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1. Biomedical articles (top 50; 2010 to 2015)
1. Winge R, Berg JO, Albret R, Krag C: VAC® for external fixation of flail chest. Clin Pract; 2012 May 29;2(3):e65
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] VAC® for external fixation of flail chest.
  • A large aterior chest wall defect following tumor resection was reconstructed with a Gore-Tex® membrane and a combined musculocutaneous rectus femoris and tensor fasciae latae free flap.
  • Appliance of Vacuum Assisted Closure® (VAC®) resulted in immediate chest wall stability and a decrease in the patient's need for respiratory support.
  • It is likely that external VAC® can improve thoracic stability and pulmonary function in a patient with flail chest and decrease the need for mechanical ventilation.

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  • (PMID = 24765464.001).
  • [ISSN] 2039-7275
  • [Journal-full-title] Clinics and practice
  • [ISO-abbreviation] Clin Pract
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Italy
  • [Other-IDs] NLM/ PMC3981318
  • [Keywords] NOTNLM ; flail chest. / thoracic wall reconstruction
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2. Yang Y, Dong LW, Wang J: Memory alloy embracing fixator in treatment of multiple fractured ribs and flail chest. World J Emerg Med; 2010;1(3):212-5
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Memory alloy embracing fixator in treatment of multiple fractured ribs and flail chest.
  • The present study was to explore curative effect and postoperative results of Ti-Ni shape memory alloy embracing fixator in patients with multiple fractured ribs and flail chest.
  • METHODS: The curative effect and long-term follow-up results were observed after internal fixation with a shape memory alloy embracing fixator in patients with multiple fractured ribs and flail chest from January 2006 to December 2009.

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  • (PMID = 25214971.001).
  • [ISSN] 1920-8642
  • [Journal-full-title] World journal of emergency medicine
  • [ISO-abbreviation] World J Emerg Med
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] China
  • [Other-IDs] NLM/ PMC4129686
  • [Keywords] NOTNLM ; Flail chest / Internal fixation / Multiple fractured ribs / Postoperative evaluation
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3. Lee SA, Hwang JJ, Chee HK, Kim YH, Lee WS: Flail chest stabilization with Nuss operation in presence of multiple myeloma. J Thorac Dis; 2014 May;6(5):E43-7
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Flail chest stabilization with Nuss operation in presence of multiple myeloma.
  • However, much debate and concern have been raised regarding its applicability in adults with pectus excavatum flail chest and other thoratic wall deformities, as compared with younger patients, in terms of complications after surgery.
  • To stabilize the segment of paradoxical chest wall movement we performed the Nuss operation on a patient with multiple myeloma who sustained blunt thoracic trauma.

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  • (PMID = 24822124.001).
  • [ISSN] 2072-1439
  • [Journal-full-title] Journal of thoracic disease
  • [ISO-abbreviation] J Thorac Dis
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] China
  • [Other-IDs] NLM/ PMC4015001
  • [Keywords] NOTNLM ; Flail chest / Nuss operation / multiple myeloma
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4. 'Flail Chest Open': Top Publications. BioMedLib Review OC; ;FlailChestOpen:708815857. ISSN: 2331-5717. 2015/11/9; updates online.
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  • [Title] 'Flail Chest Open': Top Publications.
  • [Transliterated title]
  • Background: There are articles published each month which present 'flail chest open'.
  • Finding such articles is important for researchers, clinicians, and patients.
  • However these articles are spread across thousands of journals.
  • This makes searching and locating the relevant publications a challenge.
  • We have used BioMedLib's semantic search technology to address the issue, and gathered all the pertinent publications in this review article.
  • Methods: We categorized the publications we found into two groups.
  • We used the strength of textual-association to separate the groups.
  • In group one there are publications with the strongest evidence of association. We focused finding the most relevant publications pertinent to our goal, rather than combining them into a conclusion section. Such textual synthesis will be the focus of our next project.
  • Results: Group one includes 3 publications, and group two 58 publications.
  • Here is the first one.
  • Balci AE et al: Open fixation in flail chest: review of 64 patients.

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  • [Copyright] Copyright 2015 Siadaty and Cooper; licensee BioMedLib LLC.
  • (UID = 708815857.001).
  • [ISSN] 2331-5717
  • [Journal-full-title] BioMedLib Review OC
  • [Language] eng
  • [Publication-type] Review
  • [Publication-country] UNITED STATES
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5. Jayle CP, Allain G, Ingrand P, Laksiri L, Bonnin E, Hajj-Chahine J, Mimoz O, Corbi P: Flail chest in polytraumatized patients: surgical fixation using Stracos reduces ventilator time and hospital stay. Biomed Res Int; 2015;2015:624723
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Flail chest in polytraumatized patients: surgical fixation using Stracos reduces ventilator time and hospital stay.
  • OBJECTIVES: Conservative management of patients with flail chest is the treatment of choice.
  • METHODS: Between April 2010 and April 2011, ten polytraumatized patients undergoing rib stabilization for flail chest were matched 1 : 1 to 10 control patients by age ±10 years, sex, neurological or vertebral trauma, abdominal injury, and arm and leg fractures.

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  • [Cites] Eur J Cardiothorac Surg. 2001 Sep;20(3):496-501 [11509269.001]
  • [Cites] J Trauma. 2002 Apr;52(4):727-32; discussion 732 [11956391.001]
  • [Cites] J Trauma. 1984 May;24(5):410-4 [6716518.001]
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  • [Cites] World J Surg. 2009 Jan;33(1):14-22 [18949513.001]
  • [Cites] J Trauma. 2009 Mar;66(3):875-9 [19276767.001]
  • [Cites] Am Surg. 2009 May;75(5):389-94 [19445289.001]
  • [Cites] J Trauma. 2011 Dec;71(6):1750-4 [22182884.001]
  • [Cites] Am Surg. 2012 Apr;78(4):398-402 [22472394.001]
  • [Cites] J Am Coll Surg. 2012 Aug;215(2):201-5 [22560319.001]
  • [Cites] Eur J Cardiothorac Surg. 2012 Sep;42(3):444-53 [22390984.001]
  • (PMID = 25710011.001).
  • [ISSN] 2314-6141
  • [Journal-full-title] BioMed research international
  • [ISO-abbreviation] Biomed Res Int
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
  • [Other-IDs] NLM/ PMC4331314
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6. 'Closed Flail Chest': Top Publications. BioMedLib Review OC; ;ClosedFlailChest:708815828. ISSN: 2331-5717. 2015/4/9; updates online.
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  • [Title] 'Closed Flail Chest': Top Publications.
  • [Transliterated title]
  • Background: There are articles published each month which present 'closed flail chest'.
  • Finding such articles is important for researchers, clinicians, and patients.
  • However these articles are spread across thousands of journals.
  • This makes searching and locating the relevant publications a challenge.
  • We have used BioMedLib's semantic search technology to address the issue, and gathered all the pertinent publications in this review article.
  • Methods: We categorized the publications we found into two groups.
  • We used the strength of textual-association to separate the groups.
  • In group one there are publications with the strongest evidence of association. We focused finding the most relevant publications pertinent to our goal, rather than combining them into a conclusion section. Such textual synthesis will be the focus of our next project.
  • Results: Group one includes 3 publications, and group two 45 publications.
  • Here is the first one.
  • Yadav SN: Flail chest in closed chest trauma.

