Insertion of metal rib reinforcements to stabilise a flail chest wall

Current evidence on insertion of metal rib reinforcements to stabilise a flail chest wall is limited in quantity but consistently shows efficacy. In addition, there are no major safety concerns in the context of patients who have had severe trauma with impaired pulmonary function. Therefore, the procedure may be used provided that normal arrangements are in place for clinical governance, consent and audit.

Patient selection should be carried out by critical care specialists, chest physicians and thoracic surgeons with appropriate training and experience.