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Operative Treatment of Chest Wall Injuries: Indications, Technique, and Outcomes
Paul M. Lafferty, MD1; Jack Anavian, MD2; Ryan E. Will, MD3; Peter A. Cole, MD4
1 Orthopaedic Trauma, Cooper Bone & Joint Institute, 3 Cooper Plaza, Suite 408, Camden, NJ 08103
2 Department of Orthopaedic Surgery, Brown University Medical School, 593 Eddy Street, 1st Floor Co-op Building, Providence, RI 02903
3 Multicare Orthopaedic Surgery, 315 Martin Luther King Jr. Way, 3 Philip Pavilion, Tacoma, WA 98405
4 Division of Orthopaedic Trauma, Department of Orthopaedic Surgery, University of Minnesota-Regions Hospital, 640 Jackson Street, St. Paul, MN 55101. E-mail address: peter.a.cole@healthpartners.com
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Disclosure: The authors did not receive any outside funding or grants in support of their research for or preparation of this work. Neither they nor a member of their immediate families received payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity.

Investigation performed at University of Minnesota-Regions Hospital, St. Paul, Minnesota

Copyright © 2011 by The Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2011 Jan 05;93(1):97-110. doi: 10.2106/JBJS.I.00696
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Most injuries to the chest wall with residual deformity do not result in long-term respiratory dysfunction unless they are associated with pulmonary contusion.

Indications for operative fixation include flail chest, reduction of pain and disability, a chest wall deformity or defect, symptomatic nonunion, thoracotomy for other indications, and open fractures.

Operative indications for chest wall injuries are rare.

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