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  • [Copyright] Copyright 2015 Siadaty and Cooper; licensee BioMedLib LLC.
  • (UID = 708815828.001).
  • [ISSN] 2331-5717
  • [Journal-full-title] BioMedLib Review OC
  • [Language] eng
  • [Publication-type] Review
  • [Publication-country] UNITED STATES
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7. Lozano-Corona R, Loyola-Garcia U, Partida IC, Rodriguez-Ortega F: Successful treatment of flail chest with chondrosternal disruption and traumatic parasternal lung hernia with titanium rib bridges. BMJ Case Rep; 2013;2013
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Successful treatment of flail chest with chondrosternal disruption and traumatic parasternal lung hernia with titanium rib bridges.
  • The surgical principles for the treatment of flail chest have yet to be fully established.
  • Furthermore, the relationship between flail chest and lung hernias is unclear.
  • We report here a rare case of chondrosternal traumatic disruption and lung hernia that was treated with a novel technique using titanium rib bridges and clips, which successfully reduced the hernia defect and provided stability to the chest wall.
  • [MeSH-major] Flail Chest / surgery. Herniorrhaphy / methods. Prostheses and Implants. Thoracic Wall / surgery

  • HSDB. TITANIUM .
  • HSDB. TITANIUM .
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  • [Cites] Crit Care Med. 2010 Sep;38(9 Suppl):S469-77 [20724880.001]
  • [Cites] Eur J Cardiothorac Surg. 2010 Oct;38(4):466-71 [20363148.001]
  • [Cites] J Orthop Trauma. 2011 Nov;25(11):641-7 [22008858.001]
  • [Cites] J Am Coll Surg. 2013 Feb;216(2):302-11.e1 [23219148.001]
  • [Cites] J Am Coll Surg. 2013 May;216(5):924-32 [23415550.001]
  • [Cites] J Trauma. 1990 Dec;30(12):1460-8 [2258956.001]
  • [Cites] Ann Thorac Surg. 1998 Apr;65(4):1150-1 [9564952.001]
  • [Cites] Ann Thorac Surg. 2009 May;87(5):e46-8 [19379855.001]
  • [Cites] Ann Thorac Surg. 2009 Sep;88(3):1034-5 [19699960.001]
  • [Cites] Eur J Cardiothorac Surg. 2010 Mar;37(3):737 [19815423.001]
  • (PMID = 23608852.001).
  • [ISSN] 1757-790X
  • [Journal-full-title] BMJ case reports
  • [ISO-abbreviation] BMJ Case Rep
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] England
  • [Chemical-registry-number] D1JT611TNE / Titanium
  • [Other-IDs] NLM/ PMC3645800
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8. Athanassiadi K, Theakos N, Kalantzi N, Gerazounis M: Prognostic factors in flail-chest patients. Eur J Cardiothorac Surg; 2010 Oct;38(4):466-71
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Prognostic factors in flail-chest patients.
  • OBJECTIVE: The records of 250 patients presenting with flail-chest injury in a level I trauma centre were reviewed and analysed in order to determine prognostic factors.
  • METHODS: There were 250 consecutive trauma patients with flail chest, 183 men (73.2%) and 67 women (26.8%) ranging in age from 18 to 91 years, admitted to our hospital.
  • Patients were divided into three groups: group I consisted of 105 patients (70/35) with an isolated flail chest (Injury Severity Score (ISS): 16); group II included 58 cases (48/10) with extrathoracic fractures (ISS: 25-30); and group III comprised 87 patients (65/22) with injuries to the brain or to thoracic or abdominal organs requiring thoracotomy and/or laparotomy (ISS: >40).
  • (1) ISS is the strongest predictor of outcome associated with increased mortality; and (2) mechanical support was not considered a necessity for the treatment of flail chest.
  • [MeSH-major] Flail Chest / diagnosis
  • [MeSH-minor] Accidents, Traffic. Adolescent. Adult. Aged. Aged, 80 and over. Drainage. Epidemiologic Methods. Female. Hemopneumothorax / etiology. Humans. Injury Severity Score. Male. Middle Aged. Multiple Trauma / diagnosis. Multiple Trauma / therapy. Prognosis. Respiration, Artificial. Thoracic Injuries / pathology. Thoracotomy. Treatment Outcome. Young Adult

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  • [Copyright] Copyright © 2010 European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved.
  • [CommentIn] Eur J Cardiothorac Surg. 2012 Jul;42(1):192 [22290914.001]
  • (PMID = 20363148.001).
  • [ISSN] 1873-734X
  • [Journal-full-title] European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery
  • [ISO-abbreviation] Eur J Cardiothorac Surg
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Germany
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9. Vana PG, Neubauer DC, Luchette FA: Contemporary management of flail chest. Am Surg; 2014 Jun;80(6):527-35
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Contemporary management of flail chest.
  • Flail chest, as defined by fracture of three or more ribs in two or more places, continues to be a clinically challenging problem.
  • We review the history of management for flail chest alone and when combined with pulmonary contusion.
  • [MeSH-major] Disease Management. Flail Chest. Fracture Fixation, Internal / methods. Rib Fractures

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  • (PMID = 24887787.001).
  • [ISSN] 1555-9823
  • [Journal-full-title] The American surgeon
  • [ISO-abbreviation] Am Surg
  • [Language] eng
  • [Publication-type] Journal Article; Review
  • [Publication-country] United States
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10. Poirier WJ, Vacca VM Jr: Flail chest. Nursing; 2013 Dec;43(12):10-1
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Flail chest.
  • [MeSH-major] Emergency Nursing. Flail Chest / nursing

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  • (PMID = 24257520.001).
  • [ISSN] 1538-8689
  • [Journal-full-title] Nursing
  • [ISO-abbreviation] Nursing
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] United States
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11. Cannon RM, Smith JW, Franklin GA, Harbrecht BG, Miller FB, Richardson JD: Flail chest injury: are we making any progress? Am Surg; 2012 Apr;78(4):398-402
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Flail chest injury: are we making any progress?
  • Flail chest represents a severe injury with mortality historically reported at up to 30 per cent.
  • With Institutional Review Board approval, a retrospective review of all patients with flail chest admitted from January 2001 through May 2010 was undertaken.
  • There were 41 deaths (25%), for which flail chest contributed to 15 (9.1%).
  • Of the patients with flail chest-related death, the majority (n = 10 [66.7%]) died within 48 hours of presentation.
  • There were only five deaths (3.0%) related to flail chest after 48 hours.
  • The mortality associated with flail chest has greatly improved; however, the rate of pneumonia remains high.
  • [MeSH-major] Flail Chest / mortality

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  • (PMID = 22472394.001).
  • [ISSN] 1555-9823
  • [Journal-full-title] The American surgeon
  • [ISO-abbreviation] Am Surg
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
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12. Kilic D, Findikcioglu A, Akin S, Akay TH, Kupeli E, Aribogan A, Hatipoglu A: Factors affecting morbidity and mortality in flail chest: comparison of anterior and lateral location. Thorac Cardiovasc Surg; 2011 Feb;59(1):45-8
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Factors affecting morbidity and mortality in flail chest: comparison of anterior and lateral location.
  • OBJECTIVE: Flail chest is most often accompanied by significant underlying pulmonary parenchymal injuries and may constitute a life-threatening thoracic injury.
  • In this study we evaluated the treatment modalities for flail chest depending on the effect of trauma localization on mortality and morbidity.
  • METHODS: Between 2003 and 2008, 23 patients (20 males/3 females) were treated for flail chest.
  • Location of the trauma in the chest wall, mechanical ventilation support, prognosis and injury severity score (ISS) were recorded for all patients.
  • RESULTS: The major cause of flail chest was a car crash in 18 of 23 patients (76 %).
  • The patients with flail chest who had bilateral costochondral separation (anterior chest location) (group I, n = 10) had a significantly higher ISS than those with single-side posterolateral flail chest (group II, n = 13; ISS: 70/55; P = 0.02).
  • Patients with a cranial trauma and flail chest had a higher mortality (19 %) than patients with only flail chest (no mortality).
  • The mean ISS was 75 for patients with cranial trauma and flail chest and 55.7 ( P = 0.001) for patients with only flail chest.
  • CONCLUSION: Early intubation and mechanical ventilation is of paramount importance in patients with flail chest.
  • Advanced age was a major risk factor for flail chest trauma mortality, together with the severity of the injury.
  • When cranial trauma was accompanied by flail chest, mortality and morbidity rates increased.
  • Bilateral costochondral separation also increased the risk of morbidity and the need for mechanical ventilation in patients with flail chest.
  • [MeSH-major] Flail Chest / mortality. Flail Chest / pathology. Thoracic Surgical Procedures

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  • [Copyright] © Georg Thieme Verlag KG Stuttgart · New York.
  • (PMID = 21243572.001).
  • [ISSN] 1439-1902
  • [Journal-full-title] The Thoracic and cardiovascular surgeon
  • [ISO-abbreviation] Thorac Cardiovasc Surg
  • [Language] eng
  • [Publication-type] Comparative Study; Journal Article
  • [Publication-country] Germany
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13. Ke S, Duan H, Cai Y, Kang J, Feng Z: Thoracoscopy-assisted minimally invasive surgical stabilization of the anterolateral flail chest using Nuss bars. Ann Thorac Surg; 2014 Jun;97(6):2179-82
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Thoracoscopy-assisted minimally invasive surgical stabilization of the anterolateral flail chest using Nuss bars.
  • Flail chest is caused by complex fractures of multiple ribs as a result of severe chest injuries, which results in paradoxical chest movements that severely compromise respiratory function.
  • We report our experience of thoracoscopically assisted, minimally invasive surgical stabilization of massive anterolateral flail chest using a Nuss bar in three patients.
  • [MeSH-major] Flail Chest / surgery. Minimally Invasive Surgical Procedures / methods. Orthopedic Procedures. Thoracoscopy / methods

