{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T17:18:26Z","timestamp":1783358306730,"version":"3.54.6"},"reference-count":24,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T00:00:00Z","timestamp":1783296000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T00:00:00Z","timestamp":1783296000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"funder":[{"name":"President Foundation of The Fifth Affiliated Hospital, Southern Medical University","award":["YZ2022ZX08"],"award-info":[{"award-number":["YZ2022ZX08"]}]},{"name":"President Foundation of The Fifth Affiliated Hospital, Southern Medical University","award":["YZ2022ZX10"],"award-info":[{"award-number":["YZ2022ZX10"]}]},{"name":"Clinical Research Special Fund of the Guangdong Medical Association","award":["2024QC-A1018"],"award-info":[{"award-number":["2024QC-A1018"]}]},{"name":"Clinical Research Special Fund of the Guangdong Medical Association","award":["2024QC-A1017"],"award-info":[{"award-number":["2024QC-A1017"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur J Orthop Surg Traumatol"],"DOI":"10.1007\/s00590-026-04762-6","type":"journal-article","created":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T05:09:14Z","timestamp":1783314554000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Hybrid versus single internal fixation strategies in minimally invasive surgery for multiple rib fractures: a retrospective comparative analysis"],"prefix":"10.1007","volume":"36","author":[{"given":"Baolei","family":"Liang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tengfang","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mingxiao","family":"Hou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yunen","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qingyong","family":"Cai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,7,6]]},"reference":[{"issue":"18","key":"4762_CR1","doi-asserted-by":"publisher","first-page":"1836","DOI":"10.1001\/jama.2019.2313","volume":"321","author":"I Baiu","year":"2019","unstructured":"Baiu I, Spain D, Rib Fractures (2019) JAMA 321(18):1836. https:\/\/doi.org\/10.1001\/jama.2019.2313","journal-title":"JAMA"},{"issue":"6","key":"4762_CR2","doi-asserted-by":"publisher","first-page":"1859","DOI":"10.1016\/j.athoracsur.2021.05.085","volume":"113","author":"N Owattanapanich","year":"2022","unstructured":"Owattanapanich N, Lewis MR, Benjamin ER, Jakob DA, Demetriades D (2022) Surgical Rib Fixation in Isolated Flail Chest Improves Survival. Ann Thorac Surg 113(6):1859\u20131865. https:\/\/doi.org\/10.1016\/j.athoracsur.2021.05.085","journal-title":"Ann Thorac Surg"},{"issue":"4","key":"4762_CR3","doi-asserted-by":"publisher","first-page":"727","DOI":"10.1097\/00005373-200204000-00020","volume":"52","author":"H Tanaka","year":"2002","unstructured":"Tanaka H, Yukioka T, Yamaguti Y et al (2002) Surgical stabilization of internal pneumatic stabilization? A prospective randomized study of management of severe flail chest patients. J Trauma 52(4):727\u2013732. https:\/\/doi.org\/10.1097\/00005373-200204000-00020","journal-title":"J Trauma"},{"issue":"4","key":"4762_CR4","doi-asserted-by":"publisher","first-page":"522","DOI":"10.1097\/TA.0000000000004750","volume":"99","author":"ZM Bauman","year":"2025","unstructured":"Bauman ZM, Tian Y, Doben AR et al (2025) Chest Wall Injury Society guidelines for surgical stabilization of rib fractures: Indications, contraindications, and timing. J Trauma Acute Care Surg 99(4):522\u2013532. https:\/\/doi.org\/10.1097\/TA.0000000000004750","journal-title":"J Trauma Acute Care Surg"},{"issue":"1","key":"4762_CR5","doi-asserted-by":"publisher","first-page":"32","DOI":"10.1016\/j.amjsurg.2019.01.016","volume":"218","author":"MC Johnson","year":"2019","unstructured":"Johnson MC, Miller CP, Stolarski AE et al (2019) Perceptions in rib injuries: A multidisciplinary single center survey of clinician differences in risk stratification and management of patients with rib fractures. Am J Surg 218(1):32\u201336. https:\/\/doi.org\/10.1016\/j.amjsurg.2019.01.016","journal-title":"Am J Surg"},{"key":"4762_CR6","doi-asserted-by":"publisher","unstructured":"Zhou X, Zhang D, Xie Z et al (2019) 3D printing and thoracoscopy assisted MIPO in treatment of long-range comminuted rib fractures, a case report. J Cardiothorac Surg 14(1):83. https:\/\/doi.org\/10.1186\/s13019-019-0892-0","DOI":"10.1186\/s13019-019-0892-0"},{"key":"4762_CR7","doi-asserted-by":"publisher","unstructured":"Manes TJ, DeGenova DT, Taylor BC, Patel JN (2024) Far posterior approach for rib fracture fixation: surgical technique and tips. JBJS Essent Surg Tech 