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
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- EP ID EP532066
- DOI 10.21276/ijmrp.2018.4.3.057
- Views 84
- Downloads 0
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