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Videnskab / 5. feb 2018

Osteosyntese af costafrakturer, ustabil thoraxvæg, pseudoartroser og erhvervede defekter i thoraxvæg

Statusartikel
Dato
5. feb 2018
Forfattere
Kirsten Neckelmann & Rikke Hagelberg Hjerte-Lunge- og Karkirurgisk Afdeling T, Odense Universitetshospital Ugeskr Læger 2018;180:V06170455
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Reference: 
Ugeskr Læger 2018;180:V06170455
Sidetal: 
2-6
Osteosynthesis of rib fractures, unstable chest wall, pseudoarthroses, and acquired defects of the chest wall
Several patients suffer from rib fractures after traumas, and in severe cases it can be life-threatening. Until recently, attempts to perform surgical fixation in patients with instability have been unsuccessful. Chronic non-union causes persistent pain, disability and loss of quality of life. Implementation of surgical stabilization of rib fractures with tailored plates seems to improve pain relief, especially in cases of non-union but also in patients with instability of the chest wall after severe traumas, where advanced pain treatment (epidural catheter) is insufficient or weaning off fails.

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