Rib fixation: New horizons in regional surgery

Introduction: Rib fractures are a common consequence of trauma, often necessitating surgical stabilization for improved outcomes. Mackay Base Hospital (MBH) serves as a regional center for managing trauma cases, including rib fractures. Despite logistical challenges, MBH strives to provide optimal care for patients requiring surgical stabilization of rib fracture (SSRF). This article aims to provide insight into SSRF practices at MBH. Case Series: A retrospective analysis of patients undergoing SSRF at MBH from January 2021 to June 2022 was conducted. Five SSRF procedures were performed, with a mean patient age of 56 years and a predominance of male patients. Postoperatively, extubation occurred within 48 hours in most cases. One morbidity and one mortality were reported, both unrelated to surgical complications. Conclusion: Despite logistical and resource-related challenges, MBH demonstrated successful implementation of SSRF. Structured upskilling, multidisciplinary coordination, and investment in local capabilities suggest that regional centers can deliver safe and effective SSRF care.