Comparison of the effects of open reduction and internal fixation and conservative treatment on severe thoracic trauma ribs fracture

Abstract

Objective To compare the clinical effects of open reduction and internal fixation and conservative treatment on ribs fracture. Methods Eighty patients with rib fractures were randomly divided into two groups. The patients in the internal fixation group were treated by open reduction and internal fixation. The conservative treatment group was treated by conservative treatment. The analgesic effects, the relevant monitoring indicators, analgesic application, hospital stay and complications were compared between the two groups. Results The visual analogue scale score, heart rate and respiratory rate of the internal fixation group were significantly lower than those of the conservative treatment group at 2 h, 1 d, 2 d and 3 d after treatment (P<0.01). The PaO2 level of the internal fixation group was significantly higher than that of the conservative treatment group (P<0.01). The frequency of use of analgesics, hospital stay and lung complication rates of the internal fixation group were significantly lower than those in conservative treatment group (P<0.01). Conclusions Compared with conservative treatment, the clinical effect of open reduction and internal fixation on rib fractures is more significant, with reference value. Key words: Rib fractures; Open reduction and internal fixation; Conservative treatment