Placement of KANI® plate inside the chest wall for rib fixation: Prevention for organ injuries caused by crossed rib edges and plate claws. Issue 4 (27th February 2022)

• Record Type: Journal Article
• Authors: Uebayashi, Asuka; Takanashi, Yusuke; Oka, Mikako; Mizuno, Kiyomichi; Kawase, Akikazu; Funai, Kazuhito
• Is Part Of: Respirology case reports. Volume 10:Issue 4(2022)
• Page Start: n/a
• Page End: n/a
• Publication Date: 2022-02-27
• Subjects: claw‐type titanium plate -- flail chest -- organ injury -- surgical fixation; Respiratory organs -- Diseases -- Periodicals; 616.2005
• DOI: 10.1002/rcr2.914
• Languages: English
• ISSNs: 2051-3380

Abstract

Abstract: The claw‐type titanium plate has been successfully applied to manage a flail chest. However, rare and life‐threatening organ injury occurs due to an insufficient claw bend. We report an ingenuity of surgical fixation using KANI® plates (USCI Japan, Tokyo, Japan) in a flail chest. A 60‐year‐old man with a severe flail chest underwent a surgical rib fixation. He had multiple rib fractures accompanied by dislocation and protruding crossed rib edges; we assumed a possibility of lung injury during a standard procedure in which the KANI® plates would be placed from outside the chest wall. Therefore, we placed KANI® plates inside the chest wall to ensure sufficient claw bend and to cover crossed rib edges to prevent organ injuries. We propose that our new ingenuity provides a safe and tight rib fixation in rib fractures with protruding crossed rib edges which the standard method cannot flatten. Abstract : The claw‐type titanium plate has been successfully applied to manage a flail chest. However, rare and life‐threatening organ injury occurs due to an insufficient claw bend. We report an ingenuity of surgical fixation using KANI® plates (USCI Japan, Tokyo, Japan) in a case of severe flail chest; we placed KANI® plates inside the chest wall to ensure sufficient claw bend and to cover crossed rib edges of rib fractures to prevent organ injuries.