Surgical treatment of rib fractures I. Effects of multiple rib fractures on the human body Intractable chest pain; Thoracic collapse and deformity; Chest wall softening and paradoxical breathing; Restricted thoracic expansion and ventilation dysfunction; Affects sputum evacuation, leading to pulmonary atelectasis, lung infection, and even respiratory failure. Second, conservative treatment methods Drugs (pain relief, anti-inflammatory, sputum removal); chest band fixation. Disadvantages: high incidence of complications such as pulmonary infection and respiratory failure due to difficulty in sputum evacuation and movement of the broken end of the rib; damage to the intercostal vessels at the broken end, leading to hemorrhage; healing of rib deformity, stubborn chest pain and long-term pain medication; chest wall deformity and dysfunction, which may leave varying degrees of chest wall tension and respiratory difficulty. Third, surgery for multiple rib fractures can significantly reduce the incidence of various acute complications can significantly improve the patient’s chest pain symptoms; can reduce the degree of chronic dysfunction significantly improve the shape of the thorax. Which rib fracture patients need surgery? Not all patients with rib fractures require surgery, but the following conditions are indications for surgical treatment: 1.Shackled chest: including paradoxical chest wall movement, continuous chest wall instability and inability to disengage from ventilator supporters; progressive lung volume reduction and deterioration of lung function in unintubated patients; 2. Multiple rib fractures with significant misalignment and thoracic collapse deformity; 3. Intractable chest pain with ineffective pain medication; 4. Rib fractures with significant misalignment and thoracic collapse deformity 4. Rib fracture with obvious bone discontinuity and movement of the fracture end even after conservative treatment; 5. Multiple rib fractures combined with hemopneumothorax, exploratory thoracotomy and internal fixation of ribs at the same time; 6. Multiple rib fractures combined with fractures of other parts, treated with internal fixation at the same time.