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Ann Thorac Surg 1998;65:1471-1474
© 1998 The Society of Thoracic Surgeons

How To Do It

Use of 3.5-mm Acetabular Reconstruction Plates for Internal Fixation of Flail Chest Injuries

J. Rodrigo Oyarzun, MDa, Andrew P. Bush, MDa, John R. McCormick, MDa, Paul J.P. Bolanowski, MDa

a Section of Cardiothoracic Surgery, University of Medicine and Dentistry, New Jersey Medical School, Newark, New Jersey, USA

Accepted for publication November 18, 1997.

Address reprint requests to Dr Oyarzun, 185 S Orange Ave, MSB G595, Newark, NJ 07103
e-mail: (oyarzujr{at}umdnj.edu)

The technique of using 3.5-mm acetabular reconstruction plates for multiple rib fractures with cerclage wires has been successful. We modified it by securing the reconstruction plates to the fractured ribs with cortical screws using the standard AO-ASIF (Arbeitsgemeindschaft fur Osteosynthesefragen [Association for the Study of Internal Fixation]) group technique. Our method for the internal fixation of the unstable chest wall is described. It is relatively simple and provides uniform results.




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