Nuss procedure for multiple floating rib and sternum fractures

Benyan A.S.; Ryzhov P.V.; Medvedchikov-Ardiya M.A.; Airapetova M.P.; Borkovsky A.Yu.

doi:https://doi.org/10.17116/hirurgia202201193

Benyan A.S.

Samara State Medical University

ORCID: 0000-0003-4371-7426

Ryzhov P.V.

Samara State Medical University

Medvedchikov-Ardiya M.A.

Samara State Medical University

ORCID: 0000-0002-8884-1677

Airapetova M.P.

Seredavin Samara Regional Clinical Hospital

Borkovsky A.Yu.

Seredavin Samara Regional Clinical Hospital;
Samara State Medical University

Nuss procedure for multiple floating rib and sternum fractures

Authors:

Benyan A.S., Ryzhov P.V., Medvedchikov-Ardiya M.A., Airapetova M.P., Borkovsky A.Yu.

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Journal: Pirogov Russian Journal of Surgery. 2022;(1): 93‑96

DOI: 10.17116/hirurgia202201193

Read: 1957 times

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To cite this article:

Benyan AS, Ryzhov PV, Medvedchikov-Ardiya MA, Airapetova MP, Borkovsky AYu. Nuss procedure for multiple floating rib and sternum fractures. Pirogov Russian Journal of Surgery. 2022;(1):93‑96. (In Russ.)
https://doi.org/10.17116/hirurgia202201193

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

Использование инфографики авторами научных работ

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Abstract:

One of the most severe forms of blunt chest trauma is multiple floating rib fractures. Incidence of this event is up to 20% of all chest injuries. Mortality rate is about 40%. Modern surgical approach involves new technologies for rib osteosynthesis and chest stabilization. These procedures can reduce mortality by 8-10%. One of the possible options for chest stabilization in victims with anterior floating fractures, including sternal fractures, is insertion of a chest plate according to the principle of Nuss procedure. The last technique is used for correction of pectus excavatum. We report our first experience of Nuss procedure in a patient with multiple trauma, floating rib fractures and sternal fracture. Surgical intervention is described in detail. The authors emphasize an important role of thoracoscopy in a patient with chest trauma. Several modern trends in surgery for chest trauma are discussed: active surgical approach for multiple floating rib fractures, combination of surgical and resuscitation methods for chest stabilization, minimized surgical trauma by using of high-tech and endoscopic surgery.

Keywords:

multiple floating rib fractures

sternal fracture

Nuss surgery for chest trauma

thoracoscopy

Authors:

Benyan A.S.

Samara State Medical University

ORCID: 0000-0003-4371-7426

Ryzhov P.V.

Samara State Medical University

Medvedchikov-Ardiya M.A.

Samara State Medical University

ORCID: 0000-0002-8884-1677

Airapetova M.P.

Seredavin Samara Regional Clinical Hospital

Borkovsky A.Yu.

Seredavin Samara Regional Clinical Hospital;
Samara State Medical University

Received:

09.03.2021

Accepted:

12.04.2021

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References:

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