Open Reduction and Internal Fixation of a Chronic Precordial Flail Chest Segment: A Case Report.

Autor:	Brahme IS; Department of Orthopaedic Surgery, University of Minnesota Medical School, Minneapolis, Minnesota.; Department of Orthopaedic Surgery, Regions Hospital, St. Paul, Minnesota., LaRoque MC; Department of Orthopaedic Surgery, University of Minnesota Medical School, Minneapolis, Minnesota.; Department of Orthopaedic Surgery, Regions Hospital, St. Paul, Minnesota., Flagstad IR; Department of Orthopaedic Surgery, University of Minnesota Medical School, Minneapolis, Minnesota.; Department of Orthopaedic Surgery, Regions Hospital, St. Paul, Minnesota., Cole PA; Department of Orthopaedic Surgery, University of Minnesota Medical School, Minneapolis, Minnesota.; Department of Orthopaedic Surgery, Regions Hospital, St. Paul, Minnesota.; HealthPartners Orthopaedics & Sports Medicine, Bloomington, Minnesota.
Jazyk:	angličtina
Zdroj:	JBJS case connector [JBJS Case Connect] 2023 Aug 09; Vol. 13 (3). Date of Electronic Publication: 2023 Aug 09 (Print Publication: 2023).
DOI:	10.2106/JBJS.CC.22.00714
Abstrakt:	Case: We report on a 35-year-old man presenting with disabling pain secondary to multiple rib nonunions and a costochondral dislocation 5 months after sustaining a chest wall crush injury. He underwent surgical reconstruction of the chest and was followed for 2 years. Surgical exposure to the heart was necessary during open reduction of the flail segment, followed by costochondral joint fixation with plates and screws. Although he was a workers' compensation patient, he returned to full gainful employment. Conclusion: Open reduction and internal fixation of a symptomatic, chronically displaced, precordial, flail segment can relieve pain and promote return to baseline function. Competing Interests: Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/C154). (Copyright © 2023 by The Journal of Bone and Joint Surgery, Incorporated.)
Databáze:	MEDLINE
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