Application of nitinol rib claws embracing in the treatment of multiple rib fractures and flail chest / 中国基层医药

ABSTRACT

Objective To observe the effect of nitinol rib claws embracing in the treatment of multiple rib fractures and flail chest .Methods 43 patients who received nitinol rib fixation claw embracing treatment for multiple rib fractures,flail chest(the internal fixation group) and 41 cases with non-internal fixation(the non-internal fixation group) were chosen.The efficacy and complications were analyzed and compared .Results After 12 weeks, the results of X-ray showed that in the internal fixation group ,bone fractures were all healed ,1 case of pulmonary atelecta-sis,1 case of pneumonia ,no patients died;In the non-internal fixation group ,12 patients had pulmonary atelectasis , 19 cases of pneumonia,1 case died,the incidence rate of complications between the two groups had significant differ -ence(χ2 =5.64,P<0.05).The hospitalization periods,analgesics volume and respiratory support in fixation group were lower than the non-fixation group,the differences were statistically significant (t =4.86,6.75,6.88,all P<0.05).Conclusion The clinical effect of nitinol embracing claw rib fixation in the treatment of multiple rib frac-tures,flail chest is superior to non-internal fixation group ,with a high clinical value .