BMJ Case Reports 2013; doi:10.1136/bcr-2013-008887

Successful treatment of flail chest with chondrosternal disruption and traumatic parasternal lung hernia with titanium rib bridges

  1. Fernando Rodriguez-Ortega
  1. Department of Thoracic Surgery and Pneumology Service, General Surgery Service, Medical Center of Instituto de Seguridad Social del Estado de México y Municipios (ISSEMYM), San Jerónimo Chicahualco, Metepec, Estado de México
  1. Correspondence to Dr Iris Camacho Partida, iris.camacho{at}


The surgical principles for the treatment of flail chest have yet to be fully established. Furthermore, the relationship between flail chest and lung hernias is unclear. We report here a rare case of chondrosternal traumatic disruption and lung hernia that was treated with a novel technique using titanium rib bridges and clips, which successfully reduced the hernia defect and provided stability to the chest wall. This procedure was beneficial in minimising the patient's ventilation time and time away from work.

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