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.	马双慰, 李向东, 何明, 等. 形状记忆环抱接骨板治疗多发性肋骨骨折72例临床观察. 重庆医学, 2009, 38(2): 201-202.
2.	王辉, 郑翔, 闻作川. 多发肋骨骨折保守治疗与环抱器外科手术治疗的疗效对比研究. 河北医药, 2014, 36(8): 1182-1183.
3.	滕洪生, 隋铁泉, 张秀强. 记忆金属胸部护板与可吸收肋骨钉治疗多发性肋骨骨折疗效比较. 陕西医学杂志, 2012, 41(11): 1494-1495.
4.	杨晓松, 于在诚. 60例多发性肋骨骨折患者手术与非手术治疗效果对比. 安徽医科大学学报, 2014, 49(5): 689-691.
5.	朱建和, 兰雷钧, 王启斌, 等. 可吸收肋骨钉多发性肋骨骨折内固定. 中华急诊医学杂志, 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.	孙居仙, 徐志飞. 肋骨骨折治疗选择及疗效评价. 创伤外科杂志, 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.	骆峰, 季惠. 胸腔镜下纯钛肋骨爪形接骨板治疗多发性肋骨骨折19例临床分析. 吉林医学, 2011, 32(16): 3283-3284.
19.	李强, 李晓斌, 乔庆, 等. 胸腔镜辅助可吸收肋骨钉与爪形接骨板联合应用治疗多发肋骨骨折的临床研究. 创伤外科杂志, 2014, 16(2): 109-112.
20.	韦春晖, 谭勇明, 邓滨. 应用可吸收肋骨固定钉治疗多根多段肋骨骨折20例报告. 中国微创外科杂志, 2010, 10(6): 76-78.
21.	李泽新. 多发性肋骨骨折不同治疗方法对比分析. 中国继续医学教育, 2015, 7(25): 125-126.
22.	苏志勇, 吴骏, 张毅, 主编. 危重胸部创伤处理技术. 北京: 人民军医出版社, 2014. 130-158.
23.	顾剑峰, 蒋治平, 张健. 纯钛肋骨爪形接骨板内固定治疗多发肋骨骨折疗效观察. 山东医药, 2013, 53(30): 43-44.

1. 马双慰, 李向东, 何明, 等. 形状记忆环抱接骨板治疗多发性肋骨骨折72例临床观察. 重庆医学, 2009, 38(2): 201-202.
2. 王辉, 郑翔, 闻作川. 多发肋骨骨折保守治疗与环抱器外科手术治疗的疗效对比研究. 河北医药, 2014, 36(8): 1182-1183.
3. 滕洪生, 隋铁泉, 张秀强. 记忆金属胸部护板与可吸收肋骨钉治疗多发性肋骨骨折疗效比较. 陕西医学杂志, 2012, 41(11): 1494-1495.
4. 杨晓松, 于在诚. 60例多发性肋骨骨折患者手术与非手术治疗效果对比. 安徽医科大学学报, 2014, 49(5): 689-691.
5. 朱建和, 兰雷钧, 王启斌, 等. 可吸收肋骨钉多发性肋骨骨折内固定. 中华急诊医学杂志, 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. 孙居仙, 徐志飞. 肋骨骨折治疗选择及疗效评价. 创伤外科杂志, 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. 骆峰, 季惠. 胸腔镜下纯钛肋骨爪形接骨板治疗多发性肋骨骨折19例临床分析. 吉林医学, 2011, 32(16): 3283-3284.
19. 李强, 李晓斌, 乔庆, 等. 胸腔镜辅助可吸收肋骨钉与爪形接骨板联合应用治疗多发肋骨骨折的临床研究. 创伤外科杂志, 2014, 16(2): 109-112.
20. 韦春晖, 谭勇明, 邓滨. 应用可吸收肋骨固定钉治疗多根多段肋骨骨折20例报告. 中国微创外科杂志, 2010, 10(6): 76-78.
21. 李泽新. 多发性肋骨骨折不同治疗方法对比分析. 中国继续医学教育, 2015, 7(25): 125-126.
22. 苏志勇, 吴骏, 张毅, 主编. 危重胸部创伤处理技术. 北京: 人民军医出版社, 2014. 130-158.
23. 顾剑峰, 蒋治平, 张健. 纯钛肋骨爪形接骨板内固定治疗多发肋骨骨折疗效观察. 山东医药, 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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