ABSTRACT

The management of fractures rib should be individualized according to the severity of the injury and the extent of the trauma. The goal is fixing the fractured segment, the management of comorbidities and restoring lung function and ventilatory. Presents a personal method of fixation wire, which can be used in fractures costal simple, single or multiple, available and low cost. Presentation of case: It is a patient of 74 years of age with simple fractures from 3^o to 9^o arcs rights sacks, 21 days of evolution, with wall deformity of costal by collapse and retained hemothorax, who set the arches sacks 4^o, 5^o, 6^o and 7^o with wire through right postero-lateral thoracotomy. The immobilization of the arches costal, costal wall elevation and alignment of fractures, it allowed a rapid recovery and better control of pain. Conclusions: Fixation of fractures costal with wire using this technique, it has advantages its simplicity, the use of a material available in any hospital, its low cost and be reproducible without specific training. We believe that your knowledge and dissemination can be useful for the management of fractures multiple sacks with deformity and instability of the rib cage.

KEYWORDS

Rib fractures, fixing, wire.

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