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  • [Copyright] Copyright © 2014 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
  • (PMID = 24882301.001).
  • [ISSN] 1552-6259
  • [Journal-full-title] The Annals of thoracic surgery
  • [ISO-abbreviation] Ann. Thorac. Surg.
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] Netherlands
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14. Marasco SF, Davies AR, Cooper J, Varma D, Bennett V, Nevill R, Lee G, Bailey M, Fitzgerald M: Prospective randomized controlled trial of operative rib fixation in traumatic flail chest. J Am Coll Surg; 2013 May;216(5):924-32
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Prospective randomized controlled trial of operative rib fixation in traumatic flail chest.
  • BACKGROUND: Traumatic flail chest injury is a potentially life threatening condition traditionally treated with invasive mechanical ventilation to splint the chest wall.
  • STUDY DESIGN: A prospective randomized study compared operative fixation of fractured ribs in the flail segment with current best practice mechanical ventilator management.
  • CONCLUSIONS: Operative fixation of fractured ribs reduces ventilation requirement and intensive care stay in a cohort of multitrauma patients with severe flail chest injury.
  • [MeSH-major] Flail Chest / etiology. Flail Chest / surgery. Fracture Fixation, Internal. Rib Fractures / etiology. Rib Fractures / surgery. Thoracic Injuries / complications

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  • [Copyright] Crown Copyright © 2013. Published by Elsevier Inc. All rights reserved.
  • (PMID = 23415550.001).
  • [ISSN] 1879-1190
  • [Journal-full-title] Journal of the American College of Surgeons
  • [ISO-abbreviation] J. Am. Coll. Surg.
  • [Language] eng
  • [Publication-type] Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't
  • [Publication-country] United States
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15. 'Flail Chest Disorder': Top Publications. BioMedLib Review OC; ;FlailChestDisorder:710293092. ISSN: 2331-5717. 2015/12/17; updates online.
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  • [Title] 'Flail Chest Disorder': Top Publications.
  • [Transliterated title]
  • Background: There are articles published each month which present 'flail chest disorder'.
  • Finding such articles is important for researchers, clinicians, and patients.
  • However these articles are spread across thousands of journals.
  • This makes searching and locating the relevant publications a challenge.
  • We have used BioMedLib's semantic search technology to address the issue, and gathered all the pertinent publications in this review article.
  • Methods: We categorized the publications we found into two groups.
  • We used the strength of textual-association to separate the groups.
  • In group one there are publications with the strongest evidence of association. We focused finding the most relevant publications pertinent to our goal, rather than combining them into a conclusion section. Such textual synthesis will be the focus of our next project.
  • Results: Group one includes 24 publications, and group two 196 publications.
  • Here are the top 10.
  • Jayle CP et al: Flail chest in polytraumatized patients: surgical fixation using Stracos reduces ventilator time and hospital stay.
  • Kulaylat AN et al: Successful operative rib fixation of traumatic flail chest in a patient with osteogenesis imperfecta.
  • Lee SA et al: Flail chest stabilization with Nuss operation in presence of multiple myeloma.
  • Doben AR et al: Surgical rib fixation for flail chest deformity improves liberation from mechanical ventilation.
  • Cooper IF et al: 'Quantitative Concepts' associated with 'Chest Flailed': Top Publications.
  • Vana PG et al: Contemporary management of flail chest.
  • Cooper IF et al: 'Manufactured Objects' associated with 'Chest Flailed': Top Publications.
  • Ke S et al: Thoracoscopy-assisted minimally invasive surgical stabilization of the anterolateral flail chest using Nuss bars.
  • Marasco S et al: Analysis of bone healing in flail chest injury: do we need to fix both fractures per rib?.
  • Messing JA et al: Successful management of severe flail chest via early operative intervention.

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  • [Copyright] Copyright 2015 Siadaty and Cooper; licensee BioMedLib LLC.
  • (UID = 710293092.001).
  • [ISSN] 2331-5717
  • [Journal-full-title] BioMedLib Review OC
  • [Language] eng
  • [Publication-type] Review
  • [Publication-country] UNITED STATES
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16. 'Flail Chest': Top Publications. BioMedLib Review OC; ;FlailChest:710293054. ISSN: 2331-5717. 2015/7/17; updates online.
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  • [Title] 'Flail Chest': Top Publications.
  • [Transliterated title]
  • Background: There are articles published each month which present 'flail chest'.
  • Finding such articles is important for researchers, clinicians, and patients.
  • However these articles are spread across thousands of journals.
  • This makes searching and locating the relevant publications a challenge.
  • We have used BioMedLib's semantic search technology to address the issue, and gathered all the pertinent publications in this review article.
  • Methods: We categorized the publications we found into two groups.
  • We used the strength of textual-association to separate the groups.
  • In group one there are publications with the strongest evidence of association. We focused finding the most relevant publications pertinent to our goal, rather than combining them into a conclusion section. Such textual synthesis will be the focus of our next project.
  • Results: Group one includes 24 publications, and group two 196 publications.
  • Here are the top 10.
  • Lee SA et al: Flail chest stabilization with Nuss operation in presence of multiple myeloma.
  • Jayle CP et al: Flail chest in polytraumatized patients: surgical fixation using Stracos reduces ventilator time and hospital stay.
  • Kulaylat AN et al: Successful operative rib fixation of traumatic flail chest in a patient with osteogenesis imperfecta.
  • Cooper IF et al: 'Quantitative Concepts' associated with 'Chest Flailed': Top Publications.
  • Doben AR et al: Surgical rib fixation for flail chest deformity improves liberation from mechanical ventilation.
  • Vana PG et al: Contemporary management of flail chest.
  • Ke S et al: Thoracoscopy-assisted minimally invasive surgical stabilization of the anterolateral flail chest using Nuss bars.
  • Cooper IF et al: 'Diseases or Syndromes' associated with 'Chest Flailed': Top Publications.
  • Messing JA et al: Successful management of severe flail chest via early operative intervention.
  • Kim JJ et al: Nuss procedure for severe flail chest after blunt trauma.

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  • [Copyright] Copyright 2015 Siadaty and Cooper; licensee BioMedLib LLC.
  • (UID = 710293054.001).
  • [ISSN] 2331-5717
  • [Journal-full-title] BioMedLib Review OC
  • [Language] eng
  • [Publication-type] Review
  • [Publication-country] UNITED STATES
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17. Zehr M, Klar N, Malthaner RA: Risk Score for Predicting Mortality in Flail Chest. Ann Thorac Surg; 2015 Jul;100(1):223-8
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Risk Score for Predicting Mortality in Flail Chest.
  • BACKGROUND: Flail chest injuries are associated with high mortality and morbidity.
  • Despite evidence that operative repair of flail chest is beneficial, it is rarely done.
  • We sought to create a simple risk score using available preoperative covariates to calculate individual risk of mortality in flail chest.
  • CONCLUSIONS: We have developed a simple model that can be easily applied at bedside to predict mortality in patients with flail chest by accessing a spreadsheet program in an application or other handheld computer device.
  • This model has the potential to be a useful tool for surgeons considering operative repair of flail chest.

