Abstract
Objective: To assess the outcomes of patients after rib nonunion reconstruction. Design: Retrospective case series. Setting: Level 1 trauma center. Patients/Participants: Between January 2007 and August 2019, 25 consecutive patients with 51 nonunions with disabling pain or chronic instability were treated for nonunited rib fractures. Intervention: Rib nonunion reconstructions performed using plate and screw fixation, recannalizing the medullary canal and augmented with autogenous iliac crest bone graft. Main Outcome Measurements: Patient demographics, mechanism of injury, number of rib nonunions, and postoperative radiographs were assessed. Satisfaction, patient-reported complications, return to occupation and activity, and general health measures were captured using patient questionnaires. Results: In 25 patients, 51 painful rib nonunions were surgically treated. The average length from injury to surgical rib reconstruction was 25.1 months (range = 3–118 months; median = 12 months). Follow-up was obtained in 18 of 25 patients (72%) with a mean of 46.1 months (range = 13–139 months). All ribs achieved radiographic union at an average of 12.3 weeks (range = 8–24 weeks) after surgery. Sixteen of 18 patients (89%) reported satisfaction with surgery and 15 patients (83%) reported mild to no pain at final follow-up. Five patients had complications that all resolved after subsequent treatment. Conclusions: Successful treatment of symptomatic rib nonunion is possible using rib plates in conjunction with bone grafting and has high union rates, satisfactory results, and limited complications.
Original language | English (US) |
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Pages (from-to) | E161-E166 |
Journal | Journal of orthopaedic trauma |
Volume | 36 |
Issue number | 5 |
DOIs | |
State | Published - May 1 2022 |
Bibliographical note
Publisher Copyright:Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.
Keywords
- autogenous bone grafting
- operative rib reconstruction
- rib fixation
- rib fractures
- rib nonunion
- symptomatic rib nonunion