Operative fixation of rib fractures

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I don't think the patients we are talking about would be in any position to
refuse or accept treatment.  These are the big flails with chest wall
compromise, on ventilators for their pulmonary contusion/subsequent ARDS,
and who may have subsequent restrictive pulmonary function long-term.  (Not
surgeons suffering from mid-life crises!)K

2009/1/31 <KMATTOX at aol.com>

> I am aware of several trauma and thoracic surgeons who had broken ribs,
>  some
> rather badly, who were offered operative fixation of the ribs.    THis
> included using the little new titanium plates.    THose that  I know have
> all
> methodically refused to have them applied.
>
> k
>
>
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