In recent years the approach towards rib fractures has evolved. Abandoned in the past due to
inadequate instrumentation and lack of evidence rib fixation has recently re-emerged as a
treatment option for trauma patients. There have been a number of advances over the last 25
years that now allow surgeons to internally fix rib fractures that otherwise may have not had
other options. However as a result there has been a rapid increase in literature and many
institutions interested in initiating rib fixation programs. Due to a variety of practitioners
involved namely trauma surgeons orthopedic surgeons and thoracic surgeons there has been no
comprehensive guide to patient selection technique and post-operative care. The purpose of
this text is to fill the educational gap for those trauma orthopedic and thoracic surgeons
interested in learning the cutting edge evidence-based approaches to treatment of rib
fractures. This topic has caught the interest of many and has been a recurrent theme at
surgical meetings over the last two years. Although there has been ever increasing levels of
interest and experience nationally there are many questions which remain. This text will
provide not only the theoretical background for improving outcomes in those with rib fractures
but also serve as a practical guide to those interested in starting new programs. The text will
include tips and tricks that can be used in the OR or at the bedside to improve patient care.
Therefore the focus will be on a comprehensive review but also including tips and tricks from
the most experienced surgeons around the country who are performing internal fixation for rib
fractures.
