Thoracoscopic internal fixation, open surgical internal fixation, and conservative treatment of rib fractures: differences in postoperative rehabilitation and chest volume (a randomized controlled trial).
Eur J Trauma Emerg SurgAug 31, 2026 (epub)
Tong Li, Pile Zhao, Wei Li et al.
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In 30 seconds
This randomized controlled trial evaluated the efficacy of thoracoscopic internal fixation, open surgical internal fixation, and conservative treatment for multiple rib fractures in patients at Weifang People's Hospital. The study found that thoracoscopic fixation resulted in significantly better physical, psychological, and social function scores one month post-operation compared to the other methods (P < 0.001).
Key findings
- Thoracic volume significantly differed between thoracoscopic and open fixation groups (P < 0.001).
- One month post-surgery, thoracoscopic fixation showed better GQOLI-74 scores than open fixation and conservative treatment (P < 0.001).
- Both surgical methods improved thoracic volume compared to conservative treatment.
Why it matters
Understanding the differences in postoperative outcomes among treatment options for rib fractures can guide clinicians in selecting the most effective approach, potentially leading to improved patient recovery and quality of life.