Operative Resection of a Chronic Flail Chest Nonunion Revealing Septic Pseudarthrosis: A Case Report.

Case report Chest wall resection Chronic pain Flail chest Fracture Fixation Pseudarthorsis

Journal

Journal of chest surgery
ISSN: 2765-1606
Titre abrégé: J Chest Surg
Pays: Korea (South)
ID NLM: 101775790

Informations de publication

Date de publication:
05 Nov 2023
Historique:
received: 28 03 2023
revised: 24 06 2023
accepted: 06 07 2023
medline: 12 9 2023
pubmed: 12 9 2023
entrez: 11 9 2023
Statut: ppublish

Résumé

We report a case of chest wall resection for painful chest wall nonunion, 5 years after traumatic flail chest and a first attempt at surgical treatment. The decision was made to perform surgery again after 2 years of unsuccessful well-conducted analgesic treatment. During surgery, we found the same sites of pseudarthrosis and decided to perform parietectomy of the fifth, sixth, and seventh ribs. A Gore-Tex patch was used to bridge the gap created by the resection. In immediate postoperative care, the patient's pain was quickly and sufficiently eased by stage 1 and 2 pain killers. The results of bone samples taken from the pseudarthrosis sites all found

Identifiants

pubmed: 37696779
pii: jcs.23.041
doi: 10.5090/jcs.23.041
pmc: PMC10625966
doi:

Types de publication

Case Reports

Langues

eng

Pagination

449-451

Références

J Orthop Trauma. 2017 Apr;31(4):229-235
pubmed: 27984454
Eur J Trauma Emerg Surg. 2020 Oct;46(5):1093-1097
pubmed: 30255295
Injury. 2018 Mar;49(3):599-603
pubmed: 29402425
Am J Surg. 2013 May;205(5):511-5; discusssion 515-6
pubmed: 23592156
J Cardiothorac Surg. 2019 Feb 27;14(1):45
pubmed: 30813961

Auteurs

Robin Deville (R)

Department of Thoracic and Vascular Surgery, Hôpital Tenon, Assistance Publique-Hôpitaux de Paris, Paris, France.

Justin Issard (J)

Department of Thoracic and Vascular Surgery, Hôpital Tenon, Assistance Publique-Hôpitaux de Paris, Paris, France.

Anna Vayssette (A)

Department of Thoracic and Vascular Surgery, Hôpital Tenon, Assistance Publique-Hôpitaux de Paris, Paris, France.

Jalal Assouad (J)

Department of Thoracic and Vascular Surgery, Hôpital Tenon, Assistance Publique-Hôpitaux de Paris, Paris, France.

Classifications MeSH