Operative stabilization of a flail chest six years after injury

We report a case of operative stabilization of an incompetent upper chest w all 6 years following flail chest. The indications for stabilization were c hronic pain and dyspnea associated with rib malunion and loss of hemithorax volume. At operation, multiple pseudoarthroses were encountered and partia l resection of ribs three and four was required. Malleable plates were used to bridge the gaps created by the resection and were secured in place with sternal wire. The patient reported a dramatic relief of symptoms and, at 1 8 months postoperatively, continues to work full-time on his cattle ranch e ssentially pain-free. (C) 2001 by The Society of Thoracic Surgeons.