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  • [Copyright] Copyright © 2015 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
  • (PMID = 26037539.001).
  • [ISSN] 1552-6259
  • [Journal-full-title] The Annals of thoracic surgery
  • [ISO-abbreviation] Ann. Thorac. Surg.
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Netherlands
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18. 'Flail Chest Diagnosis': Top Publications. BioMedLib Review OC; ;FlailChestDiagnosis:710293078. ISSN: 2331-5717. 2015/11/17; updates online.
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  • [Title] 'Flail Chest Diagnosis': Top Publications.
  • [Transliterated title]
  • Background: There are articles published each month which present 'flail chest diagnosis'.
  • Finding such articles is important for researchers, clinicians, and patients.
  • However these articles are spread across thousands of journals.
  • This makes searching and locating the relevant publications a challenge.
  • We have used BioMedLib's semantic search technology to address the issue, and gathered all the pertinent publications in this review article.
  • Methods: We categorized the publications we found into two groups.
  • We used the strength of textual-association to separate the groups.
  • In group one there are publications with the strongest evidence of association. We focused finding the most relevant publications pertinent to our goal, rather than combining them into a conclusion section. Such textual synthesis will be the focus of our next project.
  • Results: Group one includes 24 publications, and group two 196 publications.
  • Here are the top 10.
  • Jayle CP et al: Flail chest in polytraumatized patients: surgical fixation using Stracos reduces ventilator time and hospital stay.
  • Lee SA et al: Flail chest stabilization with Nuss operation in presence of multiple myeloma.
  • Kulaylat AN et al: Successful operative rib fixation of traumatic flail chest in a patient with osteogenesis imperfecta.
  • Ke S et al: Thoracoscopy-assisted minimally invasive surgical stabilization of the anterolateral flail chest using Nuss bars.
  • Vana PG et al: Contemporary management of flail chest.
  • Doben AR et al: Surgical rib fixation for flail chest deformity improves liberation from mechanical ventilation.
  • Cooper IF et al: 'Manufactured Objects' associated with 'Chest Flailed': Top Publications.
  • Marasco S et al: Analysis of bone healing in flail chest injury: do we need to fix both fractures per rib?.
  • Messing JA et al: Successful management of severe flail chest via early operative intervention.
  • Kim JJ et al: Nuss procedure for severe flail chest after blunt trauma.

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  • [Copyright] Copyright 2015 Siadaty and Cooper; licensee BioMedLib LLC.
  • (UID = 710293078.001).
  • [ISSN] 2331-5717
  • [Journal-full-title] BioMedLib Review OC
  • [Language] eng
  • [Publication-type] Review
  • [Publication-country] UNITED STATES
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19. 'Flail Chest Disease Finding': Top Publications. BioMedLib Review OC; ;FlailChestDisease:710293066. ISSN: 2331-5717. 2015/7/17; updates online.
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  • [Title] 'Flail Chest Disease Finding': Top Publications.
  • [Transliterated title]
  • Background: There are articles published each month which present 'flail chest disease finding'.
  • Finding such articles is important for researchers, clinicians, and patients.
  • However these articles are spread across thousands of journals.
  • This makes searching and locating the relevant publications a challenge.
  • We have used BioMedLib's semantic search technology to address the issue, and gathered all the pertinent publications in this review article.
  • Methods: We categorized the publications we found into two groups.
  • We used the strength of textual-association to separate the groups.
  • In group one there are publications with the strongest evidence of association. We focused finding the most relevant publications pertinent to our goal, rather than combining them into a conclusion section. Such textual synthesis will be the focus of our next project.
  • Results: Group one includes 24 publications, and group two 196 publications.
  • Here are the top 10.
  • Jayle CP et al: Flail chest in polytraumatized patients: surgical fixation using Stracos reduces ventilator time and hospital stay.
  • Kulaylat AN et al: Successful operative rib fixation of traumatic flail chest in a patient with osteogenesis imperfecta.
  • Lee SA et al: Flail chest stabilization with Nuss operation in presence of multiple myeloma.
  • Cooper IF et al: 'Manufactured Objects' associated with 'Chest Flailed': Top Publications.
  • Cooper IF et al: 'Quantitative Concepts' associated with 'Chest Flailed': Top Publications.
  • Vana PG et al: Contemporary management of flail chest.
  • Doben AR et al: Surgical rib fixation for flail chest deformity improves liberation from mechanical ventilation.
  • Ke S et al: Thoracoscopy-assisted minimally invasive surgical stabilization of the anterolateral flail chest using Nuss bars.
  • Marasco S et al: Analysis of bone healing in flail chest injury: do we need to fix both fractures per rib?.
  • Messing JA et al: Successful management of severe flail chest via early operative intervention.

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  • [Copyright] Copyright 2015 Siadaty and Cooper; licensee BioMedLib LLC.
  • (UID = 710293066.001).
  • [ISSN] 2331-5717
  • [Journal-full-title] BioMedLib Review OC
  • [Language] eng
  • [Publication-type] Review
  • [Publication-country] UNITED STATES
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20. Messing JA, Gall V, Sarani B: Successful management of severe flail chest via early operative intervention. J Trauma Nurs; 2014 Mar-Apr;21(2):83-5
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Successful management of severe flail chest via early operative intervention.
  • A review on the role of open reduction and internal fixation of flail chest injuries is presented.
  • Through our case, we are able to demonstrate successful management of pain and chest wall instability associated with flail chest through the use of rib plating.
  • [MeSH-major] Early Medical Intervention / methods. Flail Chest / surgery. Fracture Fixation / methods. Rib Fractures / surgery
  • [MeSH-minor] Accidents, Traffic. Adult. Bone Plates. Female. Follow-Up Studies. Glasgow Coma Scale. Humans. Injury Severity Score. Multiple Trauma / diagnosis. Multiple Trauma / therapy. Respiration, Artificial / methods. Trauma Centers. Treatment Outcome

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  • (PMID = 24614298.001).
  • [ISSN] 1078-7496
  • [Journal-full-title] Journal of trauma nursing : the official journal of the Society of Trauma Nurses
  • [ISO-abbreviation] J Trauma Nurs
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] United States
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21. Doben AR, Eriksson EA, Denlinger CE, Leon SM, Couillard DJ, Fakhry SM, Minshall CT: Surgical rib fixation for flail chest deformity improves liberation from mechanical ventilation. J Crit Care; 2014 Feb;29(1):139-43
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Surgical rib fixation for flail chest deformity improves liberation from mechanical ventilation.
  • PURPOSE: The goal of this study was to determine the impact of surgical rib fixation (SRF) in a treatment protocol for severe blunt chest trauma.
  • MATERIALS AND METHODS: Patients with flail chest admitted between September 2009 and June 2010 to our level I trauma center who failed traditional management and underwent SRF were matched with an historical group.
  • CONCLUSIONS: Surgical rib fixation resulted in a significant decrease in ventilator days and may represent a novel approach to decreasing morbidity in flail chest patients when used as a rescue therapy in patients with declining pulmonary status.
  • [MeSH-major] Flail Chest / surgery. Fracture Fixation, Internal / methods. Respiration, Artificial / methods. Rib Fractures / surgery. Wounds, Nonpenetrating / surgery

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  • [Copyright] © 2013.
  • (PMID = 24075300.001).
  • [ISSN] 1557-8615
  • [Journal-full-title] Journal of critical care
  • [ISO-abbreviation] J Crit Care
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
  • [Keywords] NOTNLM ; Flail chest / Mechanical ventilation / Outcome / Rib fracture / Surgical rib fixation / Trauma
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22. Althausen PL, Shannon S, Watts C, Thomas K, Bain MA, Coll D, O'mara TJ, Bray TJ: Early surgical stabilization of flail chest with locked plate fixation. J Orthop Trauma; 2011 Nov;25(11):641-7
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Early surgical stabilization of flail chest with locked plate fixation.
  • OBJECTIVES: To compare the results of surgical stabilization with locked plating to nonoperative care of flail chest injuries.
  • PATIENTS/PARTICIPANTS: From January 2005 to January 2010, 22 patients with flail chest treated with locked plate fixation were compared with a matched cohort of 28 nonoperatively managed patients at our institution.
  • CONCLUSIONS: This study demonstrates the potential benefits of surgical stabilization of flail chest with locked plate fixation.
  • [MeSH-major] Bone Plates. Flail Chest / surgery. Fracture Fixation, Internal / instrumentation. Fracture Fixation, Internal / methods. Multiple Trauma / therapy

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  • (PMID = 22008858.001).
  • [ISSN] 1531-2291
  • [Journal-full-title] Journal of orthopaedic trauma
  • [ISO-abbreviation] J Orthop Trauma
  • [Language] eng
  • [Publication-type] Comparative Study; Journal Article
  • [Publication-country] United States
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23. Bhatnagar A, Mayberry J, Nirula R: Rib fracture fixation for flail chest: what is the benefit? J Am Coll Surg; 2012 Aug;215(2):201-5
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Rib fracture fixation for flail chest: what is the benefit?
  • BACKGROUND: Recently, rib fracture fixation for flail chest has been used increasingly at both academic and nonacademic trauma centers.
  • We therefore sought to determine if open reduction and internal fixation of ribs for flail chest (ORIF-FC) represents a cost-effective means for managing these patients.
  • STUDY DESIGN: A Markov transition state analysis was performed modeling the outcomes of the standard of care or ORIF-FC for flail chest.
  • CONCLUSIONS: Despite the additional cost of surgery, rib fracture fixation dominates the standard of care and should be considered in the management of appropriate flail chest patients.
  • [MeSH-major] Flail Chest / surgery. Fracture Fixation, Internal / economics. Rib Fractures / surgery

