Abstract
Rib fracture nonunions are uncommon after traumatic chest wall injury. Patients with symptomatic nonunions typically present with persistent rib pain, although some will have dyspnea or popping sensations. Surgical fixation can be considered for symptomatic patients who radiographically demonstrate nonunion 3 months after injury. The surgical approach is still evolving; the most common approach is debridement of the callous and non-viable fracture ends followed by stabilization of the fracture with a plating system. Published reports have found this approach decreased pain and improved the quality of life for most patients. Future studies must delineate who will benefit most from operative management and expand our understanding of patient outcomes after surgery.
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