{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T08:28:06Z","timestamp":1780561686478,"version":"3.54.1"},"reference-count":9,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,11,14]],"date-time":"2025-11-14T00:00:00Z","timestamp":1763078400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,11,14]],"date-time":"2025-11-14T00:00:00Z","timestamp":1763078400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"The Science and Technology Development Fund of the Affiliated Hospital of Xuzhou Medical University","award":["XYFY202436"],"award-info":[{"award-number":["XYFY202436"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur J Trauma Emerg Surg"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To investigate the clinical efficacy of total thoracoscopic memory alloy embracing fixator(MAEF) internal fixation surgery for multiple rib fractures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A retrospective analysis was conducted on the clinical data of 83 patients with multiple rib fractures who underwent surgical treatment in our department from September 2020 to February 2025. The patients were divided into an observation group (total thoracoscopic group,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200940) and a control group (traditional incision group,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200943) according to the surgical method. The clinical data of the two groups were compared.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The operative time in the observation group was longer. However, after stratification according to the learning curve, it was found that the operative time in the observation group showed no significant difference compared with the control group after the surgical technique became proficient (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&gt;\u20090.05). The pain index and partial pressure of oxygen one day before surgery, intraoperative blood loss, postoperative pleural drainage volume, and fracture healing status in the observation group showed no significant differences compared with the control group (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&gt;\u20090.05). Pain scores and oxygen partial pressures on postoperative days 3 and 5 were significantly better in the observation group than in the control group(\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.05). The postoperative hospital stay duration was significantly shorter in the observation group than in the control group (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The total thoracoscopic MAEF internal fixation surgery for multiple rib fractures is easy to learn, causes minimal trauma, and allows for a rapid postoperative recovery. The fracture healing achieved is comparable to that of open thoracotomy surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00068-025-02994-5","type":"journal-article","created":{"date-parts":[[2025,11,14]],"date-time":"2025-11-14T17:06:53Z","timestamp":1763140013000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Comparative study of total thoracoscopic and traditional incision internal fixation for the treatment of multiple rib fractures"],"prefix":"10.1007","volume":"51","author":[{"given":"Kun","family":"Yan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liang","family":"Chu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhe","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Song","family":"Wu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guiping","family":"Yu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhonghua","family":"Qin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,11,14]]},"reference":[{"key":"2994_CR1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2020.1316","volume":"3","author":"CJ Tignanelli","year":"2020","unstructured":"Tignanelli CJ, Rix A, Napolitano LM, Hemmila MR, Ma S, Kummerfeld E. Association between adherence to evidence-based practices for treatment of patients with traumatic rib fractures and mortality rates among US trauma centers. JAMA Netw Open. 2020;3:e201316.","journal-title":"JAMA Netw Open"},{"key":"2994_CR2","doi-asserted-by":"publisher","first-page":"1239","DOI":"10.1016\/j.injury.2021.05.021","volume":"52","author":"ZJ Balogh","year":"2021","unstructured":"Balogh ZJ. Rib fracture fixation: where and what is the baseline? Injury. 2021;52:1239\u201340.","journal-title":"Injury"},{"key":"2994_CR3","doi-asserted-by":"publisher","first-page":"5281","DOI":"10.21037\/jtd-20-2087","volume":"12","author":"JT Bui","year":"2020","unstructured":"Bui JT, Browder SE, Wilson HK, Kindell DG, Ra JH, Haithcock BE, et al. Does routine uniportal thoracoscopy during rib fixation identify more injuries and impact outcomes? J Thorac Dis. 2020;12:5281\u20138.","journal-title":"J Thorac Dis"},{"key":"2994_CR4","doi-asserted-by":"publisher","first-page":"994","DOI":"10.1177\/00031348211060450","volume":"88","author":"C Castater","year":"2022","unstructured":"Castater C, Hazen B, Davis C, Hoppe S, Butler C, Grant A, et al. Video-assisted thoracoscopic internal rib fixation. Am Surg. 2022;88:994\u20136.","journal-title":"Am Surg"},{"key":"2994_CR5","doi-asserted-by":"publisher","first-page":"985","DOI":"10.1007\/s11748-022-01830-6","volume":"70","author":"MH van Gool","year":"2022","unstructured":"van Gool MH, van Roozendaal LM, Vissers YLJ, van den Broek R, van Vugt R, Meesters B, et al. VATS-assisted surgical stabilization of rib fractures in flail chest: 1-year follow-up of 105 cases. Gen Thorac Cardiovasc Surg. 2022;70:985\u201392.","journal-title":"Gen Thorac Cardiovasc Surg"},{"key":"2994_CR6","doi-asserted-by":"publisher","first-page":"452","DOI":"10.1016\/j.athoracsur.2021.01.065","volume":"113","author":"J Zhang","year":"2022","unstructured":"Zhang J, Hong Q, Mo X, Ma C. Complete video-assisted thoracoscopic surgery for rib fractures: series of 35 cases. Ann Thorac Surg. 2022;113:452\u20138.","journal-title":"Ann Thorac Surg"},{"key":"2994_CR7","doi-asserted-by":"publisher","DOI":"10.1186\/s13019-024-02517-0","volume":"19","author":"J Wang","year":"2024","unstructured":"Wang J, Sun Z, Liu Y, Gong W, Wang J, Deng J, et al. Clinical effect of the internal fixation for rib fracture with single utility port complete video-assisted thoracoscopic surgery. J Cardiothorac Surg. 2024;19:59.","journal-title":"J Cardiothorac Surg"},{"key":"2994_CR8","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-024-05647-1","volume":"145","author":"ZW Lin","year":"2024","unstructured":"Lin ZW, Long JT, Lin WK. Short-term follow-up of single-port thoracoscopic rib fracture reduction and internal fixation for the treatment of multiple rib fractures. Arch Orthop Trauma Surg. 2024;145:71.","journal-title":"Arch Orthop Trauma Surg"},{"key":"2994_CR9","doi-asserted-by":"publisher","DOI":"10.1007\/s00068-024-02720-7","volume":"51","author":"G Qian","year":"2025","unstructured":"Qian G, Mao Y, He J, Gao L. Outcomes of internal rib fixation through complete video-assisted thoracoscopic surgery for multiple rib fractures and flail chest in severe chest trauma. Eur J Trauma Emerg Surg. 2025;51:2.","journal-title":"Eur J Trauma Emerg Surg"}],"container-title":["European Journal of Trauma and Emergency Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00068-025-02994-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00068-025-02994-5","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00068-025-02994-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T11:04:08Z","timestamp":1770721448000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00068-025-02994-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,14]]},"references-count":9,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["2994"],"URL":"https:\/\/doi.org\/10.1007\/s00068-025-02994-5","relation":{},"ISSN":["1863-9933","1863-9941"],"issn-type":[{"value":"1863-9933","type":"print"},{"value":"1863-9941","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,14]]},"assertion":[{"value":"24 August 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 September 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 November 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was approved by the Ethics Committee of Jiangyin People\u2019s Hospital. Written informed consents were obtained from all patients.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consents were obtained from the patients for publication. A copy of the written consent is available for review by the Editor of this journal.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"339"}}