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European Journal of Trauma and Emergency Surgery

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13-05-2021 | Rib Fracture | Original Article

Minimally invasive surgery rib fracture fixation based on location and anatomical landmarks

Authors: Dongsheng Zhang, Xuetao Zhou, Yang Yang, Zexin Xie, Menghui Chen, Zheng Liang, Guoliang Zhang

Published in: European Journal of Trauma and Emergency Surgery | Issue 5/2022

Abstract

Background

Rib fracture is closely related to thoracic injury with high morbidity and mortality. This study aimed to investigate the clinical effect of Zhang ZhiFei (ZZF) zoning method on the selection of incision and approach in minimally invasive surgery for rib fracture.

Methods

A total of 110 patients with rib fractures from July 2017 to July 2019 were enrolled in the study. Preoperative computed tomography and three-dimensional reconstruction of ribs was performed. Then, the rib fractures to be surgically fixed were divided into costal cartilage zone, chest zone, lateral costal zone, high posterior costal zone, low posterior costal subscapular zone, and low posterior costal paraspinal zone, which was called ZZF zoning method. Rib fractures in each zone had unique minimally invasive incision approach, and the open reduction and internal fixation of rib fracture was performed under minimally invasive surgery of corresponding small incision.

Results

The average incision length and number of incisions of the 110 patients were 6.2 cm and 1.3, respectively. The average number of internal fixation was 5.3 and the average operation time was 82 min. The postoperative fracture end was well aligned. After 3 months of follow-up, no internal fixation was displaced or detached.

Conclusion

Based on the anatomical characteristics of different zones of the chest wall, ZZF zoning method provides a new idea and reference for the selection of incision and approach in minimally invasive internal fixation for rib fracture.

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Title: Minimally invasive surgery rib fracture fixation based on location and anatomical landmarks
Authors: Dongsheng Zhang
Xuetao Zhou
Yang Yang
Zexin Xie
Menghui Chen
Zheng Liang
Guoliang Zhang
Publication date: 13-05-2021
Publisher: Springer Berlin Heidelberg
Keywords: Rib Fracture
Incision
Minimally Invasive Surgery
Published in: European Journal of Trauma and Emergency Surgery / Issue 5/2022
Print ISSN: 1863-9933
Electronic ISSN: 1863-9941
DOI: https://doi.org/10.1007/s00068-021-01676-2

At a glance: The STEP trials

Springer Medicine

Minimally invasive surgery rib fracture fixation based on location and anatomical landmarks

Abstract

Background

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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