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Optimize the management of polytraumatises with flail chest: surgical treatment Stracos by decreasing the length of stay and the late complications: pain chronicles, quality of life, respiratory function
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Surgical treatment with Stracos | Active Comparator | The patient was placed in the lateral decubitus position. The procedure involved a curvilinear thoracic incision overlying the center of the fractured segments. The intercostal muscles were dissected off the rib on its superior aspect away from the fracture site, and the fracture was then reduced. The investigators then chose the most suitable Stracos, which is to be found in two available sizes, 6 or 9 claws, according to the length of the fracture. The clip chosen was molded according to the shape of the corresponding rib and the claws were crimped using special pliers on and around the fractured rib.The investigators treated only one rib out of two with Stracos, and as for displaced or comminuted fractures, the adjacent rib was wrapped using vicryl suture on the osteosynthesis rib. |
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| Medical treatment | No Intervention |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Thoracic osteosyntheses with Stracos | Device |
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| Measure | Description | Time Frame |
|---|---|---|
| Average cost hospitalization | Average cost hospitalization without the intensive care cost.The cost of the hospitalization will be calculated by adding the cost of the surgery and hospital stay- time of the surgery-The number of Stracos used by patient | 4 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| length of hospital stays of the intensive care department | From the first day to the last day in the intensive care department. Care department - monitoring patients with traumatic hemothorax - lung pulmonary infectious associated - | 4 weeks |
| length of hospital stays |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Christophe CJ JAYLE, PI | Contact | 05.49.44.30.07 | christophe.jayle@chu-poitiers.fr |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital University of Poitiers | Recruiting | Poitiers | 86021 | France |
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From the first day to the last day in the hospital |
| 4 weeks |
| occurence of pulmonary infection | 12 months of follow up |
| The vital capacity (VC) | Volume measurement (L) | visit 3 months, visit 6 months, visit 12 months after the surgery |
| The expiratory reserve volume (ERV) | Volume measurement (L) | visit 3 months, visit 6 months, visit 12 months after the surgery |
| The total lung capacity (TLC) | Volume measurement (L) | visit 3 months, visit 6 months, visit 12 months after the surgery |
| Residual volume (RV) | Volume measurement (L) | visit 3 months, visit 6 months, visit 12 months after the surgery |
| 6 min walk test (6MWT) | Distance measurement (M) | visit 3 months, visit 6 months, visit 12 months after the surgery |
| Visual analog scorer for pain | at visit 7 days, 28 days, 3 months, 6 months and 12 months |
| Patient Global Assessment to measure quality of life | at visit 7 days, 28 days, 3 months, 6 months and 12 months |
| date of return to work | visit 3 months, 6 months and 12 months |