Outcome of Surgical Fixation of Multiple Fractured Ribs at Sohag University Hospital
- Conditions
- Multiple Fractures of Ribs
- Interventions
- Procedure: surgical rib fixation
- Registration Number
- NCT05975762
- Lead Sponsor
- Sohag University
- 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\[2\].
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- NOT_YET_RECRUITING
- Sex
- All
- Target Recruitment
- 60
- multiple fractured ribs pre ventilation
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description intervention group surgical rib fixation surgical fixation group
- Primary Outcome Measures
Name Time Method mechanical ventilation 1 year the need and duration of mechanical ventilation
thoracic pain 1 year measure severity of pain using pain scale 0 to10.
- Secondary Outcome Measures
Name Time Method