Factors concerning rib regeneration are of importance mainly to thoracic surgeons, but there are certain aspects which present more general interest. For example, data concerning the healing of fractures of the ribs may be applicable to fractures elsewhere. In some instances the surgeon finds regeneration of bone to be of advantage, as in the Semb1 type of extrafascial apicolysis, in which new bone formation aids in maintaining collapse of the lung. Knowledge of the effect of removal of periosteum on the stability of the chest wall in such procedures as unroofing for chronic empyema cavities is also important. On the other hand, there is a definite group of situations in which rib regeneration is a distinct disadvantage. For example, in the surgical treatment of pulmonary tuberculosis some untoward reaction, such as traumatic infection or the spread of tuberculosis to the opposite lung, may cause the postponement of subsequent stages
BOWERS WF. RIB REGENERATION FROM THE STANDPOINT OF THORACIC SURGERY. Arch Surg. 1938;36(6):949–976. doi:10.1001/archsurg.1938.01190240052002
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