Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
The purpose of this research is to compare the outcomes of surgical stabilization and conservative treatment in patients with isolated minor rib fractures.
Isolated minor rib fractures (IMRFs), which is defined by single or two isolated minor rib fractures caused by trauma or stress. Traditionally, rib fractures are managed mainly by surgical stabilization or conservative treatment. In 2018, a systemic review and meta-analysis for patients with multiple rib fractures had revealed a shorter duration of mechanical ventilation, shorter hospital length of stay, and fewer trauma-associated complications in the surgical group than in the non-surgical group. In contrast, IMRFs are seldom life threatening, and compared to extremity fractures, rib fractures do not require matching accurately. Thus, IMRFs are usually treated conservatively. However, the investigators have clinically observed that patients suffering severe pain due to progressive rib displacement may take longer to return to normal activity, have lower quality of life, and even an increased risk of complications. Moreover, limited studies discussed the efficacy of surgical interventions for IMRFs. Therefore, the investigators conduct a prospective observational cohort study to compare the outcomes of surgical stabilization and conservative treatment in patients with IMRFs. The investigators collect patients with IMRFs whose situation were both suitable for surgical and non-surgical interventions. After explanation, patients can decide to undergo conservative or surgical treatment by themselves. The investigators will follow up pain scores, chest X-ray, pulmonary function tests, and duration of return to normal activity. Those data will be statistically analyzed by two-tailed two-sample t-test. This prospective cohort study is supposed to provide more evidence for clinical decision making and optimal management of IMRFs.
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Surgical group | Patients with isolated minor rib fractures received surgical stabilization. |
| |
| Conservative group | Patients with isolated minor rib fractures received conservative treatment, such as NSAIDs. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Open reduction and internal fixation | Procedure | Open reduction and internal fixation |
|
| Measure | Description | Time Frame |
|---|---|---|
| Duration of return to normal activity | From day of injury to day of return to normal activity | 3 months after operation or after injury |
| Pain score change at 1 week | Pain Visual analog scales (Pain VAS) to measure pain intensity. A 10 cm horizontal line will be shown and patients mark on the line representing their perception of their current state. The score range from 0 to 10, with following cutpoints: no pain (0 cm), mild pain(1-4 cm), moderate pain (5-7 cm), and severe pain (8-10 cm). | Change from injury or operation at 1 week |
| Pain score change at 3 months | Pain Visual analog scales (Pain VAS) to measure pain intensity. A 10 cm horizontal line will be shown and patients mark on the line representing their perception of their current state. The score range from 0 to 10, with following cutpoints: no pain (0 cm), mild pain(1-4 cm), moderate pain (5-7 cm), and severe pain (8-10 cm). | Change from injury or operation at 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Forced vital capacity (FVC) change | Pulmonary function testing with spirometry, using percent of the predicted value (%) | Change from injury or operation at 3 months |
| Forced expiratory volume in the first second (FEV1) change |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Patients with isolated minor rib fractures
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Tung-Yu Tiong, MD | Contact | +886970747235 | dr_tiong@yahoo.com |
| Name | Affiliation | Role |
|---|---|---|
| Tung-Yu Tiong, MD | Taipei Medical University Shuang Ho Hospital | Principal Investigator |
Not provided
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30247228 | Background | Liang YS, Yu KC, Wong CS, Kao Y, Tiong TY, Tam KW. Does Surgery Reduce the Risk of Complications Among Patients with Multiple Rib Fractures? A Meta-analysis. Clin Orthop Relat Res. 2019 Jan;477(1):193-205. doi: 10.1097/CORR.0000000000000495. |
Not provided
Not provided
as required
Not provided
as required
as required
Not provided
Not provided
| ID | Term |
|---|---|
| D012253 | Rib Fractures |
| ID | Term |
|---|---|
| D050723 | Fractures, Bone |
| D014947 | Wounds and Injuries |
| D013898 | Thoracic Injuries |
Not provided
Not provided
| ID | Term |
|---|---|
| D000070799 | Open Fracture Reduction |
| D005593 | Fracture Fixation, Internal |
| ID | Term |
|---|---|
| D005592 | Fracture Fixation |
| D019637 | Orthopedic Procedures |
| D013812 | Therapeutics |
| D013514 | Surgical Procedures, Operative |
Not provided
Not provided
Not provided
Not provided
Not provided
Pulmonary function testing with spirometry, using percent of the predicted value (%)
| Change from injury or operation at 3 months |
| Total lung capacity (TLC) change | Pulmonary function testing with spirometry, using percent of the predicted value (%) | Change from injury or operation at 3 months |
| Peak expiratory flow (PEF) change | Pulmonary function testing with spirometry, in unit of liters per minute | Change from injury or operation at 3 months |
| 36-Item Short Form Survey (SF-36) results | Quality of life will be evaluated via SF-36 questionnaire, and will be scored according to SF-36 scoring rules | At 3 months after injury or operation |