• J Orthop Trauma · Sep 2009

    Case Reports

    Reoperative surgical stabilization of a painful nonunited rib fracture using bone grafting and a metal plate.

    • Yang Hyun Cho, Hyun Koo Kim, Du-Young Kang, and Young Ho Choi.
    • Department of Thoracic & Cardiovascular Surgery, Korea University Guro Hospital, Korea University College of Medicine, Seoul 152-703, Korea.
    • J Orthop Trauma. 2009 Sep 1; 23 (8): 605-6.

    AbstractWe report a case of a nonunited sixth rib in a patient with multiple rib fractures who underwent internal fixation using a wire and Judet strut 3 times. During the following 3 years, the patient continued to complain of pain and instability. At surgery, a pseudarthrosis between the ends of the sixth rib was excised. A longitudinal gutter crossing the fracture site was fashioned and splinted with an inlay block of cancellous bone grafted from the iliac crest; stabilization was accomplished with a reconstruction plate and screws. The following 2 years of follow-up demonstrated no instability or pain.

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