[Functional Outcome after Chest Wall Stabilisation]. / Rippenosteosynthesen - funktionsverbessernd?
Zentralbl Chir
; 141 Suppl 1: S6-S11, 2016 Sep.
Article
en De
| MEDLINE
| ID: mdl-27607891
ABSTRACT
This overview reviews the current literature to compare the functional results after surgical and conservative treatment of patients with flail chest and multiple rib fractures. Regarding functional aspects, patients in the early phase after a thoracic trauma are those that benefit most from the stabilisation of the chest wall by internal fixation of the ribs. Patients recover faster from restrictive respiratory disorders, have less pain and return to the workplace earlier after an operation compared with those that receive conservative treatment. In the medium term, however, patients that are treated conservatively also achieve normal pulmonary function values and become free of pain. The period of convalescence after blunt thoracic trauma is generally underestimated. Future studies of the functional outcome after severe chest injuries should take this into account and the development of functional parameters should be monitored for at least 24 months. A prospective data collection of early and long-term surgical results in registries would be suitable to evaluate benefits and indications of chest wall stabilisation.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Fracturas de las Costillas
/
Tórax Paradójico
/
Fijación Interna de Fracturas
Tipo de estudio:
Observational_studies
/
Prognostic_studies
Límite:
Humans
Idioma:
De
Revista:
Zentralbl Chir
Año:
2016
Tipo del documento:
Article