Clinical Application and Mechanical Analysis of the Treatment of Multiple Rib Fractures and Flail Chest Using Three-wings Rib Plate.
10.3969/j.issn.1671-7104.2020.05.004
- Author:
Jianming LI
1
;
Dongdong WANG
2
;
Xiaoqi WANG
2
;
Changtao WANG
2
;
Shengzhang WANG
1
Author Information
1. Department of Aeronautics and Astronautics&Institute of Biomechanics, Fudan University, Shanghai, 200433.
2. Department of Thoracic Surgery, Shanghai Pudong Hospital, Fudan University, Shanghai, 201399.
- Publication Type:Journal Article
- Keywords:
finite element analysis;
flail chest;
internal fixation;
rib fractures;
three-wings rib plate
- MeSH:
China;
Flail Chest/surgery*;
Fracture Fixation, Internal;
Humans;
Retrospective Studies;
Rib Fractures/surgery*;
Ribs
- From:Chinese Journal of Medical Instrumentation
2020;44(5):395-398
- CountryChina
- Language:Chinese
-
Abstract:
This research evaluated the clinical efficacy of three-wings rib plate in the treatment of multiple rib fractures and flail chest with mechanical analysis and clinical verification. The model of rib and three-wings rib plate was reconstructed. The contact simulation with pretension stress was applied to the plate's fixation, and it was found that the bearable stress of the rib fractures after fixation increased from the result which indicated a good fixation efficacy of the plate. Clinical data of 53 cases of rib fractures and flail chest treated with three-wings rib plate in Shanghai Pudong Hospital of Fudan University were retrospectively analyzed. After the operation, the pain of the patients was relieved. Postoperative CT reconstruction of the chest showed good restoration of the rib fractures, which verified the clinical efficacy of three-wings rib plate. The three-wings rib plate showed a high value in clinical use for treatment of rib fractures.
