Abstract

Rib fractures are common among trauma patients with both blunt chest wall and thoraco-abdominal trauma, seen in up to 39% of patients following blunt chest trauma and present in 10% of all trauma admissions and, in these individuals, mortality rates can reach 9–16%. Notwithstanding, the objective of surgical stabilization is to recover thoracic wall rigidity and restore normal ventilation and functions, thus decreasing mortality and morbidity. Currently, all possible indications for surgical rib fixation are far away from a consensus statement backed up with strong evidence. The aim of this review article is to highlight both the usefulness and the pitfalls of operative rib fixation techniques.

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