川. 多發肋骨骨折保守治療與環抱器外科手術治療的療效對比研究. 河北醫藥, 2014, 36(8): 1182-1183.
3. 滕洪生, 隋鐵泉, 張秀強. 記憶金屬胸部護板與可吸收肋骨釘治療多發性肋骨骨折療效比較. 陜西醫學雜志, 2012, 41(11): 1494-1495.
4. 楊曉松, 于在誠. 60例多發性肋骨骨折患者手術與非手術治療效果對比. 安徽醫科大學學報, 2014, 49(5): 689-691.
5. 朱建和, 蘭雷鈞, 王啟斌, 等. 可吸收肋骨釘多發性肋骨骨折內固定. 中華急診醫學雜志, 2012, 21(12): 1393-1395.
6. Pieracci FM, Majercik S, Ali-Osman F, et al. Consensus statement: Surgical stabilization of rib fractures rib fracture colloquium clinical practice guidelines. Injury, 2017, 48(2): 307-321.
7. Dehghan N, de Mestral C, McKee MD, et al. Flail chest injuries: a review of outcomes and treatment practices from the National Trauma Data Bank. J Trauma Acute Care Surg, 2014, 76(2): 462-468.
8. Pieracci FM, Rodil M, Stovall RT, et al. Surgical stabilization of severe rib fractures. J Trauma Acute Care Surg, 2015, 78(4): 883-887.
9. Leinicke JA, Elmore L, Freeman BD, et al. Operative management of rib fractures in the setting of flail chest: a systematic review and meta-analysis. Ann Surg, 2013, 258(6): 914-921.
10. Marasco SF, Davies AR, Cooper J, et al. Prospective randomized controlled trial of operative rib fixation in traumatic flail chest. J Am Coll Surg, 2013, 216(5): 924-932.
11. Slobogean GP, MacPherson CA, Sun T, et al. Surgical fixation vs nonoperative management of flail chest: a meta-analysis. J Am Coll Surg, 2013, 216(2): 302-311.
12. Wada T, Yasunaga H, Inokuchi R, et al. Effectiveness of surgical rib fixation on prolonged mechanical ventilation in patients with traumatic rib fractures: A propensity score-matched analysis. J Crit Care, 2015, 30(6): 1227-1231.
13. Doben AR, Eriksson EA, Denlinger CE, et al. Surgical rib fixation for flail chest deformity improves liberation from mechanical ventilation. J Crit Care, 2014, 29(1): 139-143.
14. Fowler TT, Taylor BC, Bellino MJ, et al. Surgical treatment of flail chest and rib fractures. J Am Acad Orthop Surg, 2014, 22(12): 751-760.
15. Caragounis EC, Fagevik Olsén M, Pazooki D, et al. Surgical treatment of multiple rib fractures and flail chest in trauma: a one-year follow-up study. World J Emerg Surg, 2016, 11: 27.
16. 孫居仙, 徐志飛. 肋骨骨折治療選擇及療效評價. 創傷外科雜志, 2009, 11(3): 275-277.
17. Nirula R, Mayberry JC. Rib fracture fixation: controversies and technical challenges. Am Surg, 2010, 76(8): 793-802.
18. 駱峰, 季惠. 胸腔鏡下純鈦肋骨爪形接骨板治療多發性肋骨骨折19例臨床分析. 吉林醫學, 2011, 32(16): 3283-3284.
19. 李強, 李曉斌, 喬慶, 等. 胸腔鏡輔助可吸收肋骨釘與爪形接骨板聯合應用治療多發肋骨骨折的臨床研究. 創傷外科雜志, 2014, 16(2): 109-112.
20. 韋春暉, 譚勇明, 鄧濱. 應用可吸收肋骨固定釘治療多根多段肋骨骨折20例報告. 中國微創外科雜志, 2010, 10(6): 76-78.
21. 李澤新. 多發性肋骨骨折不同治療方法對比分析. 中國繼續醫學教育, 2015, 7(25): 125-126.
22. 蘇志勇, 吳駿, 張毅, 主編. 危重胸部創傷處理技術. 北京: 人民軍醫出版社, 2014. 130-158.
23. 顧劍峰, 蔣治平, 張健. 純鈦肋骨爪形接骨板內固定治療多發肋骨骨折療效觀察. 山東醫藥, 2013, 53(30): 43-44.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Performed titanium locking plate versus nickel-titanium memory alloy embracing fixator in the treatment of multiple rib fractures

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