14(4):e23.00094. https:\/\/doi.org\/10.2106\/JBJS.ST.23.00094","DOI":"10.2106\/JBJS.ST.23.00094"},{"issue":"4","key":"4762_CR8","doi-asserted-by":"publisher","first-page":"2783","DOI":"10.1007\/s00068-021-01867-x","volume":"48","author":"SFM Van Wijck","year":"2022","unstructured":"Van Wijck SFM, Van Lieshout EMM, Prins JTH et al (2022) Outcome after surgical stabilization of symptomatic rib fracture nonunion: a multicenter retrospective case series. Eur J Trauma Emerg Surg 48(4):2783\u20132793. https:\/\/doi.org\/10.1007\/s00068-021-01867-x","journal-title":"Eur J Trauma Emerg Surg"},{"key":"4762_CR9","doi-asserted-by":"publisher","unstructured":"China Chest Injury Research Society (CCIRS) (2023) Expert consensus on surgical diagnosis and treatment of traumatic rib and sternal fractures in China. Chin J Thorac Cardiovasc Surg 39(9):513\u2013530 https:\/\/doi.org\/10.3760\/cma.j.cn112434-20230810-00023","DOI":"10.3760\/cma.j.cn112434-20230810-00023"},{"issue":"2","key":"4762_CR10","doi-asserted-by":"publisher","first-page":"307","DOI":"10.1016\/j.injury.2016.11.026","volume":"48","author":"FM Pieracci","year":"2017","unstructured":"Pieracci FM, Majercik S, Ali-Osman F et al (2017) Consensus statement: Surgical stabilization of rib fractures rib fracture colloquium clinical practice guidelines. Injury 48(2):307\u2013321. https:\/\/doi.org\/10.1016\/j.injury.2016.11.026","journal-title":"Injury"},{"issue":"2","key":"4762_CR11","doi-asserted-by":"publisher","first-page":"302","DOI":"10.1016\/j.jamcollsurg.2012.10.010","volume":"216","author":"GP Slobogean","year":"2013","unstructured":"Slobogean GP, MacPherson CA, Sun T, Pelletier ME, Hameed SM (2013) Surgical fixation vs nonoperative management of flail chest: a meta-analysis. J Am Coll Surg 216(2):302\u201311e1. https:\/\/doi.org\/10.1016\/j.jamcollsurg.2012.10.010","journal-title":"J Am Coll Surg"},{"issue":"6","key":"4762_CR12","doi-asserted-by":"publisher","first-page":"580","DOI":"10.1177\/000313481408000622","volume":"80","author":"L Fabricant","year":"2014","unstructured":"Fabricant L, Ham B, Mullins R, Mayberry J (2014) Prospective clinical trial of surgical intervention for painful rib fracture nonunion. Am Surg 80(6):580\u2013586","journal-title":"Am Surg"},{"key":"4762_CR13","doi-asserted-by":"publisher","unstructured":"Sermonesi G, Bertelli R, Pieracci FM et al (2024) Surgical stabilization of rib fractures (SSRF): the WSES and CWIS position paper. World J Emerg Surg 19(1):33. https:\/\/doi.org\/10.1186\/s13017-024-00559-2","DOI":"10.1186\/s13017-024-00559-2"},{"issue":"5","key":"4762_CR14","doi-asserted-by":"publisher","first-page":"1917","DOI":"10.1007\/s00402-024-05264-y","volume":"144","author":"DT DeGenova","year":"2024","unstructured":"DeGenova DT, Peabody JT, Schrock JB, Homan MD, Peguero ES, Taylor BC (2024) Symptomatic rib fracture nonunion: a systematic review of the literature. Arch Orthop Trauma Surg 144(5):1917\u20131924. https:\/\/doi.org\/10.1007\/s00402-024-05264-y","journal-title":"Arch Orthop Trauma Surg"},{"issue":"1","key":"4762_CR15","doi-asserted-by":"publisher","first-page":"120","DOI":"10.1007\/s00068-025-02795-w","volume":"51","author":"J Groh","year":"2025","unstructured":"Groh J, Kern F, Krause J, Perl M, Schulz-Drost S (2025) The distribution of lateral rib fractures: a validation and further development of the AO\/OTA classification system in patients with fractures at the rib shaft. Eur J Trauma Emerg Surg 51(1):120 Published 2025 Feb 23. https:\/\/doi.org\/10.1007\/s00068-025-02795-w","journal-title":"Eur J Trauma Emerg Surg"},{"issue":"4","key":"4762_CR16","doi-asserted-by":"publisher","first-page":"541","DOI":"10.1007\/s00068-016-0687-0","volume":"43","author":"K Uchida","year":"2017","unstructured":"Uchida K, Nishimura T, Takesada H et al (2017) Evaluation of efficacy and indications of surgical fixation for multiple rib fractures: a propensity-score matched analysis. Eur J Trauma Emerg Surg 43(4):541\u2013547. https:\/\/doi.org\/10.1007\/s00068-016-0687-0","journal-title":"Eur J Trauma Emerg Surg"},{"issue":"1","key":"4762_CR17","doi-asserted-by":"publisher","first-page":"1","DOI":"10.5090\/kjtcs.2016.49.1.1","volume":"49","author":"M Bemelman","year":"2016","unstructured":"Bemelman M, van Baal M, Yuan JZ, Leenen L (2016) The role of minimally invasive plate osteosynthesis in rib fixation: a review. Korean J Thorac Cardiovasc Surg 49(1):1\u20138. https:\/\/doi.org\/10.5090\/kjtcs.2016.49.1.1","journal-title":"Korean J Thorac Cardiovasc Surg"},{"issue":"2","key":"4762_CR18","doi-asserted-by":"publisher","first-page":"411","DOI":"10.1097\/TA.0000000000002716","volume":"89","author":"J Peek","year":"2020","unstructured":"Peek