If the rib fracture is a single single or multiple single rib fracture, it does not affect the patient’s breathing and usually does not require hospitalization. If the rib fracture is multiple, forming a shackle chest, hospitalization is required as follows: 1. A single single rib fracture or multiple single rib fractures usually do not affect respiratory activity, and the patient can still breathe normally while in pain, but may have mild pain when breathing. After pain relief and fixation, the patient can go home for observation and regular orthopedic outpatient follow-up.2. If the patient has multiple multiple rib fractures, a shackle chest is formed, the chest wall becomes softened and cardiopulmonary function is mostly seriously affected. Patients need to be hospitalized at this time, and can be treated with local traction or incision and internal fixation to promote thoracic stability and ensure cardiopulmonary function, otherwise there will be serious consequences.