{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T13:22:36Z","timestamp":1792070556955,"version":"4.4.0"},"reference-count":41,"publisher":"Elsevier BV","issue":"1","license":[{"start":{"date-parts":[[2017,1,1]],"date-time":"2017-01-01T00:00:00Z","timestamp":1483228800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["clinicalkey.jp","clinicalkey.com","clinicalkey.es","theclinics.com","clinicalkey.com.au","clinicalkey.fr","criticalcare.theclinics.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Critical Care Clinics"],"published-print":{"date-parts":[[2017,1]]},"DOI":"10.1016\/j.ccc.2016.08.009","type":"journal-article","created":{"date-parts":[[2016,11,26]],"date-time":"2016-11-26T05:21:35Z","timestamp":1480137695000},"page":"153-165","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":49,"title":["Rib Fracture Fixation"],"prefix":"10.1016","volume":"33","author":[{"given":"Lara","family":"Senekjian","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raminder","family":"Nirula","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"4","key":"10.1016\/j.ccc.2016.08.009_bib1","doi-asserted-by":"crossref","first-page":"482","DOI":"10.1016\/j.ajem.2006.03.022","article-title":"Blunt chest trauma: utility of radiological evaluation and effect on treatment patterns","volume":"24","author":"Davis","year":"2006","journal-title":"Am J Emerg Med"},{"key":"10.1016\/j.ccc.2016.08.009_bib2","unstructured":"Agency for Healthcare Research and Quality (formerly Agency for Health Care Policy and Research (AHRQ). HCUPnet, Healthcare cost and utilization project. Available at: http:\/\/hcupnet.ahrq.gov\/. Accessed March 22, 2016."},{"issue":"6","key":"10.1016\/j.ccc.2016.08.009_bib3","first-page":"1040","article-title":"Rib fractures in the elderly","volume":"48","author":"Bulger","year":"2000","journal-title":"J\u00a0Trauma"},{"issue":"1","key":"10.1016\/j.ccc.2016.08.009_bib4","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1007\/s00268-008-9770-y","article-title":"Rib fracture repair: indications, technical issues, and future directions","volume":"33","author":"Nirula","year":"2009","journal-title":"World J Surg"},{"issue":"1","key":"10.1016\/j.ccc.2016.08.009_bib5","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1016\/j.injury.2011.01.004","article-title":"Risk factors that predict mortality in patients with blunt chest wall trauma: a systematic review and meta-analysis","volume":"43","author":"Battle","year":"2012","journal-title":"Injury"},{"issue":"4","key":"10.1016\/j.ccc.2016.08.009_bib6","first-page":"727","article-title":"Surgical stabilization of internal pneumatic stabilization? A prospective randomized study of management of severe flail chest patients","volume":"52","author":"Tanaka","year":"2002","journal-title":"J\u00a0Trauma"},{"issue":"1","key":"10.1016\/j.ccc.2016.08.009_bib7","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1177\/021849230401200104","article-title":"Open fixation in flail chest: review of 64 patients","volume":"12","author":"Balci","year":"2004","journal-title":"Asian Cardiovasc Thorac Ann"},{"issue":"2","key":"10.1016\/j.ccc.2016.08.009_bib8","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1016\/S1072-7515(98)00142-2","article-title":"Operative chest wall stabilization in flail chest\u2013outcomes of patients with or without pulmonary contusion","volume":"187","author":"Voggenreiter","year":"1998","journal-title":"J\u00a0Am Coll Surg"},{"issue":"6","key":"10.1016\/j.ccc.2016.08.009_bib9","doi-asserted-by":"crossref","first-page":"1676","DOI":"10.1016\/S0022-5223(95)70030-7","article-title":"Management of flail chest injury: internal fixation versus endotracheal intubation and ventilation","volume":"110","author":"Ahmed","year":"1995","journal-title":"J\u00a0Thorac Cardiovasc Surg"},{"issue":"1","key":"10.1016\/j.ccc.2016.08.009_bib10","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1016\/S1010-7940(03)00256-2","article-title":"A\u00a0comprehensive analysis of traumatic rib fractures: morbidity, mortality and management","volume":"24","author":"Sirmali","year":"2003","journal-title":"Eur J Cardiothorac Surg"},{"issue":"3","key":"10.1016\/j.ccc.2016.08.009_bib11","doi-asserted-by":"crossref","first-page":"R98","DOI":"10.1186\/cc13873","article-title":"Predicting outcomes after blunt chest wall trauma: development and external validation of a new prognostic model","volume":"18","author":"Battle","year":"2014","journal-title":"Crit Care"},{"issue":"5","key":"10.1016\/j.ccc.2016.08.009_bib12","doi-asserted-by":"crossref","first-page":"309","DOI":"10.3949\/ccjm.76a.08026","article-title":"When and how to image a suspected broken rib","volume":"76","author":"Bhavnagri","year":"2009","journal-title":"Cleve Clin J Med"},{"issue":"2","key":"10.1016\/j.ccc.2016.08.009_bib13","doi-asserted-by":"crossref","first-page":"200","DOI":"10.1097\/00000658-198708000-00013","article-title":"Blunt