To fix or let them flail: the who, what and when of rib fixation.

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Date

2025-01

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Abstract

Rib fractures occur in 10% of traumatic injuries and are a common source of morbidity and mortality. Mortality rates for rib fractures remain alarmingly high. Despite increasing literature in support of surgical stabilization of rib fracture (SSRF), acceptance and incorporation of SSRF as the standard of care has not occurred across trauma centers. This expert review highlights the 'who, what and when' of SSRF and argues for SSRF as the gold standard for the restoration of form and function following chest wall injury.

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Subjects

Ribs, Thoracic Injuries, pain management, rib fractures

Citation

Published Version (Please cite this version)

10.1136/tsaco-2025-001801

Publication Info

Simpson, John T, Adrian Camarena, Patrick Georgoff and Joseph Fernandez-Moure (2025). To fix or let them flail: the who, what and when of rib fixation. Trauma surgery & acute care open, 10(Suppl 1). p. e001801. 10.1136/tsaco-2025-001801 Retrieved from https://hdl.handle.net/10161/32542.

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Scholars@Duke

Simpson

Tyler Simpson

House Staff
Camarena

Adrian Camarena

House Staff

Dr. Camarena is interested in utilizing novel technology for the advancement of surgical care in trauma and critically ill patients. Dr. Camarena is currently working on targeted therapeutic delivery utilizing stereo-complexed hydrogel microparticles to mediate inflammation and promote tissue regeneration in the setting of traumatic injury. He has additional interest in studying the mechanisms and potential targets for treatment in endotheliopathy in sepsis. He received his B.S. in Neuroscience from the University of Southern California (2013) and M.D. from the University of Chicago Pritzker School of Medicine (2021).  He is currently completing his General Surgery residency at Duke and plans to specialize in Trauma and Critical Care.

Georgoff

Patrick Georgoff

Assistant Professor of Surgery
Fernandez-Moure

Joseph Fernandez-Moure

Associate Professor of Surgery

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