- Title
- Surgical stabilization of rib fractures (SSRF): the WSES and CWIS position paper
- Creator
- Sermonesi, Giacomo; Bertelli, Riccardo; Patel, Bhavik; Whitbeck, SarahAnn S.; White, Thomas W.; Harrell, Kevin N.; Perrina, Daniele; Rampini, Alessia; Tian, Brian; Amico, Francesco; Beka, Solomon G.; Bonavina, Luigi; Pieracci, Frederic M.; Ceresoli, Marco; Cobianchi, L; Coccolini, F; Cui, Y; Dal Mas, F; De Simone, B; Di Carlo, I; Di Saverio, S; Dogjani, A; Fette, A; Balogh, Zsolt J.; Fraga, GP; Gomes, CA; Khan, JS; Kirkpatrick, AW; Kruger, VF; Leppäniemi, A; Litvin, A; Mingoli, A; Navarro, DC; Passera, E; Coimbra, Raul; Pisano, M; Podda, M; Russo, E; Sakakushev, B; Santonastaso, D; Sartelli, M; Shelat, VG; Tan, E; Wani, I; Abu-Zidan, FM; Galante, Joseph M.; Biffl, WL; Civil, I; Latifi, R; Marzi, I; Picetti, E; Pikoulis, M; Agnoletti, V; Bravi, F; Vallicelli, C; Ansaloni, L; Hecker, Andreas; Moore, EE; Catena, F; Weber, Dieter; Bauman, Zachary M.; Kartiko, Susan
- Relation
- World Journal of Emergency Surgery Vol. 19, no. 33
- Publisher Link
- http://dx.doi.org/10.1186/s13017-024-00559-2
- Publisher
- Biomed Central (BMC)
- Resource Type
- journal article
- Date
- 2024
- Description
- Background: Rib fractures are one of the most common traumatic injuries and may result in significant morbidity and mortality. Despite growing evidence, technological advances and increasing acceptance, surgical stabilization of rib fractures (SSRF) remains not uniformly considered in trauma centers. Indications, contraindications, appropriate timing, surgical approaches and utilized implants are part of an ongoing debate. The present position paper, which is endorsed by the World Society of Emergency Surgery (WSES), and supported by the Chest Wall Injury Society, aims to provide a review of the literature investigating the use of SSRF in rib fracture management to develop graded position statements, providing an updated guide and reference for SSRF. Methods:This position paper was developed according to the WSES methodology. A steering committee performed the literature review and drafted the position paper. An international panel of experts then critically revised the manuscript and discussed it in detail, to develop a consensus on the position statements. Results: A total of 287 studies (systematic reviews, randomized clinical trial, prospective and retrospective comparative studies, case series, original articles) have been selected from an initial pool of 9928 studies. Thirty-nine graded position statements were put forward to address eight crucial aspects of SSRF: surgical indications, contraindications, optimal timing of surgery, preoperative imaging evaluation, rib fracture sites for surgical fixation, management of concurrent thoracic injuries, surgical approach, stabilization methods and material selection. Conclusion: This consensus document addresses the key focus questions on surgical treatment of rib fractures. The expert recommendations clarify current evidences on SSRF indications, timing, operative planning, approaches and techniques, with the aim to guide clinicians in optimizing the management of rib fractures, to improve patient outcomes and direct future research.
- Subject
- rib fractures; surgical stabilization of rib fractures (SSRF); flail chest; multiple rib fractures; thoracic/chest trauma injury; rib fixation
- Identifier
- http://hdl.handle.net/1959.13/1516511
- Identifier
- uon:56985
- Identifier
- ISSN:1749-7922
- Rights
- This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which permits any non-commercial use, sharing, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if you modified the licensed material. You do not have permission under this licence to share adapted material derived from this article or parts of it. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc-nd/4.0/.
- Language
- eng
- Full Text
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