Unilateral flail chest with scapular winging treated with tension band wirings of ribs: A case report

  • Tanwar M Department of Orthopaedics PGIMS Rohtak Haryana, India
  • Kundu Z S Department of Orthopaedics PGIMS Rohtak Haryana, India
  • Vashisht G Department of Orthopaedics PGIMS Rohtak Haryana, India
DOI: https://doi.org/10.5281/zenodo.3971016
Keywords: Unilateral flail, Tension, controversial

Abstract

Tension band wiring is becoming increasingly popular method for stabilizing a flail chest resulting from multiple rib fractures. The indications for fixation of flail chest injuries remain controversial mostly because of a lack of adequate studies [1]. Recent guidelines recommend surgical stabilization of a flail chest based on consistent evidence of its efficacy and lack of major safety concerns. But complications of this procedure can occur and are wide ranging [2]. We report an interesting case of a patient who underwent fixation with tension band wiring for multiple unilateral rib fractures that successfully healed with good functional outcome.

Downloads

Download data is not yet available.

References

Fitzpatrick DC, Denard PJ, Phelan D, Long WB, Madey SM, Bottlang M. Operative stabilization of flail chest injuries: review of literature and fixation options. Eur J Trauma EmergSurg2010; 36:427–433.

John G, Skedrosa, Chad S, Mearsb, Tanner D. Langstonb, Don H. Van Boerumc,Thomas W. Whitec.Medial scapular winging associated with rib fractures and plating corrected with pectoralis major transfer.Int J Surg Case Rep 2014; 5: 750–753.

Albrecht F, Brug E. Stabilization of the flail chest with tension band wires of ribs and sternum (author’s transl) ZentralblChir. 1979;104:770–776.

Nirula R, Allen B, Layman R, Falimirski ME, Somberg LB. Rib fracture stabilization in patients sustaining blunt chest injury. Am Surg 2006; 72: 307–9.

Althausen PL, Shannon S, Watts C, Thomas K, Bain MA, Coll D, et al. Early surgical stabilization of flail chest with locked plate fixation. J Orthop Trauma2011; 25:641–7.

Gardenbroek TJ, Bemelman M, Leenen LP. Pseudarthrosis of the ribs treated with a locking compression plate. A report of three cases. J Bone Joint Surg Am 2009; 91:1477–9.

Paris F, Tarazona V, Blasco E, Canto A, Casillas M, Pastor J, et al. Surgical stabilization of traumatic flail chest. Thorax 1975; 30: 521–7.

Lardinois D, Krueger T, Dusmet M, Ghisletta N, Gugger M, Ris HB. Pulmonary function testing after operative stabilisation of the chest wall for flail chest. Euro J Cardiothoracic Surg 2001;20:496–501.

Reber PU, Kniemeyer HW, Ris HB. Reconstruction plates for internal fixation of flail chest. Ann ThoracSurg 1998;66 :2158.

Hellberg K, de Vivie ER, Fuchs K, Heisig B, Ruschewski W, Luhr HG, et al. Stabilization of flail chest by compression osteosynthesis – experimental and clinical results. ThoracCardiovascSurg 1981; 29 :275–81.

Nirula R, Mayberry JC. Rib fracture fixation: controversies and technical challenges. Am Surg 2010;76:793–802.

Philadelphia: W.B.Saunders Company. Gregg JR, Labosky D, Harty M, Lotke P, Ecker M, DiStefano V, et al. Serratus anterior paralysis in the young athlete. J Bone Joint Surg Am 1979;61:825–32.

Foo CL, Swann M. Isolated paralysis of the serratus anterior. A report of 20 cases.J Bone Joint Surg Br 1983;65:552–6.

Rasyid HN, Nakajima T, Hamada K, Fukuda H. Winging of the scapula caused by disruption of “sterno-claviculoscapular linkage”: report of 2 cases. J Shoulder Elbow Surg 2000; 9 :144–7.
Published
2016-06-30
CITATION
DOI: 10.5281/zenodo.3971016
Published: 2016-06-30
How to Cite
1.
Tanwar M, Kundu Z S, Vashisht G. Unilateral flail chest with scapular winging treated with tension band wirings of ribs: A case report. ojmpc [Internet]. 2016Jun.30 [cited 2024Dec.22];22(1):44-6. Available from: https://ojmpc.com/index.php/ojmpc/article/view/28
Issue
Vol 22 No 1 (2016): JAN-JUN
Section
Case Report

The entire contents of the Orthopaedic Journal of Madhya Pradesh Chapter are protected under Indian and International copyrights. Orthopaedic Journal of Madhya Pradesh Chapter allow authors to retain the copyrights of their papers without restrictions, Authors grant the publisher the right of exclusive publication. The Journal then grants to all users a free, irrevocable, worldwide, perpetual right of access to, and a license to copy, use, distribute, perform and display the work publicly and to make and distribute derivative works in any digital medium for any reasonable non-commercial purpose, subject to proper attribution of authorship. The journal also grants the right to make numbers of printed copies for their personal non-commercial use under Creative Commons Attribution-Non-commercial share alike 4.0 International Public License.