title: The Usefulness of Early Surgical Rib Stabilization in Flail Chest.
abstract: BACKGROUND
  Flail chest is a clinical condition observed in patients with blunt thorax trauma. Surgical stabilization methods performed on selected patients shorten the durations of mechanical ventilation and intensive care monitoring and significantly reduce the rates of ventilator-associated morbidity and mortality.
  
  
  METHODS
  Patients treated and diagnosed with flail chest between 2009 and 2014 were studied retrospectively.
  
  
  RESULTS
  There were two groups: 10 patients in the group treated surgically and 10 patients in the group treated non-surgically. The groups were similar in terms of age, ISS score, degree of pulmonary contusion, number of rib fractures and location of flail chest. There were no significant differences between the stabilization and non-surgical therapy groups in hospitalization and mechanical ventilation period, tracheostomies, hospital costs and mortality. However, there were significant differences in the intensive care period. The number of the patients who developed pneumonia was significantly lower in the stabilization group, and the difference was statistically significant.
  
  
  CONCLUSIONS
  Early surgical rib stabilization in flail chest is a safe treatment method which has a low complication rate and can reduce the morbidity and mortality which develop from mechanical ventilation.
authors.affiliation: Department of Thoracic Surgery, Medical School, Ondokuz Mayıs University, Samsun, Turkey.
authors.forename: Y B
authors.initials: YB
authors.lastname: Büyükkarabacak
authors.forename: A T
authors.initials: AT
authors.lastname: Şengül
authors.forename: B
authors.initials: B
authors.lastname: Çelik
authors.forename: S H
authors.initials: SH
authors.lastname: Abacı
authors.forename: M G
authors.initials: MG
authors.lastname: Pirzirenli
authors.forename: S
authors.initials: S
authors.lastname: Gürz
authors.forename: A
authors.initials: A
authors.lastname: Başoğlu
mesh_terms: D001860:Bone Plates; D003422:Critical Care; D005409:Flail Chest / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D005593:Fracture Fixation, Internal; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D012121:Respiration, Artificial; D012189:Retrospective Studies; D012253:Rib Fractures / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D013997:Time Factors; D016896:Treatment Outcome