{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T17:14:37Z","timestamp":1773249277524,"version":"3.50.1"},"reference-count":12,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>The surgical principles for the treatment of flail chest have yet to be fully established. Furthermore, the relationship between flail chest and lung hernias is unclear. We report here a rare case of chondrosternal traumatic disruption and lung hernia that was treated with a novel technique using titanium rib bridges and clips, which successfully reduced the hernia defect and provided stability to the chest wall. This procedure was beneficial in minimising the patient's ventilation time and time away from work.<\/jats:p>","DOI":"10.1136\/bcr-2013-008887","type":"journal-article","created":{"date-parts":[[2013,4,22]],"date-time":"2013-04-22T14:30:28Z","timestamp":1366641028000},"page":"bcr2013008887","source":"Crossref","is-referenced-by-count":2,"title":["Successful treatment of flail chest with chondrosternal disruption and traumatic parasternal lung hernia with titanium rib bridges"],"prefix":"10.1136","volume":"2013","author":[{"given":"Rodrigo","family":"Lozano-Corona","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ulises","family":"Loyola-Garcia","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Iris","family":"Camacho Partida","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fernando","family":"Rodriguez-Ortega","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2013,4,22]]},"reference":[{"key":"2025042707365509000_2013.apr22_1.bcr2013008887.1","first-page":"469","article-title":"Management of the crushed chest","volume":"2013","author":"Laszlo","year":"2010","journal-title":"Crit Care"},{"key":"2025042707365509000_2013.apr22_1.bcr2013008887.2","unstructured":"Simon B Ebert J Bokhari F III . Practice management guideline for \u2018pulmonary contusion\u2013flail chest\u2019. Charleston (SC): Eastern Association for the Surgery of Trauma (EAST): 2006 June p.74."},{"key":"2025042707365509000_2013.apr22_1.bcr2013008887.3","doi-asserted-by":"crossref","first-page":"466","DOI":"10.1016\/j.ejcts.2010.02.034","article-title":"Prognostic factors in flail-chest patients","volume":"2013","author":"Athanassiadi","year":"2010","journal-title":"Eur J Cardiothorac Surg"},{"key":"2025042707365509000_2013.apr22_1.bcr2013008887.4","doi-asserted-by":"crossref","first-page":"1460","DOI":"10.1097\/00005373-199012000-00004","article-title":"The management of flail chest: factors affecting outcome","volume":"2013","author":"Freedland","year":"1990","journal-title":"J Trauma"},{"key":"2025042707365509000_2013.apr22_1.bcr2013008887.5","first-page":"1150","article-title":"Delayed presentation of traumatic parasternal lung hernia","volume":"2013","author":"Michal","year":"1998","journal-title":"AnnThorac Surg"},{"key":"2025042707365509000_2013.apr22_1.bcr2013008887.6","doi-asserted-by":"crossref","first-page":"641","DOI":"10.1097\/BOT.0b013e318234d479","article-title":"Early surgical stabilization of flail chest with locked plates fixation","volume":"2013","author":"Althausen","year":"2011","journal-title":"J Orthop Trauma"},{"key":"2025042707365509000_2013.apr22_1.bcr2013008887.7","first-page":"380","article-title":"Prospective randomized controlled trial of operative rib fixation in traumatic flail chest","volume":"2013","author":"Marasco","year":"2013","journal-title":"J Am Coll Surg"},{"key":"2025042707365509000_2013.apr22_1.bcr2013008887.8","doi-asserted-by":"crossref","first-page":"302","DOI":"10.1016\/j.jamcollsurg.2012.10.010","article-title":"Surgical fixation vs non-operative management of flail chest: a meta-analysis","volume":"2013","author":"Slobogean","year":"2013","journal-title":"J Am Coll Surg"},{"key":"2025042707365509000_2013.apr22_1.bcr2013008887.9","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1016\/j.athoracsur.2009.01.069","article-title":"A novel titanium rib bridge system for chest wall reconstruction","volume":"2013","author":"Coonar","year":"2009","journal-title":"Ann Thorac Surg"},{"key":"2025042707365509000_2013.apr22_1.bcr2013008887.10","first-page":"1034","article-title":"Novel fixation technique for the surgical repair of lung hernias","volume":"2013","author":"Wiens","year":"2008","journal-title":"Ann Thorac Surg"},{"key":"2025042707365509000_2013.apr22_1.bcr2013008887.11","doi-asserted-by":"crossref","first-page":"737","DOI":"10.1016\/j.ejcts.2009.09.013","article-title":"Chest wall reconstruction with a titanium rib bridge for post-traumatic parietal hernia","volume":"2013","author":"Pompili","year":"2010","journal-title":"Eur J Cardiothorac Surg"},{"key":"2025042707365509000_2013.apr22_1.bcr2013008887.12","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1177\/229255031101900408","article-title":"Management of pulmonary hernia through a flail segment in closed thoracic trauma using open reduction, internal fixation and pectoralis major flap reconstruction: a case report","volume":"2013","author":"Lanier","year":"2011","journal-title":"Can J Plast Surg"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-008887","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T14:37:07Z","timestamp":1745764627000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-008887"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,4,22]]},"references-count":12,"alternative-id":["10.1136\/bcr-2013-008887"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-008887","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,4,22]]}}}