Year 2014 Vol. 22 No 5




GBUZ "Samara Regional Hospital im.M.I. Kalinin"1,
Medical University "Samara State Medical University"2,
The Russian Federation

Traumatic chest deformity is considered to be one of pathogenesis elements of the severe respiratory insufficiency in patients with multiple rib fractures.
Reduction of pleural cavity volume, pain syndrome due to the ribs fractures, disorders of the respiratory biomechanics are responsible for the necessity to apply special treatment methods aimed to restore both forms and volume of the musculoskeletal carcass of the chest. In the article the observation from the practice concerning the fixation of multiple rib fractures in the treatment of the patient with a clinically expressed hemithorax deformity has been described. The technology of plate rib osteosynthesis by means of the anatomic plates MatrixRib has been used. During the operation the osteosynthesis of four ribs was performed and simultaneous thoracoscopy was conducted to decompress pneumomediastinum. The rib cage integrity restoration has been achieved that contributes to normalization of breathing biomechanics, lung expansion and regress of respiratory insufficiency. Observation periods of up to 3 months after injury has demonstrated the effectiveness of the technique of the treatment, which is expressed in a satisfactory condition of the patient, the absence of complications, rehabilitation.
Hereby, application of rib osteosynthesis in the treatment of chest deformity in the early period of traumatic disease is considered to be the perspective way of treatment and a good precondition for further rehabilitation.

Keywords: rib fracture, traumatic chest deformity, fixation, osteosynthesis
p. 611-614 of the original issue
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Address for correspondence:
Pushkin SJ, MD, deputy chief medical officer for surgery GBUZ "Samara Regional Clinical Hospital named after MI Kalinin, a chief freelance specialist on thoracic surgery of the Ministry of Health of Samara region.
Korymasov EA, MD, professor, a head of department of surgery IPO Medical University "Samara State Medical University" Ministry of Health of Russia.
Benny Alexander, MD, a head of the surgical department of thoracic GBUZ "Samara Regional Clinical Hospital named after MI Kalinin ".
Cameo IR, thoracic surgeon thoracic surgery department GBUZ "Samara Regional Clinical Hospital named after M.I. Kalinin."
Information about the authors:
443095, Rossiiskaia Federatsiia,
g. Samara, ul. Tashkentskaia d. 159,
GBUZ "Samarskaia oblastnaia klinicheskaia
bol'nitsa im. M.I. Kalinina",
rab. tel.: +7 846 321-15-03,
mob. tel.: +7 927 720-29-88,
Pushkin Sergei Iur'evich
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