Treatment of Acute, Unstable Chest Wall Injuries

Rib Fracture Clinical Trial

Official title: A Multi Centered Randomized Controlled Trial of Operative Versus Non-operative Treatment of Acute, Unstable Chest Wall Injuries

Status Active, not recruiting

Clinical Trial Summary

Unstable chest injuries are common in poly trauma patients. They can lead to severe pulmonary restriction, loss of lung volume, difficulty with ventilation and can render the patient to require intubation and mechanical ventilation. Traditionally these injuries have been treated non-operatively, however in the past decade there has been numerous studies suggesting improved outcomes with surgical fixation. Surgical fixation can significantly decrease time spent in ICU as well as day on mechanical ventilation. The investigators aim is to conduct a randomized control trial of these injuries, to compare non-operative treatment with surgical fixation. The investigators' hypothesis is that surgically treated patient will have significantly improved outcomes compared to those treated non-operatively.

Clinical Trial Description

n/a

Related Conditions & MeSH terms

• Blunt Injury of Thorax
• Chest Wall Injury Trauma
• Flail Chest
• Rib Fracture
• Rib Fractures
• Wounds and Injuries
• Wounds, Nonpenetrating

• NCT number: NCT01367951
• Study type: Interventional
• Source: Unity Health Toronto
• Status: Active, not recruiting
• Phase: N/A
• Start date: July 2011
• Completion date: December 2021