Unstable thorax fixation with bioabsorbable plates and screws. Presentation of some cases1
| Autor: | Ana Lilia Nolasco-de la Rosa, Edgardo Román-Guzmán, Alma Lorena Reyes-Miranda, Jesús Matehuala-García, Fidel Quero-Sandoval, Roberto Mosiñoz-Montes |
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| Rok vydání: | 2015 |
| Předmět: |
Thorax
Mechanical ventilation Flail chest medicine.medical_specialty External fixator Lung business.industry Ventilatory mechanics medicine.medical_treatment Bio-absorbable screws Tórax inestable Ocean Engineering medicine.disease bioabsorbibles Surgery medicine.anatomical_structure plates medicine Presentation (obstetrics) business Placas y tornillos Fixation (histology) |
| Zdroj: | Cirugía y Cirujanos (English Edition). 83:23-28 |
| ISSN: | 2444-0507 |
| DOI: | 10.1016/j.circen.2015.08.001 |
| Popis: | Background: Flail chest is managed with mechanical ventilation or inhalation therapy, and analge- sia. Mechanical ventilations carry risks by themselves, and disengage with the external fixators, so they must be operated to improve lung ventilatory mechanics and cleaning. Little has been pub- lished on the use of bio-absorbable material and its evolution in the setting of flail chest. Material and methods: A study was made on a material that did not have to be removed, that had the malleability of steel, its inflammatory reaction was minimal, and could be handled in both adults and children. A descriptive study is presented of patients with flail chest under rib fixation with plates and bio-absorbable screws. Results: A series of 18 cases are presented, with ages from 33-74 years, three with bilateral flail chest. Fixation was performed between days 1-21 of the accident. In cases that showed no frac- tures of pelvic limbs, walking was restarted the day after fixing. In all cases mechanical ventila - tion improved and pain decreased. So far there has been no reaction to the material. Conclusions: Flail chest has a high (16.3%) mortality when the pathophysiology of the condition (pain, poor mechanical ventilation, alveolar oedema-pulmonary contusion) is not treated. The use of bio-absorbable material has no side effects attributable to material, making it another option for rib fixation. |
| Databáze: | OpenAIRE |
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