Author(s)

Fabrice Stéphane Arroye Betou^1,2*, Nyankoue Mebouinz Ferdinand^1,2, Guy Aristide Bang¹, Kobe Folkabo Zephany³, Banga Nkomo Douglas⁴, Moussa Seck Diop⁵, Abdoul Lahad Mbeng⁵, Marcella Derboise Christelle Biyouma², Noel Essomba², Souleyman Diatta⁵, Handy Eone Daniel¹, Arthur Essomba¹, Hassan Ndiaye^5,6, Maurice Aurelien Sosso¹

¹Department of Surgery and Specialties, Faculty of Medicine and Biomedical Sciences (FMBS), University of Yaoundé (UYI), Yaoundé, Cameroon.
²Department of Surgery and Affiliated Disciplines, Douala Laquintinie Hospital, Douala, Cameroon.
³Department of Surgery and Specialties, Yaoundé General Hospital, Yaoundé, Cameroon.
⁴Department of Surgery and Specialties, Faculty of Medicine and Pharmaceutical Sciences (FMPS), University of Dschang, Dschang, Cameroon.
⁵Service de Chirurgie Thoracique et Cardiovasculaire, Centre Hospitalier Universitaire de Fann, Faculté de Médecine, de Pharmacie et d’Odontologie, Université de Cheikh Anta Diop, Dakar, Sénégal.
⁶UFR des Sciences de la Santé, Ziguinchor, Sénégal.

Background: Costal fracture surgical is still a debate, therefore we shall select between early and delay surgical management. Case Report: We are reporting two cases of post road traffic clash delay ribs fractures osteosynthesis involving a 63-year-old man with multistage fractures on the left and pulmonary pinning of one of the costal arches, complicated by a homolateral haemothorax and a 41-year-old man with a bilateral flail chest. Conclusion: The simple postoperative course and the immediate postoperative improvement in the patient’s clinical respiratory condition enabled us to discuss the time frame for management, in this case the indication for early or later surgery.

Flail Chest, Fixation Plate, Rib Fracture, Osteosynthesis

Betou, F. , Ferdinand, N. , Bang, G. , Zephany, K. , Douglas, B. , Diop, M. , Mbeng, A. , Biyouma, M. , Essomba, N. , Diatta, S. , Daniel, H. , Essomba, A. , Ndiaye, H. and Sosso, M. (2024) Rib Osteosynthesis for Sub-Acute Management of a Flail Chest in a Tertiary Centre in a Low-Middle Income Country of Sub-Saharan Africa: Case Report at Douala Laquintinie Hospital. Open Journal of Thoracic Surgery, 14, 1-16. doi: 10.4236/ojts.2024.141001.