thoracic trauma. Analysis of 515 patients","volume":"206","author":"Shorr","year":"1987","journal-title":"Ann Surg"},{"issue":"5 Suppl 4","key":"10.1016\/j.ccc.2016.08.009_bib14","doi-asserted-by":"crossref","first-page":"S351","DOI":"10.1097\/TA.0b013e31827019fd","article-title":"Management of pulmonary contusion and flail chest: an Eastern Association for the surgery of trauma practice management guideline","volume":"73","author":"Simon","year":"2012","journal-title":"J\u00a0Trauma Acute Care Surg"},{"key":"10.1016\/j.ccc.2016.08.009_bib15","first-page":"73","article-title":"Fatality risk and the presence of rib fractures","volume":"52","author":"Kent","year":"2008","journal-title":"Ann Adv Automot Med"},{"key":"10.1016\/j.ccc.2016.08.009_bib16","series-title":"ATLS student course manual: advanced trauma life support","author":"American College of Surgeons","year":"2012"},{"issue":"4","key":"10.1016\/j.ccc.2016.08.009_bib17","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1016\/j.crad.2009.12.008","article-title":"Multidetector computed tomography-spectrum of blunt chest wall and lung injuries in polytraumatized patients","volume":"65","author":"Peters","year":"2010","journal-title":"Clin Radiol"},{"issue":"1018","key":"10.1016\/j.ccc.2016.08.009_bib18","doi-asserted-by":"crossref","first-page":"e845","DOI":"10.1259\/bjr\/28575455","article-title":"Missed rib fractures on evaluation of initial chest CT for trauma patients: pattern analysis and diagnostic value of coronal multiplanar reconstruction images with multidetector row CT","volume":"85","author":"Cho","year":"2012","journal-title":"Br J Radiol"},{"issue":"6","key":"10.1016\/j.ccc.2016.08.009_bib19","doi-asserted-by":"crossref","first-page":"1603","DOI":"10.2214\/ajr.173.6.10584808","article-title":"Sonography compared with radiography in revealing acute rib fracture","volume":"173","author":"Griffith","year":"1999","journal-title":"AJR Am J Roentgenol"},{"issue":"8","key":"10.1016\/j.ccc.2016.08.009_bib20","doi-asserted-by":"crossref","first-page":"793","DOI":"10.1177\/000313481007600820","article-title":"Rib fracture fixation: controversies and technical challenges","volume":"76","author":"Nirula","year":"2010","journal-title":"Am Surg"},{"issue":"3","key":"10.1016\/j.ccc.2016.08.009_bib21","first-page":"615","article-title":"Acute pain management of patients with multiple fractured ribs","volume":"54","author":"Karmakar","year":"2003","journal-title":"J\u00a0Trauma"},{"issue":"6","key":"10.1016\/j.ccc.2016.08.009_bib22","first-page":"1058","article-title":"Rib fracture pain and disability: can we do better?","volume":"54","author":"Kerr-Valentic","year":"2003","journal-title":"J\u00a0Trauma"},{"issue":"6","key":"10.1016\/j.ccc.2016.08.009_bib23","doi-asserted-by":"crossref","first-page":"806","DOI":"10.1016\/j.amjsurg.2006.08.048","article-title":"A\u00a0multidisciplinary clinical pathway decreases rib fracture-associated infectious morbidity and mortality in high-risk trauma patients","volume":"192","author":"Todd","year":"2006","journal-title":"Am J Surg"},{"issue":"2","key":"10.1016\/j.ccc.2016.08.009_bib24","doi-asserted-by":"crossref","first-page":"462","DOI":"10.1097\/TA.0000000000000086","article-title":"Flail chest injuries: a review of outcomes and treatment practices from the National Trauma Data Bank","volume":"76","author":"Dehghan","year":"2014","journal-title":"J\u00a0Trauma Acute Care Surg"},{"issue":"4","key":"10.1016\/j.ccc.2016.08.009_bib25","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1007\/BF01902546","article-title":"A\u00a0rationale for epidural analgesia in the treatment of multiple rib fractures","volume":"4","author":"Dittmann","year":"1978","journal-title":"Intensive Care Med"},{"issue":"2","key":"10.1016\/j.ccc.2016.08.009_bib26","doi-asserted-by":"crossref","first-page":"194","DOI":"10.1016\/S0022-5223(19)37626-3","article-title":"Selective use of ventilator therapy in flail chest injury","volume":"81","author":"Shackford","year":"1981","journal-title":"J\u00a0Thorac Cardiovasc Surg"},{"issue":"6","key":"10.1016\/j.ccc.2016.08.009_bib27","doi-asserted-by":"crossref","first-page":"583","DOI":"10.1510\/icvts.2005.111807","article-title":"Surgical versus conservative treatment of flail chest. Evaluation of the pulmonary status","volume":"4","author":"Granetzny","year":"2005","journal-title":"Interact Cardiovasc Thorac Surg"},{"issue":"5","key":"10.1016\/j.ccc.2016.08.009_bib28","doi-asserted-by":"crossref","first-page":"924","DOI":"10.1016\/j.jamcollsurg.2012.12.024","article-title":"Prospective randomized controlled trial of operative rib fixation in traumatic flail chest","volume":"216","author":"Marasco","year":"2013","journal-title":"J\u00a0Am Coll Surg"},{"key":"10.1016\/j.ccc.2016.08.009_bib29","article-title":"Surgical