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

Launched by SHANGHAI JIAO TONG UNIVERSITY AFFILIATED SIXTH PEOPLE'S HOSPITAL · Feb 24, 2023

Keywords

ClinConnect Summary

This clinical trial is looking at how effective different treatments are for people with low rib fractures, which can happen due to chest injuries. Specifically, it will compare surgical treatment, where doctors operate to fix the fractures, with non-surgical treatment, which may involve rest and pain management. The goal is to find out which method works better for healing and recovery.

To participate in this study, you would need to be between 18 and 70 years old and have specific types of rib fractures—at least three fractures on one side, with some displacement of the broken ends. You should also be able to breathe well and have a certain level of pain. If you have other health issues, such as asthma, bleeding disorders, or are pregnant, you may not be eligible. If you decide to join, you'll be volunteering and will need to give your consent. Participants can expect to contribute to important research that could help improve treatment for rib fractures in the future.

Gender

ALL

Eligibility criteria

• 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