Comparison of Management of Multiple Rib Fractures at a Tertiary care Hospital: A Clinical Study
Journal Title: International Journal of Medical Research Professionals - Year 2018, Vol 4, Issue 3
Abstract
Background: Fractured ribs are frequent findings after chest trauma. Multiple rib fractures occur in 10 % of poly-traumatized patients due to blunt, high-energy trauma and can lead to unstable thoracic cage injuries or flail chest with respiratory insufficiency. The present study aims at comparing the conservative management and surgical management of rib fracture. Materials & Methods: This study was conducted in the Department of Orthopaedics, World College of Medical Sciences and Research, Gurawar, Jhajjar, Haryana (India) on 550 patients. Patients were divided into 2 groups. Group I (surgical) and group II (conservative) included 275 patients each. Outcome of treatment was compared in both groups. Results: Number of fractures was 12 and 15 in group I and group II respectively. Abbreviated injury scale was 4.5 and 4.8 in group I and group II respectively. Flail chest in group I (30) and group II (35). Lung contusion was in group I (70) and group II (68). Hemothorax was in group I (66) and group II (62). Pneumothorax was in group I (22) and group II (25). Chest wall deformity was in group I (60) and group II (65). Mechanical ventilation was in group I (18) and group II (20). The difference among both groups was non- significant (P>0.05). Chest tightness was seen in 10 in group I and 40 in group II patients. Thoracic pain was seen in 3 in group I and 7 in group II. Dyspnoea was seen in 6 and 17 in group I and group II respectively. Chest wall deformity was seen in 8 in group I and 45 in group II. The difference was significant (P< 0.05). Conclusion: The surgical management has proved to be effective in speedy recovery and improving the quality of patients’ life.
Authors and Affiliations
C R Khatri, Manav Moda
Keywords
Related Articles
- EP ID EP532066
- DOI 10.21276/ijmrp.2018.4.3.057
- Views 103
- Downloads 0
Comparison of Results of Conservative and Operative (Interlocking Nail) Treatment of Closed Isolated Diaphyseal Tibial Fracture In Female Patients
Background: Closed isolated tibial shaft fractures conventionally have been treated conservatively with closed manipulative reduction and a cast. The aim of this study to compared the radiological outcome after fixation...
Depression, Anxiety and Stress among Mothers of Autism Spectrum Disorder Children
Background: Mothers of children with autism experience more stress, anxiety, depression and other psychiatric problems than those of children with other disabilities. Also, they have an increased rate of antidepressant a...
A Comparative Evaluation of Two-Port, Three-Port and Open Appendicectomy at a Tertiary Care Teaching Hospital
Background: Appendicectomy is the most common surgical procedure performed in emergency surgery. Because of lack of consensus about the most appropriate technique, Appendicectomy is still being performed by both open (OA...
Compliance of Glaucoma Patients to Their Medical Treatment in Jeddah
Introduction: Glaucoma is an asymptomatic chronic eye disease in which timely treatment is important to prevent the potential irreversible blindness. Patient’s compliance with treatment is crucial for effective managemen...
Cystic Hygroma in Adults: The Forgotten Entity
Cystic hygroma also known as lymphangioma are rare benign congenital malformation of the lymphatic system. With advancement of medical facilities and awareness about medical problems congenital defects present usually af...