Efficacy of Open Reduction and Internal Fixation Versus Conservative Treatment for Rib Fractures
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Rib fracture
Open reduction internal fixation
Conservative treatment



Submitted : 2023-11-26
Accepted : 2023-12-11
Published : 2023-12-26


Objective: To investigate the efficacy of open reduction and internal fixation versus conservative treatment for rib fractures. Methods: The study period was from June 2022 to June 2023, during which 70 patients with rib fractures were grouped by randomized numerical table method, with 30 cases in the observation group and 40 cases in the control group. The observation group implemented open reduction internal fixation treatment and the control group adopted conservative treatment. After treatment, the results of each index in the two groups were compared. Results: Treatment-related indexes, lung function indexes, and treatment effects between the two groups were compared (P < 0.05). The Visual Analogue Scale (VAS) score and complication rate of the observation group after treatment were lower than those of the control group (P < 0.05). Conclusion: In the comparison of the efficacy of open reduction internal fixation and conservative treatment for rib fractures, the former exerts a more significant effect and can improve the lung function of the patients, which is worthy of research and promotion.


Chen C, Hu C, Wang C, et al., 2023, Analysis of the Timing of Thoracoscopic Internal Fixation in Patients with Multiple Rib Fractures in the Intensive Care Unit. China Journal of Endoscopy, 29(3): 1–7.

Zhou P, Cheng L, Zhu J, et al., 2022, Comparative Study on the Efficacy of Internal Fixation with Nickel-TitaniumShape-Memory Alloy Ring Hugger and External Fixation with Chest Guard in the Treatment of Multiple Rib Fractures. Journal of Traumatic Surgery, 24(3): 209–213.

Zhang R, He W, Chen P, et al., 2023, Comparison of the Efficacy of Tubular Steel Plate and Pure Titanium Claw Ring Hugger in the Treatment of Multiple Rib Fractures. Journal of Traumatic Surgery, 25(9): 676–680.

Zhang H, Feng T, Pei Z, et al., 2022, Meta-Analysis of the Efficacy of Multiple Rib Fractures Treated with Different Timing of Incision and Internal Fixation. Chinese Journal of Traumatology, 38(2): 155–165.

Jin L, Sun Q, Huang L, et al., 2023, Thoracoscopic Rib Fracture Reduction and Internal Fixation for Multiple Rib Fractures. Chinese Journal of Clinical Physicians, 51(4): 472–474.

Tan J, Yu C, Liu W, et al., 2022, Appropriate Time for Bed Braking in Patients with Traumatic Multiple Rib Fractures Treated Nonoperatively. Journal of Traumatic Surgery, 24(7): 513–518.

Wang X, Xu Y, Wang D, et al., 2022, Effects of Internal Fixation of Pure Titanium Six-Claw Grasping Rib Splint on Blood Gas Analysis, Pulmonary Ventilation Function and Exercise Endurance in Patients with Multiple Rib Fractures. Clinical Misdiagnosis & Mistherapy, 35(11): 79–83.

Van Wijck SFM, Van Lieshout EMM, Prins JTH, et al., 2022, Outcome After Surgical Stabilization of Symptomatic Rib Fracture Nonunion: A Multicenter Retrospective Case Series. European Journal of Trauma and Emergency Surgery, 48(4): 2783–2793.

Yang Z, Xiang J, Zhang J, 2022, Effect of Rib Fracture Incision and Internal Fixation in Treating Patients with Severe Thoracic Trauma. Medical Journal of Chinese People’s Health, 34(14): 54–57.