The role of chest backplate in treating multiple rib fractures in patients with focal abnormal breathing: analysis of 36 cases

Objective To evaluate the effect of chest backplate in treating multiple rib fractures in patients with focal abnormal breathing. Methods The clinical data of 36 patients with multiple rib fractures and focal abnormal breathing who were treated by Chrisofix chest backplate were analyzed. Results Thirty-four patients were cured by chest backplate and other conservative treatments,and 2 patients underwent rib internal fixation surgery. The numeric rating scales scores before and after the application of the chest backplate were (8.1±0.7) scores and (5.2±0.5) scores respectively(P <0.01). Seven patients had skin blisters forming around the shield, which were cured by liquid extraction with a syringe and gauze covered with povidone iodine. No patients stopped treatment because of allergy. Conclusions Chest backplate is an effective, easy and inexpensive method for patient with multiple rib fractures and focal abnormal breathing who doesn't need exploratory thoracotomy. It is worthy to spread in clinical treatment. Key words: Rib fractures; Flail chest; Abnormal breathing; Chest backplate; Conservative treatment