Introduction: The management of rib fractures and flail chest has changed considerably over the past century, and recently there has been a renewed interest in operative rib stabilization for these injuries. Despite numerous reports suggesting improved outcomes with rib stabilization, there are not well-defined indications and the approach remains somewhat controversial.
Materials and methods: The authors reflect on their experience of performing rib stabilization in over 100 patients with rib fractures and flail chest.
Conclusion: The authors offer their opinions on this operation with respect to rationale, indications, timing, technique, and postoperative care.
Keywords: Chest trauma; Flail chest; Rib fractures; Rib stabilization.