versus nonsurgical interventions for flail chest","volume":"7","author":"Cataneo","year":"2015","journal-title":"Cochrane Database Syst Rev"},{"issue":"2","key":"10.1016\/j.ccc.2016.08.009_bib30","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1097\/TA.0000000000000925","article-title":"A\u00a0prospective, controlled clinical evaluation of surgical stabilization of severe rib fractures","volume":"80","author":"Pieracci","year":"2016","journal-title":"J\u00a0Trauma Acute Care Surg"},{"issue":"4","key":"10.1016\/j.ccc.2016.08.009_bib31","first-page":"515","article-title":"No benefit to surgical fixation of flail chest injuries compared with modern comprehensive management: results of a retrospective cohort study","volume":"59","author":"Farquhar","year":"2016","journal-title":"Can J Surg"},{"issue":"5","key":"10.1016\/j.ccc.2016.08.009_bib32","first-page":"835","article-title":"Absorbable plates for rib fracture repair: preliminary experience","volume":"55","author":"Mayberry","year":"2003","journal-title":"J\u00a0Trauma"},{"issue":"6","key":"10.1016\/j.ccc.2016.08.009_bib33","doi-asserted-by":"crossref","first-page":"914","DOI":"10.1097\/SLA.0b013e3182895bb0","article-title":"Operative management of rib fractures in the setting of flail chest: a systematic review and meta-analysis","volume":"258","author":"Leinicke","year":"2013","journal-title":"Ann Surg"},{"issue":"2","key":"10.1016\/j.ccc.2016.08.009_bib34","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1016\/j.jamcollsurg.2012.02.023","article-title":"Rib fracture fixation for flail chest: what is the benefit?","volume":"215","author":"Bhatnagar","year":"2012","journal-title":"J\u00a0Am Coll Surg"},{"issue":"4","key":"10.1016\/j.ccc.2016.08.009_bib35","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1177\/000313480607200405","article-title":"Rib fracture stabilization in patients sustaining blunt chest injury","volume":"72","author":"Nirula","year":"2006","journal-title":"Am Surg"},{"issue":"1","key":"10.1016\/j.ccc.2016.08.009_bib36","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1016\/j.amjsurg.2013.08.051","article-title":"Long-term patient outcomes after surgical stabilization of rib fractures","volume":"208","author":"Majercik","year":"2014","journal-title":"Am J Surg"},{"issue":"2","key":"10.1016\/j.ccc.2016.08.009_bib37","doi-asserted-by":"crossref","first-page":"302","DOI":"10.1016\/j.jamcollsurg.2012.10.010","article-title":"Surgical fixation vs nonoperative management of flail chest: a meta-analysis","volume":"216","author":"Slobogean","year":"2013","journal-title":"J\u00a0Am Coll Surg"},{"issue":"3","key":"10.1016\/j.ccc.2016.08.009_bib38","first-page":"875","article-title":"Surveyed opinion of American trauma, orthopedic, and thoracic surgeons on rib and sternal fracture repair","volume":"66","author":"Mayberry","year":"2009","journal-title":"J\u00a0Trauma"},{"issue":"4","key":"10.1016\/j.ccc.2016.08.009_bib39","doi-asserted-by":"crossref","first-page":"988","DOI":"10.1016\/j.surg.2014.06.045","article-title":"A\u00a0chest trauma scoring system to predict outcomes","volume":"156","author":"Chen","year":"2014","journal-title":"Surgery"},{"issue":"6","key":"10.1016\/j.ccc.2016.08.009_bib40","doi-asserted-by":"crossref","first-page":"910","DOI":"10.1016\/j.amjsurg.2012.05.015","article-title":"Predicting outcome of patients with chest wall injury","volume":"204","author":"Pressley","year":"2012","journal-title":"Am J Surg"},{"issue":"3","key":"10.1016\/j.ccc.2016.08.009_bib41","first-page":"496","article-title":"Appraisal of early evaluation of blunt chest trauma: development of a standardized scoring system for initial clinical decision making","volume":"49","author":"Pape","year":"2000","journal-title":"J\u00a0Trauma"}],"container-title":["Critical Care Clinics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749070416300896?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749070416300896?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2020,9,27]],"date-time":"2020-09-27T14:30:41Z","timestamp":1601217041000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0749070416300896"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,1]]},"references-count":41,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2017,1]]}},"alternative-id":["S0749070416300896"],"URL":"https:\/\/doi.org\/10.1016\/j.ccc.2016.08.009","relation":{},"ISSN":["0749-0704"],"issn-type":[{"value":"0749-0704","type":"print"}],"subject":[],"published":{"date-parts":[[2017,1]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Rib Fracture Fixation","name":"articletitle","label":"Article Title"},{"value":"Critical Care Clinics","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ccc.2016.08.009","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2016 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}