Outcome of Surgical Fixation of Multiple Fractured Ribs at Sohag University Hospital
Overview
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Sponsor
- Sohag University
- Enrollment
- 60
- Primary Endpoint
- mechanical ventilation
Overview
Brief Summary
The ribs are rigid and flexible structures that make up the chest skeleton and are a set of twelve paired bones. After Blunt trauma rib fractures incidence is about 30 to 40% [1].
Due to trauma, (4th -9th) ribs are often affected and the fracture point of the ribs is often on the midaxillary line. In ( 1st&2nd) ribs fractures subclavian vessels and brachial plexus damage may occur. In fractures in the lower ribs (8th-12th ribs), intra-abdominal organs injury such as liver, spleen and kidney should be investigated. 11-12. ribs fractures are rare because the ribs are more flexible (floating).
Pain is the most important symptom indicating rib fracture, and it usually increases with coughing, breathing, and movement. Broken rib ends can be felt with palpation with sever tenderness at the site of fracture. Pneumothorax and/or hemothorax may develop as a result of the sharp end of the broken rib causing lung parenchymal damage[2].
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •multiple fractured ribs pre ventilation
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
mechanical ventilation
Time Frame: 1 year
the need and duration of mechanical ventilation
thoracic pain
Time Frame: 1 year
measure severity of pain using pain scale 0 to10.
Secondary Outcomes
No secondary outcomes reported
Investigators
Hossam Hassan Sayed
resident at cardiothoracic department
Sohag University