Prospective Study of Video-assisted Rib Planting in Chest Wall Stabilization

NCT ID: NCT05340517

Last Updated: 2022-04-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-02-22

Study Completion Date

2022-01-06

Brief Summary

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The purpose of this study is to compare the advantages and disadvantages of video-assisted rib planting and traditional internal fixation of rib fractures in chest wall stabilization.

The investigators design a new surgical method of video-assisted thoracoscopic surgery for rib fractures, evaluate the advantages and disadvantages of the new surgical techniques with a prospective study.

Detailed Description

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Conditions

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Rib Fractures Rib Fracture Multiple

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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video-assisted rib planting

Group Type EXPERIMENTAL

video-assisted rib planting

Intervention Type PROCEDURE

Give the patient intercostal nerve block and laryngeal mask anesthesia, after that, put the patient in lateral position. Make a 4-6cm posterolateral incision along the lower edge of the scapula,sever latissimus dorsi and serratus anterior and reach the rib surface. Lift the scapula with the abdominal retractor (or xiphoid retractor), Free adhesion tissue inside the scapula and put in the thoracoscopic lens. Free the tissue of the upper and lower edges of the ribs carefully, reset ribs and insert rib plate, which is fixed by 90° electric drill and locking screw.

Interventions

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video-assisted rib planting

Give the patient intercostal nerve block and laryngeal mask anesthesia, after that, put the patient in lateral position. Make a 4-6cm posterolateral incision along the lower edge of the scapula,sever latissimus dorsi and serratus anterior and reach the rib surface. Lift the scapula with the abdominal retractor (or xiphoid retractor), Free adhesion tissue inside the scapula and put in the thoracoscopic lens. Free the tissue of the upper and lower edges of the ribs carefully, reset ribs and insert rib plate, which is fixed by 90° electric drill and locking screw.

Intervention Type PROCEDURE

Other Intervention Names

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video-assisted thoracoscopic surgery for rib fractures

Eligibility Criteria

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Inclusion Criteria

-≥3 unilateral rib displacement fractures

* 18-70 years old
* ASA score I-II
* Preoperative arterial oxygen partial pressure \>60mmHg
* Carbon dioxide partial pressure \<50mmHg

Exclusion Criteria

* The distance from the broken end of the posterior rib fracture to the spine is less than 2cm
* Airway stenosis
* Abnormal coagulation system
* History of peptic ulcer or bleeding
* History of allergy to anesthesia related drugs
* History of asthma or chronic obstructive pulmonary emphysema
* Pregnant women
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Weigang Zhao

OTHER

Sponsor Role lead

Responsible Party

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Weigang Zhao

Clinical Professor

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Weigang Zhao

Role: PRINCIPAL_INVESTIGATOR

Shanghai Jiao Tong University Affiliated Sixth People's Hospital

Locations

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Shanghai Jiao Tong University Affiliated Sixth People's Hospital

Shanghai, , China

Site Status

Countries

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China

Other Identifiers

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ZWG20210222

Identifier Type: -

Identifier Source: org_study_id

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