• Ana Lilia Nolasco-de la Rosa, Roberto Mosiñoz-Montes, Jesús Matehuala-García, Edgardo Román-Guzmán, Fidel Quero-Sandoval, and Alma Lorena Reyes-Miranda.
• Servicio de Cirugía General, Instituto de Salud del Estado de México y Municipios, Centro Médico Ecatepec, México. Electronic address: anis3791@hotmail.com.
• Cir Cir. 2015 Jan 1; 83 (1): 23-8.

BackgroundFlail chest is managed with mechanical ventilation or inhalation therapy, and analgesia. Mechanical ventilations carry risks by themselves and disengage with the external fixators so they must be operated to improve lung ventilatory mechanics and cleaning. Little has been published on the use of bioabsorbable material and its evolution in the setting of flail chest.Material And MethodsA material that did had to be retired, that presented the malleability of titanium and its inflammatory reaction was minimal and could be handled in both adults and children was investigated. Here is shown a descriptive study of patients with flail chest under rib fixation with plates and bioabsorbable screws.Results18 cases are presented, aged 33-74 years, three with bilateral flail chest; fixation was performed between days 1-21 of the accident. In cases that showed no fractures pelvic limbs, gait next day restarted fi ng in all cases improved mechanical ventilation, pain decreased, none has so far presented reaction material.ConclusionsFlail chest has a high (16.3%) mortality when no management provides the pathophysiology of the condition (pain, poor mechanical ventilation, alveolar edema-pulmonary contusion). The use of bioabsorbable material has no side effects attributable to material which is another option for rib fixation.Copyright © 2015. Published by Masson Doyma México S.A.

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