THE CLINICAL CASE OF SUCCESSFUL OSTEOSYNTHESIS OF COMMINUTED FRACTURED RIBS IN THE PATIENT WITH SEVERE CHEST INJURY
https://doi.org/10.21292/2075-1230-2016-94-10-67-72
Abstract
Despite certain achievements in care provision to those with severe chest injury the problem of managing flail chest is far from being resolved. Traditional management includes forced continuous artificial pulmonary ventilation in order to provide internal pneumatic stabilization of the chest. However the results of this approach can not be recognized as satisfactory due to high frequency of complications, need for tracheostomy, long-term stay of such patients in the intensive care department, development of nosocomial infections.
Early restoration of the chest carcass with the help of costal valve fixation by the plate with angular stability allows reducing the duration of the artificial pulmonary ventilation and decreasing the frequency of potential respiratory and pleural complications.
About the Authors
E. A. Tseymakh
Altai State Medical University
Russian Federation
Russian Federation
Doctor of Medical Sciences, Professor, Prorector in Research, Head of Surgery and Topographic Anatomy Department,
40, Lenin Ave., Barnaul, Altrai Kray, 656038
A. V. Bondarenko
Regional Clinical Emergency Care Hospital
Russian Federation
Russian Federation
Doctor of Medical Sciences, Professor, Professor of Deparment for Traumotology, Orthopedia and Military Surgery, Head of Trauma Department no. 2
A. A. Menshikov
Regional Clinical Emergency Care Hospital
Russian Federation
Russian Federation
Candidate of Medical Sciences, Registrar of the 2nd Traumotology Department,
73, Komsomolsky Ave., Barnaul, Altrai Kray, 656038
A. V. Levin
Novosibirsk Tuberculosis Research Institute
Russian Federation
Russian Federation
Doctor of Medical Sciences, Professor, Senior Researcher,
81a, Okhotskaya St., Novosibirsk, Novosibirsk Region, 630040
I. N. Parfenova
Regional Clinical Emergency Care Hospital
Russian Federation
Head of X-ray Department
Russian Federation
Head of X-ray Department
A. A. Timoshnikova
Regional Clinical Emergency Care Hospital
Russian Federation
Russian Federation
Doctor of X-ray Department
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Review
For citations:
Tseymakh E.A., Bondarenko A.V., Menshikov A.A., Levin A.V., Parfenova I.N., Timoshnikova A.A. THE CLINICAL CASE OF SUCCESSFUL OSTEOSYNTHESIS OF COMMINUTED FRACTURED RIBS IN THE PATIENT WITH SEVERE CHEST INJURY. Tuberculosis and Lung Diseases. 2016;94(10):67-72. (In Russ.) https://doi.org/10.21292/2075-1230-2016-94-10-67-72
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