Status:
UNKNOWN
Quality of Life in Patients With Traumatic Rib Fracture After Rib Fracture Surgery
Lead Sponsor:
National Taiwan University Hospital
Conditions:
Rib Fractures
Eligibility:
All Genders
18-75 years
Phase:
NA
Brief Summary
This study is a prospective study. Patients with traumatic rib fractures are divided into control group and surgical (OP) group, depending on whether they undergo rib fracture fixation surgeries. They...
Detailed Description
Traumatic rib fracture is one of the most common thoracic traumas. Patients often complain of severe pain of the fracture site, especially when coughing, sneezing, inhaling and lifting arms. If there ...
Eligibility Criteria
Inclusion
- Absolute Indications:
- Flail chest with paradoxical respiration
- Multiple rib fractures with uncontrolled hemothorax or pneumothorax
- Severe thoracic trauma causing respiratory failure (ex poor blood oxygen saturation, hypercapnia, overtime intubation etc.)
- Relative Indications:
- Fractures of 3 or more ribs, with moderate amount of hemothorax or pneumothorax
- Fractures of 3 or more ribs, with clavicle or scapula fractures, requiring surgical intervention
- Fractures of 3 or more ribs, with obvious rib displacement and pain
- Chronic neuropathic pain, with poor drug control
- Symptoms due to poor healing of fracture site (ex. dyspnea or restrictive lung disease)
- Chest deformity or other cosmetic factors
- Other personal factors (ex. disability caused by rib fractures)
Exclusion
- High risk for surgery (ex. Age greater than 75 y/o, poor cardiopulmonary function, abnormal coagulation, end-stage renal disease, hepatic failure etc.)
- Severe chest trauma, with large area of lung contusion or pulmonary embolism
- More than 2 organs of systemic severe trauma (ex. combining head trauma, abdominal internal bleeding, abdominal organ rupture etc.)
- Poor rib fracture site (ex. posterior axillary line, 1st-3rd rib, sub-scapula etc.)
- Patient refuses surgery
- current acute infection
- Allergy to surgical instruments
- Lack of sufficient blood supply, poor bone density or potential infection
- Psychiatric or neuropathic conditions causing inability to obey doctor's order
Key Trial Info
Start Date :
June 13 2017
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
June 12 2018
Estimated Enrollment :
50 Patients enrolled
Trial Details
Trial ID
NCT03487458
Start Date
June 13 2017
End Date
June 12 2018
Last Update
April 4 2018
Active Locations (1)
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1
National Taiwan University Hospital
Taipei, Taiwan, 10048