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  • [Copyright] Copyright © 2012 American College of Surgeons. Published by Elsevier Inc. All rights reserved.
  • [CommentIn] J Am Coll Surg. 2012 Nov;215(5):743-4 [23084501.001]
  • (PMID = 22560319.001).
  • [ISSN] 1879-1190
  • [Journal-full-title] Journal of the American College of Surgeons
  • [ISO-abbreviation] J. Am. Coll. Surg.
  • [Language] eng
  • [Publication-type] Evaluation Studies; Journal Article
  • [Publication-country] United States
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24. Zhang Y, Tang X, Xie H, Wang RL: Comparison of surgical fixation and nonsurgical management of flail chest and pulmonary contusion. Am J Emerg Med; 2015 Jul;33(7):937-40
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Comparison of surgical fixation and nonsurgical management of flail chest and pulmonary contusion.
  • OBJECTIVE: The objective of this study is to compare the clinical efficacy of surgical fixation and nonsurgical management of flail chest and pulmonary contusion (FC-PC) and to compare the diverse timings of surgery to discuss case management in FC-PC.

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  • [Copyright] Copyright © 2015 Elsevier Inc. All rights reserved.
  • (PMID = 25910672.001).
  • [ISSN] 1532-8171
  • [Journal-full-title] The American journal of emergency medicine
  • [ISO-abbreviation] Am J Emerg Med
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
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25. 'Respiratory Movements Flail Chest': Top Publications. BioMedLib Review CN; ;RespiratoryMovementsFlail:708593814. ISSN: 2331-5717. 2015/10/14; updates online.
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  • [Title] 'Respiratory Movements Flail Chest': Top Publications.
  • [Transliterated title]
  • Background: There are articles published each month which present 'respiratory movements flail chest'.
  • Finding such articles is important for researchers, clinicians, and patients.
  • However these articles are spread across thousands of journals.
  • This makes searching and locating the relevant publications a challenge.
  • We have used BioMedLib's semantic search technology to address the issue, and gathered all the pertinent publications in this review article.
  • Methods: We categorized the publications we found.
  • We used the strength of textual-association to separate the groups.
  • In group one there are publications with the strongest evidence of association. We focused finding the most relevant publications pertinent to our goal, rather than combining them into a conclusion section. Such textual synthesis will be the focus of our next project.
  • Results: Group one includes 4 publications.
  • Here are the top 2.
  • Piastra M et al: Noninvasive ventilation in large postoperative flail chest.
  • Ke S et al: Thoracoscopy-assisted minimally invasive surgical stabilization of the anterolateral flail chest using Nuss bars.

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  • [Copyright] Copyright 2015 Siadaty and Cooper; licensee BioMedLib LLC.
  • (UID = 708593814.001).
  • [ISSN] 2331-5717
  • [Journal-full-title] BioMedLib Review CN
  • [Language] eng
  • [Publication-type] Review
  • [Publication-country] UNITED STATES
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26. Kim JJ, Kim YH, Moon SW, Choi SY, Jeong SC: Nuss procedure for severe flail chest after blunt trauma. Ann Thorac Surg; 2015 Feb;99(2):e25-7
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Nuss procedure for severe flail chest after blunt trauma.
  • Flail chest is a life-threatening condition that occurs when 3 or more consecutive ribs are segmentally fractured due to severe trauma and become detached from the rest of the thoracic cage.
  • Flail chest is usually associated with other intrathoracic injuries, including pulmonary contusion, which can result in respiratory failure.
  • We present a case of a 44-year-old man who was hit by a truck and a forklift resulting in multiple rib fractures bilaterally, and bilateral hemopneumothorax along with left chest wall depression and severe flail chest.
  • The Nuss procedure was performed for both stabilization of severe flail chest and elevation of the depressed chest wall.
  • [MeSH-major] Flail Chest / etiology. Flail Chest / surgery. Fracture Fixation / methods. Wounds, Nonpenetrating / complications

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  • [Copyright] Copyright © 2015 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
  • (PMID = 25639439.001).
  • [ISSN] 1552-6259
  • [Journal-full-title] The Annals of thoracic surgery
  • [ISO-abbreviation] Ann. Thorac. Surg.
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] Netherlands
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27. Dutta B, Kashyap L: Pneumatic stabilization of iatrogenic flail chest with CPAP: a case report. Acta Anaesthesiol Belg; 2010;61(1):25-8
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Pneumatic stabilization of iatrogenic flail chest with CPAP: a case report.
  • Iatrogenic flail chest following resection of part of the chest wall in postoperative patients is a challenging scenario for the anesthetist.
  • We describe the management of postoperative flail chest, following resection of upper two-third of the sternum along with costal cartilages for a malignant thymoma invading the sternum in an adult male with the use of continuous epidural analgesia and continuous positive airway pressure (CPAP), which provided pneumatic stabilization and an excellent recovery.
  • [MeSH-major] Continuous Positive Airway Pressure. Flail Chest / therapy. Thoracic Surgical Procedures / adverse effects

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  • (PMID = 20593640.001).
  • [ISSN] 0001-5164
  • [Journal-full-title] Acta anaesthesiologica Belgica
  • [ISO-abbreviation] Acta Anaesthesiol Belg
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] Belgium
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28. Dunlop RL, Tiong W, Veerasingam D, Kelly JL: Novel use of hand fracture fixation plates in the surgical stabilisation of flail chest. J Plast Reconstr Aesthet Surg; 2010 Jan;63(1):e51-3
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Novel use of hand fracture fixation plates in the surgical stabilisation of flail chest.
  • In this case, we performed surgical stabilisation of a large flail chest fragment in conjunction with the cardiothoracic surgical team, using the mini-plating set more commonly used for hand fracture fixation.
  • The use of this fixation system for flail chest has not previously been described, but offers advantages over other reported methods, primarily by dispensing with the need for an extensive thoracotomy incision and by providing robust stabilisation without the presence of prominent hardware.
  • [MeSH-major] Bone Plates. Flail Chest / surgery

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  • [Copyright] Copyright (c) 2009 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.
  • (PMID = 19527946.001).
  • [ISSN] 1878-0539
  • [Journal-full-title] Journal of plastic, reconstructive & aesthetic surgery : JPRAS
  • [ISO-abbreviation] J Plast Reconstr Aesthet Surg
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] Netherlands
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29. 'Fracture Sternum With Flail Chest': Top Publications. BioMedLib Review CN; ;FractureSternumWith:709667355. ISSN: 2331-5717. 2015/4/7; updates online.
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  • [Title] 'Fracture Sternum With Flail Chest': Top Publications.
  • [Transliterated title]
  • Background: There are articles published each month which present 'fracture sternum with flail chest'.
  • Finding such articles is important for researchers, clinicians, and patients.
  • However these articles are spread across thousands of journals.
  • This makes searching and locating the relevant publications a challenge.
  • We have used BioMedLib's semantic search technology to address the issue, and gathered all the pertinent publications in this review article.
  • Methods: We categorized the publications we found.
  • We used the strength of textual-association to separate the groups.
  • In group one there are publications with the strongest evidence of association. We focused finding the most relevant publications pertinent to our goal, rather than combining them into a conclusion section. Such textual synthesis will be the focus of our next project.
  • Results: Group one includes 11 publications.
  • Here are the top 6.
  • Bailey J et al: Thoracic hyperextension injury with complete "bony disruption" of the thoracic cage: Case report of a potentially life-threatening injury.
  • Cooper IF et al: 'Findings' associated with 'External Fixation': Top Publications.
  • Collins J: Chest wall trauma.
  • Vodicka J et al: [Severe injury to the chest wall--experience with surgical therapy].
  • Sangster GP et al: Blunt traumatic injuries of the lung parenchyma, pleura, thoracic wall, and intrathoracic airways: multidetector computer tomography imaging findings.
  • Mayberry JC et al: Surveyed opinion of American trauma, orthopedic, and thoracic surgeons on rib and sternal fracture repair.

