naa a22 4500 510727786 CHVBK 20180411082941.0 cr unu---uuuuu 180411e20130601xx s 000 0 eng 10.1007/s11748-013-0218-4 doi (NATIONALLICENCE)springer-10.1007/s11748-013-0218-4 Evaluation of long-term results and quality of life in patients who underwent rib fixation with titanium devices after trauma [Elektronische Daten] [Andrea Billè, Lawrence Okiror, Aideen Campbell, Jason Simons, Tom Routledge] Objective: To describe the long-term results, quality of life and chronic pain after chest wall fixation for traumatic rib fracture using a quality of life (QOL) score and a numeric pain score. Methods: Retrospective analysis of 10 consecutive patients who underwent surgery for rib fractures after trauma and reconstruction between October 2010 and March 2012. Chest rib fractures were fixed with titanium clips and bars or titanium plates and screws through a posterolateral thoracotomy. Pain was assessed with a numeric pain scale 0-10 and quality of life (QOL) with the EORTC questionnaire QLQ-C30. Results: There were 5 males and 5 females. The median age was 58years (range 21-80). There were no postoperative deaths. The only postoperative complication observed was a contralateral pleural effusion requiring drainage. Median length of stay of the drain and median length of hospital stay were 2days (range 0-8) and 4days (range 1-42days), respectively. The average follow-up period of operatively managed patients was 14months (range 8-23.5months). Seven patients scored the pain as 0, one as 1 (mild), one as 4 (moderate) and one as 8 (severe). Only two patients are taking occasionally pain killers. Only one patient presents severe limitation in his life scoring his QOL as poor. Conclusions: Titanium devices (clips and bars; screws and plates) are effective and safe for repair of rib fractures and showed good long-term results in terms of pain and quality of life after the operation. European Union, 2013 Chest wall trauma nationallicence Chest wall fixation nationallicence Quality of life nationallicence Chronic pain nationallicence Billè Andrea Department of Thoracic Surgery, Guy's Hospital, Great Maze Pond, SE1 9RT, London, UK aut Okiror Lawrence Department of Thoracic Surgery, Guy's Hospital, Great Maze Pond, SE1 9RT, London, UK aut Campbell Aideen Department of Thoracic Surgery, Guy's Hospital, Great Maze Pond, SE1 9RT, London, UK aut Simons Jason Department of Thoracic Surgery, Guy's Hospital, Great Maze Pond, SE1 9RT, London, UK aut Routledge Tom Department of Thoracic Surgery, Guy's Hospital, Great Maze Pond, SE1 9RT, London, UK aut General Thoracic and Cardiovascular Surgery Springer Japan 61/6(2013-06-01), 345-349 1863-6705 61:6<345 2013 61 11748 https://doi.org/10.1007/s11748-013-0218-4 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11748-013-0218-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Billè Andrea Department of Thoracic Surgery, Guy's Hospital, Great Maze Pond, SE1 9RT, London, UK aut NATIONALLICENCE 700 1- Okiror Lawrence Department of Thoracic Surgery, Guy's Hospital, Great Maze Pond, SE1 9RT, London, UK aut NATIONALLICENCE 700 1- Campbell Aideen Department of Thoracic Surgery, Guy's Hospital, Great Maze Pond, SE1 9RT, London, UK aut NATIONALLICENCE 700 1- Simons Jason Department of Thoracic Surgery, Guy's Hospital, Great Maze Pond, SE1 9RT, London, UK aut NATIONALLICENCE 700 1- Routledge Tom Department of Thoracic Surgery, Guy's Hospital, Great Maze Pond, SE1 9RT, London, UK aut NATIONALLICENCE 773 0- General Thoracic and Cardiovascular Surgery Springer Japan 61/6(2013-06-01), 345-349 1863-6705 61:6<345 2013 61 11748 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer