title: [Unstable thorax fixation with bioabsorbable plates and screws. Presentation of some cases].
abstract: BACKGROUND
  Flail chest is managed with mechanical ventilation or inhalation therapy, and analgesia. Mechanical ventilations carry risks by themselves and disengage with the external fixators so they must be operated to improve lung ventilatory mechanics and cleaning. Little has been published on the use of bioabsorbable material and its evolution in the setting of flail chest.
  
  
  METHODS
  A material that did had to be retired, that presented the malleability of titanium and its inflammatory reaction was minimal and could be handled in both adults and children was investigated. Here is shown a descriptive study of patients with flail chest under rib fixation with plates and bioabsorbable screws.
  
  
  RESULTS
  18 cases are presented, aged 33-74 years, three with bilateral flail chest; fixation was performed between days 1-21 of the accident. In cases that showed no fractures pelvic limbs, gait next day restarted fi ng in all cases improved mechanical ventilation, pain decreased, none has so far presented reaction material.
  
  
  CONCLUSIONS
  Flail chest has a high (16.3%) mortality when no management provides the pathophysiology of the condition (pain, poor mechanical ventilation, alveolar edema-pulmonary contusion). The use of bioabsorbable material has no side effects attributable to material which is another option for rib fixation.
authors.affiliation: Servicio de Cirugía General, Instituto de Salud del Estado de México y Municipios, Centro Médico Ecatepec, México. Electronic address: anis3791@hotmail.com.
authors.forename: Ana Lilia
authors.initials: AL
authors.lastname: Nolasco-de la Rosa
authors.affiliation: Servicio de Oncocirugía, Instituto de Salud del Estado de México y Municipios, Centro Médico Ecatepec, México.
authors.forename: Roberto
authors.initials: R
authors.lastname: Mosiñoz-Montes
authors.affiliation: Servicio de Ortopedia, Instituto de Salud del Estado de México y Municipios, Centro Médico Ecatepec, México.
authors.forename: Jesús
authors.initials: J
authors.lastname: Matehuala-García
authors.affiliation: Servicio de Cirugía General, Instituto de Salud del Estado de México y Municipios, Centro Médico Ecatepec, México.
authors.forename: Edgardo
authors.initials: E
authors.lastname: Román-Guzmán
authors.affiliation: Servicio de Cirugía General, Instituto de Salud del Estado de México y Municipios, Centro Médico Ecatepec, México.
authors.forename: Fidel
authors.initials: F
authors.lastname: Quero-Sandoval
authors.affiliation: Servicio de Cirugía General, Instituto de Salud del Estado de México y Municipios, Centro Médico Ecatepec, México.
authors.forename: Alma Lorena
authors.initials: AL
authors.lastname: Reyes-Miranda
mesh_terms: D020341:Absorbable Implants; D000328:Adult; D000368:Aged; D058109:Airway Management; D001672:Biocompatible Materials; D001860:Bone Plates; D001863:Bone Screws; D015897:Comorbidity; D006259:Craniocerebral Trauma / Q000628:therapy; D005260:Female; D005409:Flail Chest / Q000000981:diagnostic imaging / Q000601:surgery*; D005500:Follow-Up Studies; D005549:Foreign-Body Reaction / Q000209:etiology / Q000517:prevention & control; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D019344:Lactic Acid; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000601:surgery; D011100:Polyglycolic Acid; D000077182:Polylactic Acid-Polyglycolic Acid Copolymer; D011183:Postoperative Complications / Q000209:etiology / Q000517:prevention & control; D019651:Plastic Surgery Procedures / Q000295:instrumentation* / Q000379:methods; D012121:Respiration, Artificial; D012253:Rib Fractures / Q000601:surgery*; D012769:Shock / Q000209:etiology; D013249:Sternum / Q000293:injuries / Q000601:surgery*; D013903:Thoracic Surgery / Q000295:instrumentation*; D014057:Tomography, X-Ray Computed
chemical_list: D001672:Biocompatible Materials; D000077182:Polylactic Acid-Polyglycolic Acid Copolymer; D011100:Polyglycolic Acid; D019344:Lactic Acid
keywords: Bioabsorbables screws and plates; Inestable thorax; Placas y tornillos bioabsorbibles; Tórax inestable