{"title":"A comparative of multiple rib fractures with embracing fixators and riblocking titanium plates.","authors":"Wu Wen, Yong Qiao","doi":"10.47391/JPMA.20047","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To compare the clinical efficacy and safety between embracing fixator and rib-locking titanium plate in the treatment of multiple rib fractures.</p><p><strong>Methods: </strong>The retrospective study was conducted at the Sichuan Province Orthopaedics Hospital, China, and comprised clinical data from January 2020 to December 2022 of patients with multiple rib fractures. The patients were divided into the embracing fixator group A and rib-locking titanium plate group B. Data was analysed using SPSS 22.</p><p><strong>Results: </strong>Of the 100 patients, 50(50%) were in each of the two groups. There were 35(70%) males and 15(30%) females in group A with mean age 51.38±10.62 years (range: 25-62 years) compared to 33(66%) males and 17(34%) females with mean age 51.48±10.93 years (range: 27-65 years) (p>0.05). Surgical duration and incisional length were shorter, and the blood loss was smaller in group B compared to group A (p<0.05). Three months after treatment, the visual analogue scale VAS) score of group B was lower than group A (p<0.05). All markers of pulmonary function significantly improved both groups (p<0.05) compared to baseline values, but group B patients showed more and better improvement than group A (p<0.05). There was no significant difference in terms of the incidence of complications between the groups (p>0.05).</p><p><strong>Conclusions: </strong>The rib-locking titanium plate treatment for multiple rib fractures showed the advantages of minimal trauma, simple operation, minimal bleeding, low postoperative pain, significant improvement in lung function, and no increase in postoperative complications.</p>","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"75 3","pages":"424-428"},"PeriodicalIF":0.8000,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of the Pakistan Medical Association","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.47391/JPMA.20047","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: To compare the clinical efficacy and safety between embracing fixator and rib-locking titanium plate in the treatment of multiple rib fractures.
Methods: The retrospective study was conducted at the Sichuan Province Orthopaedics Hospital, China, and comprised clinical data from January 2020 to December 2022 of patients with multiple rib fractures. The patients were divided into the embracing fixator group A and rib-locking titanium plate group B. Data was analysed using SPSS 22.
Results: Of the 100 patients, 50(50%) were in each of the two groups. There were 35(70%) males and 15(30%) females in group A with mean age 51.38±10.62 years (range: 25-62 years) compared to 33(66%) males and 17(34%) females with mean age 51.48±10.93 years (range: 27-65 years) (p>0.05). Surgical duration and incisional length were shorter, and the blood loss was smaller in group B compared to group A (p<0.05). Three months after treatment, the visual analogue scale VAS) score of group B was lower than group A (p<0.05). All markers of pulmonary function significantly improved both groups (p<0.05) compared to baseline values, but group B patients showed more and better improvement than group A (p<0.05). There was no significant difference in terms of the incidence of complications between the groups (p>0.05).
Conclusions: The rib-locking titanium plate treatment for multiple rib fractures showed the advantages of minimal trauma, simple operation, minimal bleeding, low postoperative pain, significant improvement in lung function, and no increase in postoperative complications.
期刊介绍:
Primarily being a medical journal, JPMA publishes scholarly research focusing on the various fields in the areas of health and medical education. It publishes original research describing recent advances in health particularly clinical studies, clinical trials, assessments of pathogens of diagnostic importance, medical genetics and epidemiological studies. Review articles highlighting importance of various issues in the domain of public health, drug research and medical education are also accepted. As a leading journal of South Asia, JPMA remains cognizant of the recent advances in the rapidly growing fields of biomedical sciences, it invites and encourages scholars to write short reviews and invited editorials on the emerging issues. We particularly aim to promote health standards of developing countries by encouraging manuscript submissions on issues affecting the public health and health delivery services.