Abstract:

OBJECTIVE: To report the categories and advantages of absorbable materials, the indication and contraindication of absorbable retention pin for the treatment of fracture of multiple ribs.
METHODS: “Fracture of rib, absorbable retention pin, internal fixation” in Chinese was utilized as search terms to retrieve PubMed database (2001/2010), VIP database, and articles related to absorbable retention pin and fracture of multiple ribs. The categories and advantages of absorbable materials, and the indication and contraindication of absorbable retention pin for the treatment of fracture of multiple ribs were explored and underwent clinical verification. A total of 120 fractures of multiple ribs cases were treated with absorbable retention pin internal fixation; meanwhile, 80 cases of which underwent expectant treatment as controls.
RESULTS: Absorbable retention pin has good histocompatibility, the bending strength was slightly higher than human cortical bone, and there was no toxic side effect. Absorbable retention pin can be completely degraded 3 to 5 years, avoid the second surgery. Clinical verification demonstrated that the continuity of the recovery ribs, the breast bone durante dolors, and length of stay of patients with absorbable retention pin was significantly shorter than that of patients with expectant treatment (P < 0.01). At the same time, the number of cases of atelectasis, number of cases of thoracic deformity, number of cases of pleural effusion, and number of cases of pleural adhesions of patients with absorbable retention pin was less than that of patients with expectant treatment (P < 0.01).
CONCLUSION: Absorbable retention pin was applied to undergo retention for chest trauma caused by multiple sections of rib fractures. This method is simple, fewer complications, and reliable curative effect.