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The underlying pulmonary contusion with subsequent inflammatory reaction and right-to-left shunting leading to hypoxia continues to result in high mortality for these patients. Surgical stabilization of the fractured ribs remains controversial. We review the history of management for flail chest alone and when combined with pulmonary contusion. Finally, we propose an algorithm for nonoperative and surgical management.<\/jats:p>","DOI":"10.1177\/000313481408000613","type":"journal-article","created":{"date-parts":[[2020,6,17]],"date-time":"2020-06-17T06:04:42Z","timestamp":1592373882000},"page":"527-535","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":67,"title":["Article Commentary: Contemporary Management of Flail Chest"],"prefix":"10.1177","volume":"80","author":[{"given":"P. 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