title: [Surgical fixation of rib fractures with clips and titanium bars (STRATOS System). Preliminary experience].
abstract: BACKGROUND
  Rib fractures are very common in closed chest injuries. The majority of these patients suffer significant pain with movement and cough. The purpose of this study is to assess the usefulness of titanium rib bars and clips in stabilising rib fractures.
  
  
  METHODS
  Twenty-two patients with rib fractures were treated with open reduction and internal fixation between 2008 and 2009. Indications for treatment were defined as; 1) Patients with unstable chest (13 patients), 2) Patients with pain or instability due to rib fractures (6 patients), and 3) Significant traumatic deformities of the chest wall (3 patients). Age, traumatic mechanism, chest and associated injuries, surgical data, complications and follow-up were prospectively analysed. The surgical technique is described.
  
  
  RESULTS
  The majority of patients were extubated immediately after surgery. All patients with pain or instability showed a subjective improvement or disappearance of pain after the surgery. Four patients had a wound infection which had to be drained. After 3 months, 55% of the patients had returned to work or normal life. The results in each group are described.
  
  
  CONCLUSIONS
  Open reduction with internal fixation of rib fractures is a good alternative. The use of titanium rib bars and clips give good clinical results, are easy to apply and have few complications.
authors.affiliation: Servicio de Cirugía Torácica, Hospital POVISA, Vigo, España. pmoreno@povisa.es
authors.forename: Pablo
authors.initials: P
authors.lastname: Moreno De La Santa Barajas
authors.forename: María Dolores
authors.initials: MD
authors.lastname: Polo Otero
authors.forename: Carlos
authors.initials: C
authors.lastname: Delgado Sánchez-Gracián
authors.forename: Manuel
authors.initials: M
authors.lastname: Lozano Gómez
authors.forename: Alberto
authors.initials: A
authors.lastname: Toscano Novella
authors.forename: Julia
authors.initials: J
authors.lastname: Calatayud Moscoso Del Prado
authors.forename: Sonsoles
authors.initials: S
authors.lastname: Leal Ruiloba
authors.forename: Maria L
authors.initials: ML
authors.lastname: Choren Durán
mesh_terms: D000328:Adult; D000368:Aged; D001860:Bone Plates; D005260:Female; D005593:Fracture Fixation, Internal; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012253:Rib Fractures / Q000601:surgery*; D013525:Surgical Instruments; D014025:Titanium
chemical_list: D014025:Titanium