title: [Ribs osteosynthesis in patients with isolated and combined chest trauma].
abstract: BACKGROUND
  Rapid methods of costal fractures fixation using special costal plates are becoming more common.
  
  
  OBJECTIVE
  To evaluate the efficacy of ribs osteosynthesis in patients with isolated and combined chest trauma.
  
  
  METHODS
  It is presented an experience of surgical treatment of patients with costal fractures in case of isolated (30) and combined (29) chest injury. System for ribs osteosynthesis was used predominantly in surgical tactics.
  
  
  RESULTS
  Immediate surgical results were analyzed. Most patients had increase of blood gas parameters, oxygenation in the postoperative period. In case of isolated chest injury mean duration of mechanical ventilation was 1.3±1.1, incidence of complications - 3.3%, mortality rate - 0%. In group of combined injuries those indexes were 4.6±3.05, 13.8% and 13.8% respectively.
  
  
  CONCLUSIONS
  The method of ribs osteosynthesis in patients with isolated and combined chest trauma showed high efficiency.
authors.affiliation: Samara State Medical University, Ministry of Health of the Russian Federation, Samara; V.D.Seredavin Samara Regional Clinical Hospital, Samara.
authors.forename: A S
authors.initials: AS
authors.lastname: Benyan
authors.affiliation: Samara State Medical University, Ministry of Health of the Russian Federation, Samara; V.D.Seredavin Samara Regional Clinical Hospital, Samara.
authors.forename: E A
authors.initials: EA
authors.lastname: Korymasov
authors.affiliation: Samara State Medical University, Ministry of Health of the Russian Federation, Samara; V.D.Seredavin Samara Regional Clinical Hospital, Samara.
authors.forename: S Yu
authors.initials: SY
authors.lastname: Pushkin
mesh_terms: D005260:Female; D005593:Fracture Fixation, Internal / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D006801:Humans; D016268:Internal Fixators; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D010347:Patient Care Planning; D012189:Retrospective Studies; D012272:Ribs / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery; D013898:Thoracic Injuries / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D036542:Tomography, Spiral Computed / Q000379:methods; D016896:Treatment Outcome