{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T17:43:43Z","timestamp":1791913423712,"version":"4.3.4"},"reference-count":26,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2021,10,22]],"date-time":"2021-10-22T00:00:00Z","timestamp":1634860800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"University Hospital Basel, Department of Thoracic Surgery"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,2,21]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>\u2002<\/jats:title>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>First experiences with rib fixation using nitinol, in terms of reliability and morbidity, influence on pain control and quality of life (QOL), in a large series of selected patients after blunt chest trauma.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>Data of all patients who had undergone rib fixation by the use of nitinol were retrospectively analysed in terms of indications, morbidity and in-hospital mortality. Pain status and health-related QOL were assessed preoperatively, when possible, at discharge and at 1, 3, 6 and 12 months post-surgery using visual analogous scale and short form 12 questionnaires.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>From September 2017 to April 2019, 70 patients underwent rib fixation using the nitinol device, of which 47 (67%) had dislocated, painful fractures, 6 (8.5%) had flail chest injuries, 6 (8.5%) were emergencies with haemodynamical instability and 11 (16%) had pseudoarthrosis. Morbidity was 21% without wound infection; in-hospital mortality was 3%. Fracture of the material occurred in 6% of the patients during the first year, but removal of the material was not required. Analysis of the pain score showed a statistically significant decrease in pain for both the whole collective and the group with a series of dislocated and painful fractured ribs (P\u2009&amp;lt;\u20090.001, Tukey contrast on the linear mixed-effects models). Assessment of health-related QOL revealed a significant improvement in the physical score for the mid- and long-term analysis.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>Our results suggest that rib fixation using the nitinol device is reliable, associated with an acceptable morbidity, while significantly decreasing pain and improving health-related QOL.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/icvts\/ivab278","type":"journal-article","created":{"date-parts":[[2021,10,13]],"date-time":"2021-10-13T17:22:10Z","timestamp":1634145730000},"page":"386-392","source":"Crossref","is-referenced-by-count":7,"title":["Chest wall stabilization and rib fixation using a nitinol screwless system in selected patients after blunt trauma: long-term results in a single-centre experience"],"prefix":"10.1093","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6313-1257","authenticated-orcid":false,"given":"Aljaz","family":"Hojski","sequence":"first","affiliation":[{"name":"Department of Thoracic Surgery, University Hospital Basel, Basel, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arben","family":"Xhambazi","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, University Hospital Basel, Basel, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark Nikolaj","family":"Wiese","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, University Hospital Basel, Basel, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dragan","family":"Subotic","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, University Hospital Basel, Basel, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helga","family":"Bachmann","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, University Hospital Basel, Basel, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Didier","family":"Lardinois","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, University Hospital Basel, Basel, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2021,10,22]]},"reference":[{"key":"2022022119392500500_ivab278-B1","doi-asserted-by":"crossref","first-page":"62","DOI":"10.21037\/shc.2018.06.11","article-title":"General considerations, indications, and potential advantages of chest wall stabilization, rib fixation, and sternum osteosynthesis in selected patients after blunt trauma","volume":"2","author":"Lardinois","year":"2018","journal-title":"Shanghai Chest"},{"key":"2022022119392500500_ivab278-B2","doi-asserted-by":"crossref","first-page":"314","DOI":"10.1093\/icvts\/ivw092","article-title":"In patients with acute flail chest does surgical rib fixation improve outcomes in terms of morbidity and mortality?","volume":"23","author":"Schulte","year":"2016","journal-title":"Interact CardioVasc Thorac Surg"},{"key":"2022022119392500500_ivab278-B3","doi-asserted-by":"crossref","first-page":"324","DOI":"10.1016\/0002-9610(85)90071-6","article-title":"Long-term disability associated with flail chest injury","volume":"150","author":"Beal","year":"1985","journal-title":"Am J Surg"},{"key":"2022022119392500500_ivab278-B4","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1097\/BOT.0000000000000750","article-title":"Operative treatment of rib fractures in flail chest injuries: a meta-analysis and cost-effectiveness analysis","volume":"31","author":"Swart","year":"2017","journal-title":"J Orthop Trauma"},{"key":"2022022119392500500_ivab278-B5","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 Am Coll Surg"},{"key":"2022022119392500500_ivab278-B6","doi-asserted-by":"crossref","first-page":"410","DOI":"10.1097\/00005373-198405000-00007","article-title":"Long-term disability after flail chest injury","volume":"24","author":"Landercasper","year":"1984","journal-title":"J Trauma"},{"key":"2022022119392500500_ivab278-B7","doi-asserted-by":"crossref","first-page":"583","DOI":"10.1510\/icvts.2005.111807","article-title":"Surgical versus conservative treatment of flail chest. 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