J, Beks RB, Hietbrink F et al (2020) Complications and outcome after rib fracture fixation: A systematic review. J Trauma Acute Care Surg 89(2):411\u2013418. https:\/\/doi.org\/10.1097\/TA.0000000000002716","journal-title":"J Trauma Acute Care Surg"},{"key":"4762_CR19","doi-asserted-by":"publisher","first-page":"241","DOI":"10.1016\/j.amjsurg.2023.08.022","volume":"227","author":"RJ Kuk","year":"2024","unstructured":"Kuk RJ, Fultz M, Regner J, Hall C (2024) Plates on ribs or ribs on plates? A single-center comparison of extrathoracic vs. intrathoracic techniques for rib fracture stabilization. Am J Surg 227:241\u2013243. https:\/\/doi.org\/10.1016\/j.amjsurg.2023.08.022","journal-title":"Am J Surg"},{"issue":"1","key":"4762_CR20","doi-asserted-by":"publisher","first-page":"e000943","DOI":"10.1136\/tsaco-2022-000943","volume":"7","author":"G Zhang","year":"2022","unstructured":"Zhang G, Shurtleff E, Falank C, Cullinane D, Carter D, Sheppard F (2022) Thoracoscopic-assisted rib plating (TARP): initial single-center case series, including TARP in the super elderly, technical lessons learned, and proposed expanded indications. Trauma Surg Acute Care Open 7(1):e000943 Published 2022 Sep 1. https:\/\/doi.org\/10.1136\/tsaco-2022-000943","journal-title":"Trauma Surg Acute Care Open"},{"issue":"1","key":"4762_CR21","doi-asserted-by":"publisher","first-page":"54","DOI":"10.1186\/s13017-025-00629-z","volume":"20","author":"Y Yang","year":"2025","unstructured":"Yang Y, Xie Z, Zhang J et al (2025) Completely thoracoscopic surgical stabilization of rib fractures: balancing minimally invasive benefits against technique-specific complications: a single-center retrospective study. World J Emerg Surg 20(1):54. https:\/\/doi.org\/10.1186\/s13017-025-00629-z. Published 2025 Jun 24","journal-title":"World J Emerg Surg"},{"issue":"8","key":"4762_CR22","doi-asserted-by":"publisher","first-page":"1093","DOI":"10.1302\/0301-620x.84b8.13752","volume":"84","author":"SM Perren","year":"2002","unstructured":"Perren SM (2002) Evolution of the internal fixation of long bone fractures. The scientific basis of biological internal fixation: choosing a new balance between stability and biology. J Bone Joint Surg Br 84(8):1093\u20131110. https:\/\/doi.org\/10.1302\/0301-620x.84b8.13752","journal-title":"J Bone Joint Surg Br"},{"issue":"1","key":"4762_CR23","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1186\/s13017-025-00667-7","volume":"21","author":"YH Wang","year":"2025","unstructured":"Wang YH, Chen SA, Tee YS et al (2025) Severely displaced rib fractures are independently associated with reduced pulmonary function at 3 months. World J Emerg Surg 21(1):5 Published 2025 Dec 11. https:\/\/doi.org\/10.1186\/s13017-025-00667-7","journal-title":"World J Emerg Surg"},{"issue":"10","key":"4762_CR24","doi-asserted-by":"publisher","first-page":"e141","DOI":"10.1097\/PHM.0000000000002737","volume":"104","author":"Y Erden","year":"2025","unstructured":"Erden Y, I\u015f\u0131k G\u00d6 (2025) Unilateral Abdominal Wall Atrophy Due to Intercostal Nerve Injury After Rib Fractures A Rare Clinical Presentation. Am J Phys Med Rehabil 104(10):e141. https:\/\/doi.org\/10.1097\/PHM.0000000000002737","journal-title":"Am J Phys Med Rehabil"}],"container-title":["European Journal of Orthopaedic Surgery &amp; Traumatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00590-026-04762-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00590-026-04762-6","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00590-026-04762-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T17:02:30Z","timestamp":1783357350000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00590-026-04762-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,6]]},"references-count":24,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["4762"],"URL":"https:\/\/doi.org\/10.1007\/s00590-026-04762-6","relation":{},"ISSN":["1432-1068"],"issn-type":[{"value":"1432-1068","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,6]]},"assertion":[{"value":"29 January 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"13 April 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"6 July 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"The study was conducted in accordance with the Declaration of Helsinki and was approved by the Institutional Ethics Committee (Approval No.: blinded for peer review; Date of approval: September 15, 2025). Patient consent was waived due to the retrospective nature of this study, and the analysis used anonymous clinical data.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}}],"article-number":"275"}}