Operative Resection of a Chronic Flail Chest Nonunion Revealing Septic Pseudarthrosis: A Case Report
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 sa...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Korean Society for Thoracic & Cardiovascular Surgery
2023-11-01
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| Series: | Journal of Chest Surgery |
| Subjects: |
| _version_ | 1827776385060438016 |
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| author | Robin Deville Justin Issard Anna Vayssette Jalal Assouad |
| author_facet | Robin Deville Justin Issard Anna Vayssette Jalal Assouad |
| author_sort | Robin Deville |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-11T14:04:32Z |
| format | Article |
| id | doaj.art-b9bf3287f9114e5e8481da2d47eb18a7 |
| institution | Directory Open Access Journal |
| issn | 2765-1606 2765-1614 |
| language | English |
| last_indexed | 2024-03-11T14:04:32Z |
| publishDate | 2023-11-01 |
| publisher | Korean Society for Thoracic & Cardiovascular Surgery |
| record_format | Article |
| series | Journal of Chest Surgery |
| spelling | doaj.art-b9bf3287f9114e5e8481da2d47eb18a72023-11-02T03:06:08ZengKorean Society for Thoracic & Cardiovascular SurgeryJournal of Chest Surgery2765-16062765-16142023-11-0156644945110.5090/jcs.23.041Operative Resection of a Chronic Flail Chest Nonunion Revealing Septic Pseudarthrosis: A Case ReportRobin Deville0https://orcid.org/0009-0000-7896-9573Justin Issard1https://orcid.org/0000-0001-9051-4088Anna Vayssette2https://orcid.org/0009-0009-1701-455XJalal Assouad3https://orcid.org/0000-0003-1409-3351Assistance Publique–Hôpitaux de ParisAssistance Publique–Hôpitaux de ParisAssistance Publique–Hôpitaux de ParisAssistance Publique–Hôpitaux de ParisWe 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.flail chestpseudarthorsisfracture fixationchest wall resectionchronic paincase report |
| spellingShingle | Robin Deville Justin Issard Anna Vayssette Jalal Assouad Operative Resection of a Chronic Flail Chest Nonunion Revealing Septic Pseudarthrosis: A Case Report Journal of Chest Surgery flail chest pseudarthorsis fracture fixation chest wall resection chronic pain case report |
| title | Operative Resection of a Chronic Flail Chest Nonunion Revealing Septic Pseudarthrosis: A Case Report |
| title_full | Operative Resection of a Chronic Flail Chest Nonunion Revealing Septic Pseudarthrosis: A Case Report |
| title_fullStr | Operative Resection of a Chronic Flail Chest Nonunion Revealing Septic Pseudarthrosis: A Case Report |
| title_full_unstemmed | Operative Resection of a Chronic Flail Chest Nonunion Revealing Septic Pseudarthrosis: A Case Report |
| title_short | Operative Resection of a Chronic Flail Chest Nonunion Revealing Septic Pseudarthrosis: A Case Report |
| title_sort | operative resection of a chronic flail chest nonunion revealing septic pseudarthrosis a case report |
| topic | flail chest pseudarthorsis fracture fixation chest wall resection chronic pain case report |
| work_keys_str_mv | AT robindeville operativeresectionofachronicflailchestnonunionrevealingsepticpseudarthrosisacasereport AT justinissard operativeresectionofachronicflailchestnonunionrevealingsepticpseudarthrosisacasereport AT annavayssette operativeresectionofachronicflailchestnonunionrevealingsepticpseudarthrosisacasereport AT jalalassouad operativeresectionofachronicflailchestnonunionrevealingsepticpseudarthrosisacasereport |