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Surgical stabilization of rib fractures (SSRF): the WSES and CWIS position paper

Authors :
Giacomo Sermonesi
Riccardo Bertelli
Fredric M. Pieracci
Zsolt J. Balogh
Raul Coimbra
Joseph M. Galante
Andreas Hecker
Dieter Weber
Zachary M. Bauman
Susan Kartiko
Bhavik Patel
SarahAnn S. Whitbeck
Thomas W. White
Kevin N. Harrell
Daniele Perrina
Alessia Rampini
Brian Tian
Francesco Amico
Solomon G. Beka
Luigi Bonavina
Marco Ceresoli
Lorenzo Cobianchi
Federico Coccolini
Yunfeng Cui
Francesca Dal Mas
Belinda De Simone
Isidoro Di Carlo
Salomone Di Saverio
Agron Dogjani
Andreas Fette
Gustavo P. Fraga
Carlos Augusto Gomes
Jim S. Khan
Andrew W. Kirkpatrick
Vitor F. Kruger
Ari Leppäniemi
Andrey Litvin
Andrea Mingoli
David Costa Navarro
Eliseo Passera
Michele Pisano
Mauro Podda
Emanuele Russo
Boris Sakakushev
Domenico Santonastaso
Massimo Sartelli
Vishal G. Shelat
Edward Tan
Imtiaz Wani
Fikri M. Abu-Zidan
Walter L. Biffl
Ian Civil
Rifat Latifi
Ingo Marzi
Edoardo Picetti
Manos Pikoulis
Vanni Agnoletti
Francesca Bravi
Carlo Vallicelli
Luca Ansaloni
Ernest E. Moore
Fausto Catena
Source :
World Journal of Emergency Surgery, Vol 19, Iss 1, Pp 1-35 (2024)
Publication Year :
2024
Publisher :
BMC, 2024.

Abstract

Abstract 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.

Details

Language :
English
ISSN :
17497922
Volume :
19
Issue :
1
Database :
Directory of Open Access Journals
Journal :
World Journal of Emergency Surgery
Publication Type :
Academic Journal
Accession number :
edsdoj.b27c29fa0fe454cb5512281972ddd3d
Document Type :
article
Full Text :
https://doi.org/10.1186/s13017-024-00559-2