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Operative vs Nonoperative Treatment of Acute Unstable Chest Wall Injuries

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Ace Report Cover
October 2022

Operative vs Nonoperative Treatment of Acute Unstable Chest Wall Injuries

Study Type:Therapy
OE Level Evidence:1
Journal Level of Evidence:1

Operative vs Nonoperative Treatment of Acute Unstable Chest Wall Injuries: A Randomized Clinical Trial

JAMA Surg. 2022 Sep 21.

Contributing Authors:
N Dehghan A Nauth E Schemitsch M Vicente R Jenkinson H Kreder M McKee Society Canadian Orthopaedic Trauma Investigators the Unstable Chest Wall RCT Study

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Synopsis

Two hundred and eleven patients with either a displaced rib fracture with a flail chest or non-flail chest injury with severe chest wall deformity were randomized to receive either operative treatment (n=111) or non-operative treatment (n=100). The primary outcome of this trial was the number of ventilator-free days within the first 28 days of injury. Secondary outcomes of interest included total ...

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