Titanium plate fixation of flail chest - JPSCR
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About 2.2–2.4% of pediatric patients have flail chest (FC) in blunt chest trauma. FC is defined as three or more consecutive ribs fracture at several sites resulting in paradoxical chest wall movement, transformed respiratory mechanism and respiratory failure.This article presents short and long term outcomes of titanium rib plating in two pediatric patients with traumatic flail chest.

Cases
Patient 1 is a 12 year old male ATV driver with left thorax handlebar impalement with a flail segment of ribs 4–8. He was unable to wean from the ventilator by hospital day (HD) 4 and had titanium plating of ribs 4–7. He was extubated on postoperative day (POD) 1 and discharged home on POD 5. He returned to contact sports at 6 months.

Patient 2 is a 13 year old male dirt bike rider with fractures of left ribs 8–12, including a 9–10 flail segment. He was unable to wean from the ventilator by HD 3 and had titanium plating of ribs 8–10. He was extubated on POD 2 and discharged on POD 11. After 4 months of therapy, he returned to full activity...

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