BrustkorbRippenSystem

BrustkorbRippenSystem is a term used to describe a modular approach to stabilizing the chest wall after severe thoracic trauma or during reconstructive thoracic surgery. It refers to implants and instrumentation designed to reapproximate and fix portions of the sternum and ribs in a way that restores chest wall integrity and supports normal respiratory mechanics during healing.

Typical components of such a system may include contoured plates or struts, rib implants or connectors, screws or clamps, and optional sutures or wires. The system is applied through a thoracic surgical approach to secure fracture lines or to reinforce the sternum and adjacent ribs. By stabilizing the chest wall, the device aims to reduce paradoxical movement, decrease pain in the healing period, and improve ventilation.

Indications for a BrustkorbRippenSystem include flail chest, multiple displaced rib fractures, postoperative sternum instability, or chest wall deformities where nonoperative measures fail to provide adequate stability. It is generally considered when other treatments are unlikely to achieve sufficient stabilization and pulmonary function.

Clinical outcomes reported in the literature vary with injury severity, patient factors, and surgical technique. Potential benefits include shorter duration of mechanical ventilation, faster weaning from support, and improved oxygenation in some cases. Possible complications involve infection, hardware irritation or failure, and the need for revision surgery. Long-term results depend on the extent of injury and the patient’s overall health.

As a concept, BrustkorbRippenSystem reflects ongoing efforts to improve chest wall stabilization. It is used in specialized centers and continues to be explored through clinical studies and evolving best practices.