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The main study objective is to evaluate the long-term outcome in a prospective follow-up visit of patients who underwent hardware removal after surgical stabilization of rib fractures (SSRF) after a blunt chest trauma .
Potential of surgical stabilization of rib fractures (SSRF) to improve clinical outcomes in patients has been demonstrated with increasing interest of surgeons in this procedure and indications for SSRF expanding. Some reports found signals for hardware removal after SSRF such as hardware failure, infections and persisting pain. There is currently lack of studies collecting systematically long-term outcomes after SSRF hardware removal. For that reason, this project presents the retrospective case series of patients with removal of osteosynthetic material after rib stabilisation treated at Department of Thoracic Surgery of the University Hospital Basel (USB). The recovery of these patients will be reviewed and a prospective evaluation of long-term outcomes will be done. The aim is to provide an insight and implications for treatment strategies of future patients. Most of the collected patient data are retrospective data. One prospective follow-up visit inclusive a health survey per patient will be performed.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Surgical stabilization of rib fractures (SSRF) and subsequent hardware removal | Patients treated at the Department of Thoracic Surgery at the University Hospital Basel between 01.09.2017 and start date Remove Study with a diagnosis of rib fracture and with surgical stabilization of rib fracture and subsequent hardware removal will be identified. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Data collection on patient reported long-term outcome of SSRF hardware removal | Other | One prospective follow-up visit will be performed. On this visit the patient reported long-term outcome will be documented through a health survey. |
| Measure | Description | Time Frame |
|---|---|---|
| Health survey of long-term outcome after hardware removal (Quality of life assessment) | The questions are formulated as an adapted question set of the EQ-5D-5L Dimension (EQ-5D-5L) questionnaire followed by additional study specific questions. A numerical rating scale (NRS) will be used for evaluation from 0 - 10. In addition, the patient will be asked to rate the condition now compared to before hardware removal in four categories (less good, no change, slightly better, much better). The analysis of the project data will be done descriptive. | One time assessment at baseline (prospective Follow up-visit) |
| Measure | Description | Time Frame |
|---|---|---|
| Number of removed hardware | Number of removed hardware and affected ribs (retrospective analyses) | Up to 3 years until prospective Follow up-visit |
| Number of broken and fixed ribs | Number of broken and fixed ribs with used hardware (retrospective analyses) |
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Inclusion Criteria:
Exclusion Criteria:
Patients who received re-osteosynthesis on the same day as hardware removal
Patients received conservative therapy or surgery with absorbable plates
On hardware implantation:
Inability to follow procedures or insufficient knowledge of language (German/French) or impaired communication or inability to give consent
Patients who have clearly stated that they would not agree in providing their clinical data for scientific purposes
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Patients with blunt chest trauma who underwent hardware removal after rib stabilisation between September 01, 2017 and September 30, 2023. The patients received hardware implantation and hardware removal at the Department of Thoracic Surgery of the University Hospital Basel.
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| Name | Affiliation | Role |
|---|---|---|
| Maria Stepankova, MD | Department of Thoracic Surgery, University Hospital Basel | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Thoracic Surgery, University Hospital Basel | Basel | 4031 | Switzerland |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40299046 | Result | Svec MB, Bachmann H, Hojski A, Macharia-Nimietz EF, Dackam SVC, Lardinois D. Long-term outcomes after removal of rib stabilization hardware in patients with blunt chest trauma. Eur J Trauma Emerg Surg. 2025 Apr 29;51(1):187. doi: 10.1007/s00068-025-02858-y. |
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| ID | Term |
|---|---|
| D012253 | Rib Fractures |
| ID | Term |
|---|---|
| D050723 | Fractures, Bone |
| D014947 | Wounds and Injuries |
| D013898 | Thoracic Injuries |
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| Up to 3 years until prospective Follow up-visit |
| Interval between SSRF and hardware removal | Interval between SSRF and hardware removal (retrospective analyses) | Up to 3 years until prospective Follow up-visit |
| Interval between SSRF and follow-up visit | Interval between SSRF and follow-up visit (retrospective analyses) | Up to 3 years until prospective Follow up-visit |
| Occurrence of significant complications during and 30 days after SSRF hardware removal | Occurrence of significant complications during and 30 days after SSRF hardware removal (retrospective analyses) | Up to 3 years until prospective Follow up-visit |
| Surgical indication for hardware removal | Surgical indication for hardware removal | Up to 3 years until prospective Follow up-visit |