Treatment of multiple rib fracture and flail chest with Judet's strut: 105 Case Report.
- Author:
Byung Soon PARK
1
;
Wan Jae CHO
;
Jeong Woo OH
;
Mong Ju KWACK
Author Information
1. Department of Thoracic and Cardiovascular Surgery, DongKwagJu General Hospital, Korea.
- Publication Type:Original Article
- Keywords:
rib fracture;
Flail chest;
Rib strut
- MeSH:
Age Distribution;
Congenital Abnormalities;
Female;
Flail Chest*;
Humans;
Immobilization;
Incidence;
Male;
Mortality;
Postoperative Complications;
Rib Fractures*;
Ribs*;
Thoracic Wall;
Thorax;
Ventilation;
Ventilators, Mechanical
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
1997;30(8):803-808
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
There were 105 patients with multiple rib fracture or flail chest who had underwent surgical rib fixation using Judet's strut from Aug. 1989 to Aug. 1995. They were 86 men and 19 women, and the age distribution was from 17 to 77(mean 48+/-12). The most common cause of accident was a traffic accident(81%). The mean number of rib fracture was 5.5 and the distribution of patient were flail chest(72, 64.7%), severe displaced rib Fracture(18, 17.1%), traumatic chest wall deformity(10, 95%) and others(5, 4.7%). The operative mortality was 1 patient(0.96%) and the incidence of postoperative complication were 13 patients(12.3%). The duration of perioperative artificial ventilator therapy was 90.5+/-22.6 hours. Our method allowed shorter duration of an artificial ventilation and decreased a functional sequelae. We find this technique to be better than previously published methods, since it provides better stabilization and immobilization of the ribs and thus obviates the need for artificial ventilation and prevents post-traumatic chest deformity.
