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From June 2019 to June 2022, 105 patients with multiple rib fractures participated in the cohort study in which they were divided into two groups: 53 patients underwent ATIF and 52 patients underwent EF. The incidence of surgical site infection, wound healing time, incidence of wound dehiscence, number of dressing changes, pain as measured by the visual analogue scale (VAS), duration of hospitalization, period of return to work, pulmonary complications and functionality of the upper limbs as assessed by the Disability of Arm, Shoulder, and Hand (DASH) questionnaire were among the parameters evaluated. In comparison with EF, ATIF demonstrated the decreased incidence of wound dehiscence (1.9% vs. 9.6%) (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05), surgical site infection (3.8 vs. 11.5) and wound healing time (12.3\u2009\u00b1\u20092.1 vs. 18.5\u2009\u00b1\u20093.7\u2009days) (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05). Furthermore, during their ATIF treatment, patients required fewer changes of dressing (3.5\u2009\u00b1\u20090.8 vs. 5.7\u2009\u00b1\u20091.2) and demonstrated enhanced pain management, reduced hospital stays and expedited return to work (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05). ATIF group demonstrated enhancements in both upper limb functionality and post\u2010operative pulmonary function (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05). The utilization of ATIF as opposed to EF for the treatment of traumatic chest wounds accompanied by rib fractures yields superior outcomes in terms of wound healing, infection reduction and restoration of pulmonary and upper limb functionality.<\/jats:p>","DOI":"10.1111\/iwj.14548","type":"journal-article","created":{"date-parts":[[2023,12,28]],"date-time":"2023-12-28T02:03:58Z","timestamp":1703729038000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["RETRACTED: Comparative study of wound outcomes and surgical strategies: Internal fixation versus external stabilization in rib fracture patients with traumatic chest wounds"],"prefix":"10.1111","volume":"21","author":[{"given":"Dongdong","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Thoracic Surgery, Shanghai Pudong Hospital Fudan University Pudong Medical Center  Shanghai 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