Polytraumatises With Rib Fractures
Conditions
Brief summary
Optimize the management of polytraumatises with flail chest: surgical treatment Stracos by decreasing the length of stay and the late complications: pain chronicles, quality of life, respiratory function
Interventions
DEVICEThoracic osteosyntheses with Stracos
Sponsors
Poitiers University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* Patients with flail chest including bifocal fracture of three or more consecutive ribs in at least two places with or without paradoxical movement * The surgical procedure was performed in the first 48 hours after admission * pathology with prognosis for survival 6-month-old inferior
Exclusion criteria
* Paraplegia or Tetraplegia * Patients having the necessity of neurosurgical treatment or reanimation of neurosurgical * Aorta hematoma or rupture * ß-HCG positive in women * titanium allergy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Average cost hospitalization | 4 weeks | Average cost hospitalization without the intensive care cost.The cost of the hospitalization will be calculated by adding the cost of the surgery and hospital stay- time of the surgery-The number of Stracos used by patient |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| length of hospital stays | 4 weeks | From the first day to the last day in the hospital |
| occurence of pulmonary infection | 12 months of follow up | — |
| The vital capacity (VC) | visit 3 months, visit 6 months, visit 12 months after the surgery | Volume measurement (L) |
| The expiratory reserve volume (ERV) | visit 3 months, visit 6 months, visit 12 months after the surgery | Volume measurement (L) |
| The total lung capacity (TLC) | visit 3 months, visit 6 months, visit 12 months after the surgery | Volume measurement (L) |
| length of hospital stays of the intensive care department | 4 weeks | From the first day to the last day in the intensive care department. Care department - monitoring patients with traumatic hemothorax - lung pulmonary infectious associated - |
| 6 min walk test (6MWT) | visit 3 months, visit 6 months, visit 12 months after the surgery | Distance measurement (M) |
| Visual analog scorer for pain | at visit 7 days, 28 days, 3 months, 6 months and 12 months | — |
| Patient Global Assessment to measure quality of life | at visit 7 days, 28 days, 3 months, 6 months and 12 months | — |
| date of return to work | visit 3 months, 6 months and 12 months | — |
| Residual volume (RV) | visit 3 months, visit 6 months, visit 12 months after the surgery | Volume measurement (L) |
Countries
France
Contacts
Primary ContactChristophe CJ JAYLE, PI
Outcome results
None listed