ANALYSIS OF PATIENTS WITH BLUNT THORAX TRAUMA AND RIB FRACTURE; EVALUATION OF 201 CASES

Year 2020, Volume: 3 Issue: 1, 1 - 5, 10.09.2020

Ahmet Dumanlı , Adem Gencer , Furkan Kaya Canan İnceoğlu Gürhan Öz

Abstract

 Introduction:
Aim of this study is to evalute the association of  rib fracture with pneumothorax, hemothorax,
hemopneumothorax, lung contusion, subcutaneous emphysema, pneumomediastinum,
sternum fracture and clavicula fracture 
in patients who admitted to our clinics with thorax trauma

Patients
and Methods: Between January 2017 and October 2018,
201 patients with thorax trauma and rib fracture  who admitted to Afyon Health Sciences
University, Faculty of Medicine, Department of Thoracic Surgery and underwent
treatment and follow up were included in the study.  Age, sex, computerized tomography (CT)
findings and duration of hospitalization of the patients were retrospectively
evaluated.

Results:
Of the 201 patients with rib fracture, 152 were male, 49 were female, mean age
was 51.46 and mean duration of hospitalization was 4 days.  Total number of rib fracture was 716 and 430
of the fractures were deplased and 286 were non-deplased. Also 346 of the
fractures were in the mid segment ribs (5-8th ribs) , 224 of them were in the
high segment (1-4th ribs) and 146 of the fractures were in the lower ribs
(9-12th ribs).  Of the patients with rib
fracture, 57.7% had pneumothorax, 44.1% had lung contusion, 27.9% had
subcutaneous emphysema, 27.4% had hemothorax, 18.4% had hemopneumothorax, 10.9%
had sternum fracture, 9.5% had clavicula fracture and 4.5% had
pneumomediastinum.

 Discussion
and conclusions: According to our study, traumatic rib fractures are most
commonly in the deplased form and in the middle segment ribs (5-8th). Pathologies
accompanying deplased rib fractures are more common than non-deplased
fractures. Each complication should be evaluted individually and should be
treated by the required method.

Keywords

Deplased, Rib fracture, Hemopneumothorax, Computerized thorax tomography

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