Chinese Journal of Traumatology (Nov 2021)

The Chinese consensus for surgical treatment of traumatic rib fractures 2021 (C-STTRF 2021)

  • Ling-Wen Kong,
  • Guang-Bin Huang,
  • Yun-Feng Yi,
  • Ding-Yuan Du,
  • Xiang-Jun Bai,
  • Li-Ming Cheng,
  • Shu-Sen Cui,
  • Ding-Yuan Du,
  • Gong-Liang Du,
  • Jin Deng,
  • Ji-Gang Dai,
  • Xing-Bo Dang,
  • Xiao-Bing Fu,
  • Yong Fu,
  • Bing Ge,
  • Jin-Mou Gao,
  • Li-Jun Hou,
  • Pei-Yang Hu,
  • Zhi-Yong Hou,
  • Bao-Guo Jiang,
  • Jian-Xin Jiang,
  • Yan-Fei Jia,
  • Jue-Hua Jing,
  • Ling-Wen Kong,
  • Chun-Ming Li,
  • De-Cheng Lv,
  • Guo-Dong Liu,
  • Gui-You Liang,
  • Hong-Kai Lian,
  • Kai-Nan Li,
  • Lei Li,
  • Liang-Ming Liu,
  • Yi-Dan Lin,
  • Zhan-Fei Li,
  • Zhong-Min Liu,
  • Biao Shao,
  • Yan Shen,
  • Ning Tao,
  • Pei-Fu Tang,
  • Qun-You Tan,
  • Guang-Bin Huang,
  • Ping Hu,
  • Cheng Wang,
  • Chun Wu,
  • Da-Li Wang,
  • Gang Wang,
  • Hai-Dong Wang,
  • Jing-Lan Wu,
  • Qing-Chen Wu,
  • Ru-Wen Wang,
  • Tian-Bing Wang,
  • Xu Wu,
  • Zheng-Guo Wang,
  • Feng Xu,
  • Ren-Ju Xiao,
  • Ying-Bin Xiao,
  • An-Yong Yu,
  • Bin Yu,
  • Jun Yang,
  • Xiao-Feng Yang,
  • Yun-Feng Yi,
  • Dong-Bo Zhu,
  • Jun Zeng,
  • Ji-Hong Zhou,
  • Lian-Yang Zhang,
  • Xing-Ji Zhao,
  • Yong-Fu Zhong

Journal volume & issue
Vol. 24, no. 6
pp. 311 – 319

Abstract

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Rib fracture is the most common injury in chest trauma. Most of patients with rib fractures were treated conservatively, but up to 50% of patients, especially those with combined injury such as flail chest, presented chronic pain or chest wall deformities, and more than 30% had long-term disabilities, unable to retain a full-time job. In the past two decades, surgery for rib fractures has achieving good outcomes. However, in clinic, there are still some problems including inconsistency in surgical indications and quality control in medical services. Before the year of 2018, there were 3 guidelines on the management of regional traumatic rib fractures were published at home and abroad, focusing on the guidance of the overall treatment decisions and plans; another clinical guideline about the surgical treatment of rib fractures lacks recent related progress in surgical treatment of rib fractures. The Chinese Society of Traumatology, Chinese Medical Association, and the Chinese College of Trauma Surgeons, Chinese Medical Doctor Association organized experts from cardiothoracic surgery, trauma surgery, acute care surgery, orthopedics and other disciplines to participate together, following the principle of evidence-based medicine and in line with the scientific nature and practicality, formulated the Chinese consensus for surgical treatment of traumatic rib fractures (STTRF 2021). This expert consensus put forward some clear, applicable, and graded recommendations from seven aspects: preoperative imaging evaluation, surgical indications, timing of surgery, surgical methods, rib fracture sites for surgical fixation, internal fixation method and material selection, treatment of combined injuries in rib fractures, in order to provide guidance and reference for surgical treatment of traumatic rib fractures.

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