Rib Fixation for a Patient with Severely Displaced and Overlapped Costal Cartilage Fractures

Rib fixations for flail chest or displaced rib fractures are not a new technique. However, reports on rib fixations involving costal cartilage fractures are very few and surprisingly there are no reports of internal fixations involving only the costal cartilage in the English literature. The diagnos...

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Main Authors: Sung Ho Han, Soon-Ho Chon, Jong Hyun Lee, Min Koo Lee, Oh Sang Kwon, Kyoung Hwan Kim, Jung Suk Kim, Ho hyoung Lee
Format: Article
Language:English
Published: Korean Society of Traumatology 2018-04-01
Series:Journal of Trauma and Injury
Subjects:
Online Access:http://www.jtraumainj.org/upload/pdf/jti-31-012.pdf
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author Sung Ho Han
Soon-Ho Chon
Jong Hyun Lee
Min Koo Lee
Oh Sang Kwon
Kyoung Hwan Kim
Jung Suk Kim
Ho hyoung Lee
author_facet Sung Ho Han
Soon-Ho Chon
Jong Hyun Lee
Min Koo Lee
Oh Sang Kwon
Kyoung Hwan Kim
Jung Suk Kim
Ho hyoung Lee
author_sort Sung Ho Han
collection DOAJ
description Rib fixations for flail chest or displaced rib fractures are not a new technique. However, reports on rib fixations involving costal cartilage fractures are very few and surprisingly there are no reports of internal fixations involving only the costal cartilage in the English literature. The diagnosis is difficult and the necessity of the procedure may be quite controversial. Placing plates in screws into the costal cartilage alone may seem unstable and easily dislodged or stripped through the cartilage. We report a 31-year-old male scuba diver instructor who underwent rib fixations over his 7th and 8th costal cartilage ribs for severe pain. The procedure was done with conventional plates and screws. He had the plates and screws removed 2 months later due to lingering pain, but with them removed he is now quite happy with the results without pain. The procedure for fixation of painful overlapped costal cartilage is quite simple and can be done with the usual conventional methods, fixating plate and screws directly over the cartilage alone without fixation over the bony rib.
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2287-1683
language English
publishDate 2018-04-01
publisher Korean Society of Traumatology
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series Journal of Trauma and Injury
spelling doaj-art-5c5f8651042046cf9b96bb4b4449a5412025-01-06T01:07:41ZengKorean Society of TraumatologyJournal of Trauma and Injury1738-87672287-16832018-04-01311121510.20408/jti.2018.31.1.12941Rib Fixation for a Patient with Severely Displaced and Overlapped Costal Cartilage FracturesSung Ho Han0Soon-Ho Chon1Jong Hyun Lee2Min Koo Lee3Oh Sang Kwon4Kyoung Hwan Kim5Jung Suk Kim6Ho hyoung Lee7 Department of Traumatology, Cheju Halla General Hospital, Jeju, Korea Department of Thoracic and Cardiovascular Surgery, Cheju Halla General Hospital, Jeju, Korea Department of Thoracic and Cardiovascular Surgery, Cheju Halla General Hospital, Jeju, Korea Department of Traumatology, Cheju Halla General Hospital, Jeju, Korea Department of Traumatology, Cheju Halla General Hospital, Jeju, Korea Department of Traumatology, Cheju Halla General Hospital, Jeju, Korea Department of Traumatology, Cheju Halla General Hospital, Jeju, Korea Department of Traumatology, Cheju Halla General Hospital, Jeju, KoreaRib fixations for flail chest or displaced rib fractures are not a new technique. However, reports on rib fixations involving costal cartilage fractures are very few and surprisingly there are no reports of internal fixations involving only the costal cartilage in the English literature. The diagnosis is difficult and the necessity of the procedure may be quite controversial. Placing plates in screws into the costal cartilage alone may seem unstable and easily dislodged or stripped through the cartilage. We report a 31-year-old male scuba diver instructor who underwent rib fixations over his 7th and 8th costal cartilage ribs for severe pain. The procedure was done with conventional plates and screws. He had the plates and screws removed 2 months later due to lingering pain, but with them removed he is now quite happy with the results without pain. The procedure for fixation of painful overlapped costal cartilage is quite simple and can be done with the usual conventional methods, fixating plate and screws directly over the cartilage alone without fixation over the bony rib.http://www.jtraumainj.org/upload/pdf/jti-31-012.pdfcostal cartilagefracture dislocationrib fixation
spellingShingle Sung Ho Han
Soon-Ho Chon
Jong Hyun Lee
Min Koo Lee
Oh Sang Kwon
Kyoung Hwan Kim
Jung Suk Kim
Ho hyoung Lee
Rib Fixation for a Patient with Severely Displaced and Overlapped Costal Cartilage Fractures
Journal of Trauma and Injury
costal cartilage
fracture dislocation
rib fixation
title Rib Fixation for a Patient with Severely Displaced and Overlapped Costal Cartilage Fractures
title_full Rib Fixation for a Patient with Severely Displaced and Overlapped Costal Cartilage Fractures
title_fullStr Rib Fixation for a Patient with Severely Displaced and Overlapped Costal Cartilage Fractures
title_full_unstemmed Rib Fixation for a Patient with Severely Displaced and Overlapped Costal Cartilage Fractures
title_short Rib Fixation for a Patient with Severely Displaced and Overlapped Costal Cartilage Fractures
title_sort rib fixation for a patient with severely displaced and overlapped costal cartilage fractures
topic costal cartilage
fracture dislocation
rib fixation
url http://www.jtraumainj.org/upload/pdf/jti-31-012.pdf
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