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- Title
Sorozatbordatörést követően kialakult álízület műtéti kezelése.
- Authors
ADRIENN, CSISZKÓ; MIKLÓS, BOROS; KÁROLY, FEKETE; ZOLTÁN, SZENTKERESZTY; LÁSZLÓ, DAMJANOVICH; ZSOLT, SZENTKERESZTY
- Abstract
Non-union is a rare late complication of rib fracture which can cause severe pain with impairment of life quality. Treatment may be the resection of the pseudoarthrosis and fixation of the bone. The authors present a case of blunt thoracic trauma with serial fracture of the 3-8th ribs. After 6 months of conservative treatment the patient still complained of persistent pain. A chest CT scan revealed an atrophic type of non-union in two of the fractured ribs. Resection of the pseudoarthroses and plate fixation (Judet plate, 0.6x50x20 mm, Sanatmetal Kft.) of the ribs were performed. One year after surgery the plates were removed. At present the patient is free of any pain or symptoms. Considering data from the literature and the present case the authors recommend surgical management as first line treatment for painful non-union of rib fracture. In patients with rib fracture suffering from chronic pain pseudoarthrosis must be taken into consideration.
- Subjects
RIB fractures; PAIN; QUALITY of life; PSEUDARTHROSIS; RIB resection; CHRONIC pain
- Publication
Magyar Traumatológia, Ortopédia, Kézsebészet, Plasztikai Sebészet, 2011, Vol 54, Issue 4, p300
- ISSN
1217-3231
- Publication type
Article