E-ISSN 2534-9821
 

Case Report 


Bridging the Gap: A novel use of rib plating post blast chest wall trauma

Saksham Gupta.

Abstract
Introduction: Surgical rib fixation is an evolving area for trauma medicine and the indications incorporate both physiological and anatomical factors. The level of bony destruction involved in the fracture fragments is only a relative indication, as those with preserved respiratory function may not truly need surgery. We describe a case where the chest injury led to bone loss between the fracture fragments, creating concern for the development of lung herniation. His respiratory function was preserved with an intercostal drain, however the level of tissue loss meant the injury undoubtedly required surgical fixation.
Case report: A 37-year-old male sustained a chest wall injury after metal pipe was flung onto his right chest in a workplace accident. The injury led to a significant tissue loss on his chest wall leading to a flail segment involving right sided ribs of 5, 6, and 7. Furthermore, there was such destruction of his 7th rib that there was bone loss. He required mesh repair of his chest wall to prevent lung herniation, along with fixation of ribs 5, 6 and 7. The rib plate on rib 7 was used to bridge the gap of the bone defect and the soft tissue defect was closed with a latissimus dorsi flap.
Conclusion: This case report describes a novel use of rib plating used to bridge a bone defect sustained after a secondary blast injury, the first documented case to our knowledge.

Key words: chest trauma, rib fixation, secondary blast injury


 
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How to Cite this Article
Pubmed Style

Saksham Gupta. Bridging the Gap: A novel use of rib plating post blast chest wall trauma. Int J Med Rev Case Rep. 2020; 4(6): 106-108. doi:10.5455/IJMRCR.ribplatingpostblastchest-wall-trauma


Web Style

Saksham Gupta. Bridging the Gap: A novel use of rib plating post blast chest wall trauma. http://www.mdpub.net/?mno=91864 [Access: August 08, 2020]. doi:10.5455/IJMRCR.ribplatingpostblastchest-wall-trauma


AMA (American Medical Association) Style

Saksham Gupta. Bridging the Gap: A novel use of rib plating post blast chest wall trauma. Int J Med Rev Case Rep. 2020; 4(6): 106-108. doi:10.5455/IJMRCR.ribplatingpostblastchest-wall-trauma



Vancouver/ICMJE Style

Saksham Gupta. Bridging the Gap: A novel use of rib plating post blast chest wall trauma. Int J Med Rev Case Rep. (2020), [cited August 08, 2020]; 4(6): 106-108. doi:10.5455/IJMRCR.ribplatingpostblastchest-wall-trauma



Harvard Style

Saksham Gupta (2020) Bridging the Gap: A novel use of rib plating post blast chest wall trauma. Int J Med Rev Case Rep, 4 (6), 106-108. doi:10.5455/IJMRCR.ribplatingpostblastchest-wall-trauma



Turabian Style

Saksham Gupta. 2020. Bridging the Gap: A novel use of rib plating post blast chest wall trauma. International Journal of Medical Reviews and Case Reports, 4 (6), 106-108. doi:10.5455/IJMRCR.ribplatingpostblastchest-wall-trauma



Chicago Style

Saksham Gupta. "Bridging the Gap: A novel use of rib plating post blast chest wall trauma." International Journal of Medical Reviews and Case Reports 4 (2020), 106-108. doi:10.5455/IJMRCR.ribplatingpostblastchest-wall-trauma



MLA (The Modern Language Association) Style

Saksham Gupta. "Bridging the Gap: A novel use of rib plating post blast chest wall trauma." International Journal of Medical Reviews and Case Reports 4.6 (2020), 106-108. Print. doi:10.5455/IJMRCR.ribplatingpostblastchest-wall-trauma



APA (American Psychological Association) Style

Saksham Gupta (2020) Bridging the Gap: A novel use of rib plating post blast chest wall trauma. International Journal of Medical Reviews and Case Reports, 4 (6), 106-108. doi:10.5455/IJMRCR.ribplatingpostblastchest-wall-trauma