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  • [Copyright] Copyright 2015 Siadaty and Cooper; licensee BioMedLib LLC.
  • (UID = 709667355.001).
  • [ISSN] 2331-5717
  • [Journal-full-title] BioMedLib Review CN
  • [Language] eng
  • [Publication-type] Review
  • [Publication-country] UNITED STATES
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30. Marasco S, Liew S, Edwards E, Varma D, Summerhayes R: Analysis of bone healing in flail chest injury: do we need to fix both fractures per rib? J Trauma Acute Care Surg; 2014 Sep;77(3):452-8
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Analysis of bone healing in flail chest injury: do we need to fix both fractures per rib?
  • An unanswered question in SRF for flail chest injury is whether it is sufficient to fix one fracture per rib, on successive ribs, thus converting a flail chest injury into simple fractured ribs, or whether both ends of the floating segment of the chest wall should be fixed.
  • This study aimed to analyze SRF in flail chest injury, assessing 3-month outcomes for nonfixed fractured rib ends in the flail segment.
  • METHODS: This is a retrospective review (2005-2013) of 60 consecutive patients who underwent SRF for flail chest injury admitted to the Alfred Hospital, Melbourne, Australia.
  • Imaging by three-dimensional computed tomography (3D CT) of the chest at admission was compared with follow-up 3D CT at 3 months after injury.
  • Callus formation and bony bridging between adjacent ribs was often noted in the rib fractures not fixed (28 of 52 patients, 54%) CONCLUSION: This retrospective review of 3D CT chest at 3 months after rib fixation indicates that a philosophy of fixing only one fracture per rib in a flail segment does not avoid deformity and displacement, particularly in posterior rib fractures.
  • [MeSH-major] Flail Chest / surgery. Fracture Fixation / methods. Fracture Healing. Rib Fractures / surgery

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  • (PMID = 25159250.001).
  • [ISSN] 2163-0763
  • [Journal-full-title] The journal of trauma and acute care surgery
  • [ISO-abbreviation] J Trauma Acute Care Surg
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
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31. Sekizawa A, Yanagawa Y, Nishi K, Takasu A, Sakamoto T: A case of thoracic degloving injury with flail chest. Am J Emerg Med; 2011 Sep;29(7):841.e1-2
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] A case of thoracic degloving injury with flail chest.
  • A 75-year-old male patient suffered a chest degloving injury when he fell on his back and was run over by a small farm tractor he was pulling.
  • At the time of patient admission, the paradoxical motion of the right chest wall was remarkable; and he had an open fracture of the right humerus, a dislocation of the right ankle, and a laceration of the right forearm.
  • Chest computed tomography revealed fractures of the fifth to seventh ribs and detachment of both the right pectoralis major muscle and serratus anterior muscle from the chest wall, with a disconnected right thoracic cavity.
  • Because the right flail chest was severe and there was a large amount of air leakage that continued under positive-pressure ventilation for pneumatic stabilization, we performed surgical fixation of the ribs and repaired the lung injury on the fifth hospital day.
  • [MeSH-major] Flail Chest / etiology

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  • (PMID = 20934295.001).
  • [ISSN] 1532-8171
  • [Journal-full-title] The American journal of emergency medicine
  • [ISO-abbreviation] Am J Emerg Med
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] United States
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32. Kulaylat AN, Chesnut CH 3rd, Santos AP, Armen SB: Successful operative rib fixation of traumatic flail chest in a patient with osteogenesis imperfecta. Interact Cardiovasc Thorac Surg; 2014 Sep;19(3):518-9
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Successful operative rib fixation of traumatic flail chest in a patient with osteogenesis imperfecta.
  • Increasing attention has been directed towards operative rib fixation of traumatic flail chest; reported benefits include more rapid weaning from the ventilator, decreased intensive care unit stays, decreased complications and improved functional results.
  • This case demonstrates that, in the management of traumatic flail chest in a patient with osteogenesis imperfecta, surgical fixation can be successful and should be considered early.
  • [MeSH-major] Accidents, Traffic. Flail Chest / surgery. Fracture Fixation, Internal. Osteogenesis Imperfecta / complications. Rib Fractures / surgery. Ribs / surgery

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  • [Copyright] © The Author 2014. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.
  • (PMID = 24899593.001).
  • [ISSN] 1569-9285
  • [Journal-full-title] Interactive cardiovascular and thoracic surgery
  • [ISO-abbreviation] Interact Cardiovasc Thorac Surg
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] England
  • [Keywords] NOTNLM ; Flail chest / Operative management / Osteogenesis imperfecta / Rib fixation / Rib fracture
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33. Slobogean GP, MacPherson CA, Sun T, Pelletier ME, Hameed SM: Surgical fixation vs nonoperative management of flail chest: a meta-analysis. J Am Coll Surg; 2013 Feb;216(2):302-11.e1
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Surgical fixation vs nonoperative management of flail chest: a meta-analysis.
  • BACKGROUND: Flail chest is a life-threatening injury typically treated with supportive ventilation and analgesia.
  • The purpose of this study was to compare the results of surgical fixation and nonoperative management for flail chest injuries.
  • STUDY DESIGN: A systematic review of previously published comparative studies using operative and nonoperative management of flail chest was performed.
  • Additional benefits included decreased ICU days (mean 5 days, 95% CI 2 to 8 days), mortality (OR 0.31, 95% CI 0.20 to 0.48), septicemia (OR 0.36, 95% CI 0.19 to 0.71), tracheostomy (OR 0.06, 95% CI 0.02 to 0.20), and chest deformity (OR 0.11, 95% CI 0.02 to 0.60).
  • CONCLUSIONS: The results of this meta-analysis suggest surgical fixation of flail chest injuries may have substantial critical care benefits; however, the analyses are based on the pooling of primarily small retrospective studies.
  • [MeSH-major] Critical Care / methods. Flail Chest / therapy

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  • [Copyright] Copyright © 2013 American College of Surgeons. Published by Elsevier Inc. All rights reserved.
  • (PMID = 23219148.001).
  • [ISSN] 1879-1190
  • [Journal-full-title] Journal of the American College of Surgeons
  • [ISO-abbreviation] J. Am. Coll. Surg.
  • [Language] eng
  • [Publication-type] Journal Article; Meta-Analysis
  • [Publication-country] United States
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34. Bottlang M, Long WB, Phelan D, Fielder D, Madey SM: Surgical stabilization of flail chest injuries with MatrixRIB implants: a prospective observational study. Injury; 2013 Feb;44(2):232-8
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Surgical stabilization of flail chest injuries with MatrixRIB implants: a prospective observational study.
  • BACKGROUND: Surgical stabilization of flail chest injury with generic osteosynthesis implants remains challenging.
  • A novel implant system comprising anatomic rib plates and intramedullary splints may improve surgical stabilization of flail chest injuries.
  • METHODS: Twenty consecutive patients that underwent stabilization of flail chest injury with anatomic plates and intramedullary splints were prospectively enrolled at two Level I trauma centres.
  • RESULTS: Patients had an Injury Severity Score of 28±10, a chest Abbreviated Injury Score of 4.2±0.4 and 8.5±2.9 fractured ribs.
  • These early clinical results indicate that the novel implant system provides reliable fixation and accommodates the wide range of fractures encountered in flail chest injury.
  • [MeSH-major] Bone Plates. Flail Chest / surgery. Fracture Fixation, Intramedullary / methods. Rib Fractures / surgery

