Rib Plating Repairs Crushed Chest

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GRAPEVINE, Texas (Ivanhoe Newswire) — Here’s a remarkable story about a woman, who was crushed in a car accident with multiple broken ribs.  Every breath was painful, but she was able to return to work in just eight weeks, thanks to an innovative technical and surgical advancement.

Barbara Werley is a master sommelier, a trained wine steward, but a hit and run traffic accident nearly killed her and almost ended her career.

“I had a crushed chest so the back rib here sort of went this way. And from reading my reports, I had no less than 17 fractures down the ribcage,” Werley told Ivanhoe.

Her chest was crushed so badly it took two surgeons to physically move her ribs back into place, and they used titanium plates to hold the rib cage together so she could breathe without pain.

Bradley Putty, MD, Trauma Medical Director at Baylor Grapevine explained, “I think that the recent development and advent of rib fixation technology is quite a breakthrough. For decades the medical community has struggled with how to treat these patients.” (Read Full Interview)

Doctor Putty developed his techniques in the Air Force. New biomaterials are sturdy, flexible and promote healing, making ventilators less necessary.

“Then you fix it to the different ends of the ribs by drilling and then screwing these screws in place. Barbara has enjoyed quite a recovery. Patients do enjoy an earlier return to work and at times a return to work where they otherwise would’ve had to give up their livelihood,” Doctor Putty stated.

The titanium rib plates should not set off a metal detector.  They are MRI- compatible and the TSA will see them when patients walk through the X-ray machine at the airport.

Contributors to this news report include: Don Wall, Field Producer; Thomas Webb, Videographer; Cyndy McGrath, Supervising Producer; Gabriella Battistiol, Assistant Producer; David Harrison, Editor.

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MEDICAL BREAKTHROUGHS

RESEARCH SUMMARY

TOPIC:            RIB PLATING REPAIRS CRUSHED CHEST

REPORT:       MB #4376

RIB FRACTURES: Among people who suffer traumatic chest injuries, rib fractures are one of the most common. About 20 percent of people who suffer blunt trauma to the chest will have a rib fracture, which is a crack or break in one or more of the bones that wrap around the upper body. This can occur in car accidents, falls or any traumatic event that impacts the chest. Such a fracture can often make it difficult to breathe or move. People most vulnerable to these kinds of fractures are the elderly, who are more prone to suffering flail chest; a life-threatening condition in which three or more consecutive ribs are fractured in two or more places. This condition can impede breathing.

(Source: https://medlineplus.gov/ency/patientinstructions/000539.htm)

WHEN TO SEE A DOCTOR: It is important for a person to see their health care provider if they experience a very tender spot in the rib area that occurs after trauma, or if they have difficulty breathing or pain with deep breathing. You must seek medical attention immediately if you feel pressure, squeezing pain, or fullness in the center of the chest lasting more than a couple minutes, as well as pain that extends beyond the chest out to the shoulders or arms. These symptoms can indicate a heart attack.

SYMPTOMS/TREATMENT: Symptoms of a rib fracture include pain, which can increase when a person takes a deep breath, presses on the injured area, or bends/twists their body. Traditionally, rib fractures are treated with pain management and occasionally assisted breathing using some form of respiratory support. For more severe fractures, a surgical procedure called rib fixation can be administered. This helps keep the injured bone in place to allow for proper healing, and this procedure has shown to lower the rate of mortality and shorten hospital stays.

(Sources: https://www.mayoclinic.org/diseases-conditions/broken-ribs/symptoms-causes/syc-20350763

http://tsaco.bmj.com/content/2/1/e000059

RIB PLATING: The latest innovation in rib fracture treatment is rib plating. It is a reconstructive surgery that uses new biomaterials, such as titanium plates, which are sturdy and flexible; to bring the rib back into alignment as the patient heals. Dr. Bradley Putty, a trauma surgeon at Baylor Scott & White Medical Center in Grapevine, TX is one of the doctors performing this procedure. Rib plating has shown to help treat patients’ ongoing pain and make breathing easier. It also allows them to go back to their normal lives faster following a traumatic injury.

(Source: Bradley Putty, MD)

FOR MORE INFORMATION ON THIS REPORT, PLEASE CONTACT:

Susan Hall

Susan.hall@bswhealth.org

If this story or any other Ivanhoe story has impacted your life or prompted you or someone you know to seek or change treatments, please let us know by contacting Marjorie Bekaert Thomas at mthomas@ivanhoe.com

Doctor Q and A

Read the entire Doctor Q&A for Bradley Putty, MD

Read the entire Q&A