A Prospective Randomized Controlled Study Comparing the Clinical Effects of Surgical and Non-surgical Treatment of Low Rib Fractures

Shanghai Jiao Tong University

Status: Not yet enrolling

Conditions: Rib Fracture Multiple

Treatments: Procedure: surgical stabilization of low rib fratures; Other: converstive treatment of low rib fratures

Study type: Observational

Funder types: Other

Identifiers

NCT05758870

20220815

Details and patient eligibility

About

The purpose of this study is to explore the difference between the clinical effects of surgical and non-surgical treatment for patients with low rib fracture, and to explore whether SSRF has more clinical treatment advantages in patients with low rib fracture in a randomized, controlled and prospective manner.

Enrollment: 64 estimated patients

Sex: All

Ages: 18 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients with chest trauma only and unilateral low rib fractures Three rib fractures and more Displacement of the broken end of the fracture (bicortical fracture and not in the same line) Time from injury to hospital < 24 hours Age 18-70 ASA grade I-II Preoperative arterial oxygen partial pressure >60mmHg, carbon dioxide partial pressure <50mmHg The participate is volunteer in the study and sign the informed consent Pain score( Number Rating Scale, NRS) >5 under calm breathing

Exclusion criteria

• Difficult airway History of esophageal reflux Myasthenia gravis Coagulation disorders Gastrointestinal ulcer Gastrointestinal bleeding Anesthetic drugs allergy history Asthma Chronic obstructive pulmonary disease Pregnant women

Trial design

64 participants in 2 patient groups

Research Group

Description:

surgical stabilization of low rib fracures by internal fixation

Treatment:

Procedure: surgical stabilization of low rib fratures

Controls Group

Description:

conservative treatment of low rib fractures

Treatment:

Other: converstive treatment of low rib fratures