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  • [Copyright] Copyright © 2012 Elsevier Ltd. All rights reserved.
  • (PMID = 22910817.001).
  • [ISSN] 1879-0267
  • [Journal-full-title] Injury
  • [ISO-abbreviation] Injury
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] Netherlands
  • [Chemical-registry-number] 0 / Biocompatible Materials
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35. Simon B, Ebert J, Bokhari F, Capella J, Emhoff T, Hayward T 3rd, Rodriguez A, Smith L, Eastern Association for the Surgery of Trauma: Management of pulmonary contusion and flail chest: an Eastern Association for the Surgery of Trauma practice management guideline. J Trauma Acute Care Surg; 2012 Nov;73(5 Suppl 4):S351-61
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Management of pulmonary contusion and flail chest: an Eastern Association for the Surgery of Trauma practice management guideline.
  • BACKGROUND: Despite the prevalence and recognized association of pulmonary contusion and flail chest (PC-FC) as a combined, complex injury pattern with interrelated pathophysiology, the mortality and morbidity of this entity have not improved during the last three decades.
  • The use of optimal analgesia and aggressive chest physiotherapy should be applied to minimize the likelihood of respiratory failure.
  • Epidural catheter is the preferred mode of analgesia delivery in severe flail chest injury.
  • Independent lung ventilation may also be considered in severe unilateral pulmonary contusion when shunt cannot be otherwise corrected.Surgical fixation of flail chest may be considered in cases of severe flail chest failing to wean from the ventilator or when thoracotomy is required for other reasons.
  • Self-activating multidisciplinary protocols for the treatment of chest wall injuries may improve outcome and should be considered where feasible.Steroids should not be used in the therapy of pulmonary contusion.
  • [MeSH-major] Contusions / therapy. Flail Chest / therapy. Lung Injury / therapy

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  • (PMID = 23114493.001).
  • [ISSN] 2163-0763
  • [Journal-full-title] The journal of trauma and acute care surgery
  • [ISO-abbreviation] J Trauma Acute Care Surg
  • [Language] eng
  • [Publication-type] Journal Article; Practice Guideline
  • [Publication-country] United States
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36. Xu JQ, Qiu PL, Yu RG, Gong SR, Ye Y, Shang XL: Better short-term efficacy of treating severe flail chest with internal fixation surgery compared with conservative treatments. Eur J Med Res; 2015;20:55
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Better short-term efficacy of treating severe flail chest with internal fixation surgery compared with conservative treatments.
  • BACKGROUND: The objective of the study is to provide evidence for selecting the best treatment approach for severe flail chest by comparing surgical and conservative treatments.
  • METHODS: This is a retrospective study in which 32 patients with severe flail chest were treated in the Fujian Provincial Hospital (China) between July 2007 and July 2012 with surgical internal rib fixation (n = 17) or conservative treatments (n = 15).
  • CONCLUSIONS: Results suggest that internal fixation surgery resulted in better outcomes in the management of severe flail chest compared with conservative treatments.

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37. Leinicke JA, Elmore L, Freeman BD, Colditz GA: Operative management of rib fractures in the setting of flail chest: a systematic review and meta-analysis. Ann Surg; 2013 Dec;258(6):914-21
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Operative management of rib fractures in the setting of flail chest: a systematic review and meta-analysis.
  • BACKGROUND: Flail chest (FC) results in paradoxical chest wall movement, altered respiratory mechanics, and frequent respiratory failure.
  • Operative fixation of the flail segment has been advocated as an adjunct to supportive care, but no definitive clinical trial exists to delineate the role of surgery.
  • [MeSH-major] Flail Chest / complications. Rib Fractures / complications. Rib Fractures / surgery

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  • (PMID = 23511840.001).
  • [ISSN] 1528-1140
  • [Journal-full-title] Annals of surgery
  • [ISO-abbreviation] Ann. Surg.
  • [Language] eng
  • [Grant] United States / NIGMS NIH HHS / GM / 5T32GM00879510; United States / NIGMS NIH HHS / GM / T32 GM008795
  • [Publication-type] Journal Article; Meta-Analysis; Research Support, N.I.H., Extramural; Review
  • [Publication-country] United States
  • [Other-IDs] NLM/ NIHMS448983; NLM/ PMC3694995
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38. 'Treatment Of A Rib Fracture With Fixation Of Flail Chest': Top Publications. BioMedLib Review CN; ;TreatmentOfA:708216908. ISSN: 2331-5717. 2015/1/11; updates online.
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  • [Title] 'Treatment Of A Rib Fracture With Fixation Of Flail Chest': Top Publications.
  • [Transliterated title]
  • Background: There are articles published each month which present 'treatment of a rib fracture with fixation of flail chest'.
  • Finding such articles is important for researchers, clinicians, and patients.
  • However these articles are spread across thousands of journals.
  • This makes searching and locating the relevant publications a challenge.
  • We have used BioMedLib's semantic search technology to address the issue, and gathered all the pertinent publications in this review article.
  • Methods: We categorized the publications we found.
  • We used the strength of textual-association to separate the groups.
  • In group one there are publications with the strongest evidence of association. We focused finding the most relevant publications pertinent to our goal, rather than combining them into a conclusion section. Such textual synthesis will be the focus of our next project.
  • Results: Group one includes 18 publications.
  • Here are the top 10.
  • Kulaylat AN et al: Successful operative rib fixation of traumatic flail chest in a patient with osteogenesis imperfecta.
  • Jayle CP et al: Flail chest in polytraumatized patients: surgical fixation using Stracos reduces ventilator time and hospital stay.
  • Granhed HP et al: A feasibility study of 60 consecutive patients operated for unstable thoracic cage.
  • Marasco S et al: Surgical rib fixation - Technical aspects.
  • Majercik S et al: Long-term patient outcomes after surgical stabilization of rib fractures.
  • Doben AR et al: Surgical rib fixation for flail chest deformity improves liberation from mechanical ventilation.
  • Cooper IF et al: 'Hormones' associated with 'Flail': Top Publications.
  • Cooper IF et al: 'Steroids' associated with 'Flail': Top Publications.
  • Pulley BR et al: Utility of three-dimensional computed tomography for the surgical management of rib fractures.
  • Cooper IF et al: 'Therapeutic or Preventive Procedures' associated with 'Flail': Top Publications.

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  • [Copyright] Copyright 2015 Siadaty and Cooper; licensee BioMedLib LLC.
  • (UID = 708216908.001).
  • [ISSN] 2331-5717
  • [Journal-full-title] BioMedLib Review CN
  • [Language] eng
  • [Publication-type] Review
  • [Publication-country] UNITED STATES
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39. Zegg M, Kammerlander C, Schmid S, Roth T, Kammerlander-Knauer U, Gosch M, Luger TJ: Multidisciplinary Approach to Lifesaving Measures in the Elderly Individuals With Flail Chest Injury With ORIF of Rib Fractures: A Report of 2 Cases. Geriatr Orthop Surg Rehabil; 2012 Dec;3(4):164-6
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  • [Title] Multidisciplinary Approach to Lifesaving Measures in the Elderly Individuals With Flail Chest Injury With ORIF of Rib Fractures: A Report of 2 Cases.
  • In this case report, we present 2 cases of flail chest in geriatric patients after severe blunt chest trauma, which were treated at the University Hospital Innsbruck (Level I Trauma Center and Tyrolean Geriatric Fracture Center) by a multidisciplinary team of physicians from anesthesia, intensive care, trauma surgery, and acute geriatrics.
  • We want to point out the benefit of a multidisciplinary approach in geriatric patients with flail chest.

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  • (PMID = 23569711.001).
  • [ISSN] 2151-4585
  • [Journal-full-title] Geriatric orthopaedic surgery & rehabilitation
  • [ISO-abbreviation] Geriatr Orthop Surg Rehabil
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
  • [Other-IDs] NLM/ PMC3598516
  • [Keywords] NOTNLM ; anesthesia / fragility fractures / geriatric medicine / geriatric trauma / trauma surgery
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40. Dehghan N, de Mestral C, McKee MD, Schemitsch EH, Nathens A: Flail chest injuries: a review of outcomes and treatment practices from the National Trauma Data Bank. J Trauma Acute Care Surg; 2014 Feb;76(2):462-8
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Flail chest injuries: a review of outcomes and treatment practices from the National Trauma Data Bank.
  • BACKGROUND: Flail chest injuries are associated with severe pulmonary restriction, a requirement for intubation and mechanical ventilation, and high rates of morbidity and mortality.
  • Our goals were to investigate the prevalence, current treatment practices, and outcomes of flail chest injuries in polytrauma patients.
  • METHODS: The National Trauma Data Bank was used for a retrospective analysis of the injury patterns, management, and clinical outcomes associated with flail chest injuries.
  • Patients with a flail chest injury admitted from 2007 to 2009 were included in the analysis.
  • Outcomes included the number of days on mechanical ventilation, days in the intensive care unit (ICU), days in the hospital, and rates of pneumonia, sepsis, tracheostomy, chest tube placement, and death.
  • RESULTS: Flail chest injury was identified in 3,467 patients; the mean age was 52.5 years, and 77% of the patients were male.
  • Treatment practices included epidural catheters in 8% and surgical fixation of the chest wall in 0.7% of the patients.
  • Chest tubes were used in 44%, and 21% required a tracheostomy.
  • CONCLUSION: Patients who have sustained a flail chest have significant morbidity and mortality.
  • Given the high rates of morbidity and mortality in patients with a flail chest injury, alternate methods of treatment including more consistent use of epidural catheters for pain or surgical fixation need to be investigated with large randomized controlled trials.
  • [MeSH-major] Flail Chest / mortality. Flail Chest / therapy. Intensive Care Units. Length of Stay. Respiration, Artificial / methods

