{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:40:01Z","timestamp":1787755201880,"version":"build-2784847793"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JBJS Case Connector"],"abstract":"\n Case:<\/jats:title>\n A patient sustained flail chest and diaphragmatic rupture with perforation of the stomach. She underwent gastrorrhaphy with chest lavage. She developed empyema and underwent decortication. Intraoperative cultures grew bacteria and yeast. She failed extubation because of pain despite maximal medical therapy. She underwent surgical stabilization of rib fractures (SSRF). Intraoperative cultures remained positive. She was extubated 9 days after SSRF. She was ultimately discharged to home with a total of 2 months of antibiotics and no need for plate removal.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n The presence of infection should not be considered a contraindication to SSRF in patients who are mechanical ventilation dependent due to flail chest.<\/jats:p>\n <\/jats:sec>","DOI":"10.2106\/jbjs.cc.19.00202","type":"journal-article","created":{"date-parts":[[2019,11,26]],"date-time":"2019-11-26T14:59:43Z","timestamp":1574780383000},"page":"e0202-e0202","source":"Crossref","is-referenced-by-count":3,"title":["Surgical Stabilization of Rib Fractures in a Patient with Empyema"],"prefix":"10.2106","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2621-0922","authenticated-orcid":false,"given":"Rebecca","family":"Allen","sequence":"first","affiliation":[{"name":"Department of Surgery, Center for Trauma and Critical Care, George Washington University, Washington, DC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8994-1602","authenticated-orcid":false,"given":"Jordan","family":"Estroff","sequence":"additional","affiliation":[{"name":"Department of Surgery, Center for Trauma and Critical Care, George Washington University, Washington, DC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6247-3004","authenticated-orcid":false,"given":"Babak","family":"Sarani","sequence":"additional","affiliation":[{"name":"Department of Surgery, Center for Trauma and Critical Care, George Washington University, Washington, DC"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2019]]},"reference":[{"issue":"3","key":"bib1-20230811","doi-asserted-by":"crossref","first-page":"e121","DOI":"10.1016\/j.athoracsur.2018.03.009","article-title":"Successful surgical stabilization of rib fractures despite Candida colonization of the mediastinum","volume":"106","author":"Ju","year":"2018","journal-title":"Ann Thorac Surg."},{"issue":"2","key":"bib2-20230811","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1097\/TA.0000000000000925","article-title":"A prospective, controlled clinical evaluation of surgical stabilization of severe rib fractures","volume":"80","author":"Pieracci","year":"2016","journal-title":"J Trauma Acute Care Surg."},{"issue":"2","key":"bib3-20230811","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."},{"issue":"6","key":"bib4-20230811","doi-asserted-by":"crossref","first-page":"1112","DOI":"10.1016\/j.amjsurg.2015.08.008","article-title":"Surgical stabilization of severe rib fractures decreases incidence of retained hemothorax and empyema","volume":"210","author":"Majercik","year":"2015","journal-title":"Am J Surg."},{"issue":"5","key":"bib5-20230811","doi-asserted-by":"crossref","first-page":"864","DOI":"10.1016\/j.amjsurg.2014.12.023","article-title":"Traumatic diaphragmatic injury in the American College of Surgeons National Trauma Data Bank: a new examination of a rare diagnosis","volume":"209","author":"Fair","year":"2015","journal-title":"Am J Surg."},{"issue":"2","key":"bib6-20230811","first-page":"104","article-title":"Gastric incarceration and perforation following posttraumatic diaphragmatic hernia: case report and review of the literature","volume":"55","author":"Abboud","year":"2007","journal-title":"J Med Liban."},{"issue":"18","key":"bib7-20230811","doi-asserted-by":"crossref","first-page":"1957","DOI":"10.2169\/internalmedicine.49.3667","article-title":"Isolation of Candida species is an important clue for suspecting gastrointestinal tract perforation as a cause of empyema","volume":"49","author":"Ishiguro","year":"2010","journal-title":"Intern Med."},{"issue":"5","key":"bib8-20230811","doi-asserted-by":"crossref","first-page":"819","DOI":"10.1097\/TA.0000000000001005","article-title":"Infected hardware after surgical stabilization of rib fractures: outcomes and management experience","volume":"80","author":"Thiels","year":"2016","journal-title":"J Trauma Acute Care Surg."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.19.00202","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:39:11Z","timestamp":1787751551000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.19.00202"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2019]]},"references-count":8,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2019]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.19.00202","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019]]}}}