medigraphic.com
Órgano Oficial del Hospital Angeles Health System

2018, Number 4

<< Back Next >>

Acta Med 2018; 16 (4)

Costal osteosynthesis using the StraCos® System: initial experience in two SS hospitals in Mexico City

Navarro HP, Meza LLR, Hernández MS, Trejo SJ, Mejía CG

Language: Spanish
References: 18
Page: 316-321
PDF size: 198.44 Kb.


ABSTRACT

Thoracic trauma is usually associated with rib fractures. Mechanism of trauma can be blunt or penetrating. The main cause of thoracic trauma is motor-vehicle accidents. In recent years, surgical treatment has shown important advantages over conservative management. The aim of this study was to know the experience of the rib fixation with StraCos® system in two hospitals of the Mexico City Health Services. Seven patients were identified, 6 men (87.7) and only one woman (14.2). Indication for osteosynthesis was the presence of one or more fractures and the displacement of a fracture. The most frequently observed postoperative complication was pain in 85.7%. The in-hospital length of stay was 11.43 days in average, only one patient required Intensive Care Unit and mechanical ventilation. The fixation of the rib fractures is an acceptable method of treatment over the nonoperative management. However, and considering our environment, it requires a standardization for their use and so, to be able to verify the effectiveness of this system.


REFERENCES

  1. Bellone A, Bossi I, Etteri M, Cantaluppi F, Pina P, Guanziroli M et al. Factors associated with icu admission following blunt chest trauma. Can Respir J. 2016; 2016: 1-5. Available in: https://www.hindawi.com/journals/crj/2016/3257846/

  2. Ávila R, Hernández A, Marrón C, Hermoso F, Martínez I, Mariscal A et al. Evolución y complicaciones del traumatismo torácico. Arch Bronconeumol. 2013; 49 (5): 177-180.

  3. Fica M, Fernández P, Suárez F Aparicio R, Suárez C. Fijación quirúrgica de fracturas costales con placas de titanio: reporte de dos casos. Rev Chil Enferm Respir. 2012; 28: 306-310.

  4. Horst K, Simon T, Pfeifer R, Teuben M, Almahmoud K, Zhi Q et al. Characterization of blunt chest trauma in a long-term porcine model of severe multiple trauma. Sci Rep. 2016; 6: 39659. Available in: https://www-ncbi-nlm-nih-gov.pbidi.unam.mx:2443/pmc/articles/PMC5175194/

  5. Nikolaj M, Kawel-Boehmb N, Moreno P, Al-Shahrabania F, Toffela M, Rosenthald R et al. Functional results after chest wall stabilization with a new screwless fixation device. Eur J Cardiothorac Surg. 2015; 47: 868-875.

  6. Jiménez A, Varón J, García L, Espinosa B, Rivero O, Salazar M. Osteosíntesis de reja costal. Revisión de la bibliografía y reporte de casos. Cirugía y Cirujanos. 2015; 83 (4): 339-344.

  7. Guía de Práctica Clínica: Prevención, diagnóstico y tratamiento de fracturas costales. Página Web: www.cenetec.salud.gob.mx

  8. Guía de Práctica Clínica: Diagnóstico y tratamiento del traumatismo de tórax en adultos. www.cenetec.salud.gob.mx

  9. Zhang X, Guo Z, Zhao C, Xu C, Wang Z. Management of patients with flail chest by surgical fixation using claw-type titanium plate. J Cardiothorac Surg. 2015; 10: 145.

  10. Caragounis E, Fagevik M, Pazooki D, Granhed D. Surgical treatment of multiple rib fractures and flail chest in trauma: a one-year followup study. World J Emerg Surg. 2016; 11: 27. Disponible en: https://wjes.biomedcentral.com/articles/10.1186/s13017-016-0085-2

  11. Senekjian L, Nirula R. Rib fracture fixation indications and outcomes. Crit Care Clin. 2017; 33: 153-165.

  12. Unsworth A, Curtis K, Asha SE. Treatments for blunt chest trauma and their impact on patient outcomes and health service delivery. Scand J Trauma Resusc Emerg Med. 2015; 23: 17. Available in: https://sjtrem.biomedcentral.com/articles/10.1186/s13049-015-0091-5

  13. Munguía D, López A, Meza R, López. Reconstrucción temprana en el trauma de tórax. Reporte de un caso. Rev Trau Amer Lat. 2016; 6 (2): 75-77.

  14. Rivo J, Quiroga J, Moldes M, García J. Reconstrucción torácica primaria con material protésico en los traumatismos torácicos extensos. Rev Esp Patol Torac. 2013; 25 (1): 40-44.

  15. Marasco S, Saxena P. Surgical rib fixation-technical aspects. Injury. 2015; 46: 929-932.

  16. Córcoles J, Bolufer S, Krzysztof K, Gálvez C, Rodríguez J. Utilidad y versatilidad del Titanio Para la Reconstrucción de la pared torácica. Cir Esp. 2014; 92 (2): 89-94.

  17. Moreno P, Polo M, Delgado C, Lozano M, Toscano A, Calatayud J et al. Fijación quirúrgica de las fracturas costales con grapas y barras de titanio (sistema STRATOS). Experiencia preliminar. Cir Esp. 2010; 88 (3): 180-186.

  18. Billè A, Okiror L, Karenovics W, Routledge T. Experience with titanium devices for rib fixation and coverage of chest wall defects. Interact Cardiovasc Thorac Surg. 2012; 15: 588-595.




2020     |     www.medigraphic.com