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  • (PMID = 24458051.001).
  • [ISSN] 2163-0763
  • [Journal-full-title] The journal of trauma and acute care surgery
  • [ISO-abbreviation] J Trauma Acute Care Surg
  • [Language] eng
  • [Publication-type] Evaluation Studies; Journal Article
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Analgesics
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41. Chittawatanarat K, Chotirodniramit N, Chandacham K, Molloy R, Laokul C: Frame-composite mesh: a new method to treat complex unstable flail chest: a case report. J Med Assoc Thai; 2010 Jan;93(1):123-7
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  • [Title] Frame-composite mesh: a new method to treat complex unstable flail chest: a case report.
  • A middle aged Thai male was admitted suffering from a severely unstable flail chest caused by an elephant having trampled on the upper right part of his chest.
  • He failed to respond to conservative treatment and conventional surgery could not be performed due to the bony defect in the chest wall.
  • [MeSH-major] Flail Chest / surgery. Surgical Mesh

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  • HSDB. TITANIUM .
  • HSDB. TITANIUM .
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  • (PMID = 20196421.001).
  • [ISSN] 0125-2208
  • [Journal-full-title] Journal of the Medical Association of Thailand = Chotmaihet thangphaet
  • [ISO-abbreviation] J Med Assoc Thai
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] Thailand
  • [Chemical-registry-number] 0 / Biocompatible Materials; 0 / Polymers; 0 / Polypropylenes; D1JT611TNE / Titanium
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42. Callaghan MA, Phelan D: Flail chest from blunt thoracic trauma. BMJ Case Rep; 2011;2011
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Flail chest from blunt thoracic trauma.
  • [MeSH-major] Flail Chest / etiology. Thoracic Injuries / complications. Wounds, Nonpenetrating / complications
  • [MeSH-minor] Accidental Falls. Chest Tubes. Humans. Male. Middle Aged. Thoracostomy. Tomography, X-Ray Computed

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  • [Cites] Surgery. 2004 Aug;136(2):426-30 [15300210.001]
  • (PMID = 22687738.001).
  • [ISSN] 1757-790X
  • [Journal-full-title] BMJ case reports
  • [ISO-abbreviation] BMJ Case Rep
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] England
  • [Other-IDs] NLM/ PMC3166588
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43. Mayberry J: Early stabilization of flail chest with locked plate fixation. J Orthop Trauma; 2011 Nov;25(11):648
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Early stabilization of flail chest with locked plate fixation.
  • [MeSH-major] Bone Plates. Flail Chest / surgery. Fracture Fixation, Internal / methods. Rib Fractures / surgery

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  • (PMID = 22008859.001).
  • [ISSN] 1531-2291
  • [Journal-full-title] Journal of orthopaedic trauma
  • [ISO-abbreviation] J Orthop Trauma
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] United States
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44. Ramponi F, Meredith GT, Bendinelli C, Söderlund T: Operative management of flail chest with anatomical locking plates (MatrixRib). ANZ J Surg; 2012 Sep;82(9):658-9
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Operative management of flail chest with anatomical locking plates (MatrixRib).
  • [MeSH-major] Bone Plates. Flail Chest / surgery. Fracture Fixation, Internal / instrumentation. Rib Fractures / surgery

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  • (PMID = 22943086.001).
  • [ISSN] 1445-2197
  • [Journal-full-title] ANZ journal of surgery
  • [ISO-abbreviation] ANZ J Surg
  • [Language] eng
  • [Publication-type] Case Reports; Letter
  • [Publication-country] Australia
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45. Alexander P: Images in clinical medicine. Flail chest. N Engl J Med; 2010 Dec 2;363(23):e35
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Images in clinical medicine. Flail chest.
  • [MeSH-major] Flail Chest / physiopathology

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  • (PMID = 21121828.001).
  • [ISSN] 1533-4406
  • [Journal-full-title] The New England journal of medicine
  • [ISO-abbreviation] N. Engl. J. Med.
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article; Video-Audio Media
  • [Publication-country] United States
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46. Peters N, Upadhyay S, Grewal S, Saini N: Spinal epidural abscess following epidural cannulation for flail chest analgesia: a case report. Neurol Neurochir Pol; 2011 Jan-Feb;45(1):80-3
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Spinal epidural abscess following epidural cannulation for flail chest analgesia: a case report.
  • [MeSH-major] Analgesia, Epidural / adverse effects. Catheterization, Peripheral / adverse effects. Epidural Abscess / microbiology. Flail Chest / surgery. Spinal Diseases / microbiology. Staphylococcal Infections / microbiology

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  • (PMID = 21384298.001).
  • [ISSN] 0028-3843
  • [Journal-full-title] Neurologia i neurochirurgia polska
  • [ISO-abbreviation] Neurol. Neurochir. Pol.
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article; Review
  • [Publication-country] Poland
  • [Chemical-registry-number] 0 / Anti-Bacterial Agents
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47. Paydar S, Mousavi SM, Niakan H, Abbasi HR, Bolandparvaz S: Appropriate management of flail chest needs proper injury classification. J Am Coll Surg; 2012 Nov;215(5):743-4
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Appropriate management of flail chest needs proper injury classification.
  • [MeSH-major] Flail Chest / surgery. Fracture Fixation, Internal / economics. Rib Fractures / surgery

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  • [CommentOn] J Am Coll Surg. 2012 Aug;215(2):201-5 [22560319.001]
  • (PMID = 23084501.001).
  • [ISSN] 1879-1190
  • [Journal-full-title] Journal of the American College of Surgeons
  • [ISO-abbreviation] J. Am. Coll. Surg.
  • [Language] eng
  • [Publication-type] Comment; Letter
  • [Publication-country] United States
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48. Paydar S, Mousavi SM, Akerdi AT: Flail chest: are common definition and management protocols still useful? Eur J Cardiothorac Surg; 2012 Jul;42(1):192
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Flail chest: are common definition and management protocols still useful?
  • [MeSH-major] Flail Chest / diagnosis

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  • [CommentOn] Eur J Cardiothorac Surg. 2010 Oct;38(4):466-71 [20363148.001]
  • (PMID = 22290914.001).
  • [ISSN] 1873-734X
  • [Journal-full-title] European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery
  • [ISO-abbreviation] Eur J Cardiothorac Surg
  • [Language] eng
  • [Publication-type] Comment; Letter
  • [Publication-country] Germany
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49. Hasenboehler EA, Bernard AC, Bottiggi AJ, Moghadamian ES, Wright RD, Chang PK, Boulanger BR, Kearney PA: Treatment of traumatic flail chest with muscular sparing open reduction and internal fixation: description of a surgical technique. J Trauma; 2011 Aug;71(2):494-501
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Treatment of traumatic flail chest with muscular sparing open reduction and internal fixation: description of a surgical technique.
  • [MeSH-major] Flail Chest / surgery. Thoracotomy / methods

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  • (PMID = 21825950.001).
  • [ISSN] 1529-8809
  • [Journal-full-title] The Journal of trauma
  • [ISO-abbreviation] J Trauma
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] United States
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50. Calhoon JH: 50th Anniversary Landmark Commentary on Trinkle JK, Richardson JD, Franz JL, Grover FL, Arom KV, Holmstrom FM. Management of flail chest without mechanical ventilation. Ann Thorac Surg 1975;19:355-63. Ann Thorac Surg; 2015 May;99(5):1501-2
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] 50th Anniversary Landmark Commentary on Trinkle JK, Richardson JD, Franz JL, Grover FL, Arom KV, Holmstrom FM. Management of flail chest without mechanical ventilation. Ann Thorac Surg 1975;19:355-63.

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  • (PMID = 25952191.001).
  • [ISSN] 1552-6259
  • [Journal-full-title] The Annals of thoracic surgery
  • [ISO-abbreviation] Ann. Thorac. Surg.
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Netherlands
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