Exclusion criteria were severe pulmonary contusion, severe head trauma, randomization more than 72 hours after injury, inability to perform surgical fixation within 96 hours from injury, fractures of the floating ribs, or fractures adjacent to the spine not amendable to surgical fixation. All participants were age 16 to 85 with flail chest (≥ 3 consecutive, segmental, displaced rib fractures) or severe deformity of the chest wall. The study involved 207 patients, recruited from 15 sites across Canada and the United States from 2011 to 2018. I started looking at outcomes of flail chest injuries, and I thought it would be interesting to look at surgical fixation of rib fractures in a well-organized, prospective, randomized, controlled trial,” she added. “The procedure was very rare at the time, and it captured my attention. Presenting author Niloofar Dehghan, MD, who is chief of trauma at the CORE Institute in Phoenix and an associate professor at the University of Arizona College of Medicine, said the idea for the study came to her during her orthopaedic trauma residency rotation, when she saw a patient with a severe flail chest injury who “was having a hard time being weaned off the ventilator due to pain from his rib fractures.” The intensive care unit (ICU) team asked the orthopaedic trauma team “to fix his ribs,” Dr. Also, in the subset of patients who were intubated and mechanically ventilated at the time of randomization, results showed improvement in VFDs and length of hospital stay. However, the study, on display today and tomorrow in Academy Hall, did record a lower rate of mortality with surgical treatment. She is chief of trauma at the CORE Institute in Phoenix and an associate professor at the University of Arizona College of Medicine.Ī study investigating surgical fixation of unstable chest wall and flail chest injury found no improvement in ventilator-free days (VFDs) or other outcomes compared to nonsurgical treatment across the entire patient population. 31, on Poster 487 (page 36) incorrectly described the affiliation of presenting author Niloofar Dehghan, MD. Correction: The article in the AAOS Now Daily Edition for Tuesday, Aug.
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