The treatment of misaligned rib fractures mainly includes the following two aspects: 1. conservative treatment, the main treatment is to wear a chest brace to reduce the activity of the broken end of the rib fracture, thereby reducing pain and promoting fracture healing, for those with significant pain can take oral non-steroidal anti-inflammatory drugs to improve the symptoms, about 1 month can significantly reduce pain, after 6 months the pain completely disappears deformity healing does not affect the function. 2. surgical treatment. Surgery can be performed to reset the internal fixation to maintain the stability of the fracture end, promote fracture healing, shorten the time of fracture healing, due to the role of the rib to support the chest wall, due to respiratory movement, the fracture end of the fracture occurs mild activity, thus delaying fracture healing. After internal fixation, the activity of the fracture ends is relatively insignificant, which is conducive to promoting healing and reducing pain, especially for unilateral multiple rib fractures combined with a shackled chest, surgical fixation is also required to support the chest wall in order to restore normal respiratory motion.