Operative Resection of a Chronic Flail Chest Nonunion Revealing Septic Pseudarthrosis: A Case Report.

Q4 Medicine Journal of Chest Surgery Pub Date : 2023-11-05 Epub Date: 2023-09-12 DOI:10.5090/jcs.23.041
Robin Deville, Justin Issard, Anna Vayssette, Jalal Assouad
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Abstract

We report a case of chest wall resection for painful chest wall nonunion, 5 years after traumatic flail chest and a first attempt at surgical treatment. The decision was made to perform surgery again after 2 years of unsuccessful well-conducted analgesic treatment. During surgery, we found the same sites of pseudarthrosis and decided to perform parietectomy of the fifth, sixth, and seventh ribs. A Gore-Tex patch was used to bridge the gap created by the resection. In immediate postoperative care, the patient's pain was quickly and sufficiently eased by stage 1 and 2 pain killers. The results of bone samples taken from the pseudarthrosis sites all found Propionibacterium acnes. Five months after surgery, the patient had considerable improvement in pain sensations. Computed tomography showed healing of ribs, the plate in place, and no sign of complications.

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慢性平胸不连的手术切除显示败血症性Pseudarthrosis:一例报告。
我们报告了一例胸壁切除术治疗疼痛的胸壁骨不连,在创伤性连枷胸5年后,并首次尝试手术治疗。在2年的镇痛治疗失败后,决定再次进行手术。在手术中,我们发现了相同的假关节部位,并决定对第五、第六和第七根肋骨进行切除。Gore-Tex贴片用于桥接切除术产生的间隙。在术后立即护理中,患者的疼痛通过第1阶段和第2阶段的止痛药得到了迅速而充分的缓解。从假关节部位采集的骨样本结果均发现痤疮丙酸杆菌。手术后五个月,患者的疼痛感觉有了显著改善。计算机断层扫描显示肋骨愈合,钢板就位,没有并发症的迹象。
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来源期刊
Journal of Chest Surgery
Journal of Chest Surgery Medicine-Surgery
CiteScore
0.80
自引率
0.00%
发文量
76
审稿时长
7 weeks
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