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Posterior Approach to rib fractures by Dr. Tim Pohlman

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MatrixRIB™ Care Program

Improving Care of Rib Fracture Patients

The MatrixRIB Care Program is an advanced set of tools and resources including cases studies, care pathways, and patient education materials that help optimize the care of rib fracture patients and address the Triple Aim goals of improved outcomes, increased patient satisfaction, and reduced costs.


Why rib fixation?
Despite the measurable clinical and economic impact of rib fractures, current treatment of the majority of patients consists of little more than supportive treatment including pain control, rest and mechanical ventilation1,2,3 and the mortality and short term morbidity of this entity have not appreciably improved during the last four decades3,4. The relatively recent availability of fixation technology specifically tailored to rib fixation presents a potential option toward a more effective approach to managing rib fracture.

Choose one of the asset's below to learn more about the MatrixRIB Care Program:

MatrixRIB Animation

MatrixRIB Care Brochure

MatrixRIB Fixation System Coding

MatrixRIB Value Analysis Brief

MatrixRIB Strength in Numbers



Protocols & Care Pathways*

Learn from this sampling of protocols from leading surgeons on how to evaluate rib fracture patients for rib fixation.


"Indications for Surgical Stabilization of Severe Rib Fractures" - Fredric Pieracci, MD, MPH


"Rib Fracture Protocol, Baystate Medical Center" - Andrew Doben, MD, FACS


"Open Reduction Internal Fixation of Chest Wall Fractures: Clinical Management" - William B. Long, MD, FACS


How to start a Program?

Learn from expert surgeons on how to start a rib fracture program at your location



Andrew Doben, MD, FACS

Baystate Medical Center
Springfield, MA

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Vicente H. Gracias, MD, FACS

Rutgers Robert Wood Johnson Medical School
New Brunswick, NJ

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William B. Long, MD, FACS

Legacy Emanuel Medical Center
Portland, OR

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Adam Shiroff, MD, FACS

Jersey Shore University Medical Center
Neptune, NJ

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Thomas W. White, MD, FACS

Intermountain Medical Center
Salt Lake City, UT

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Surgeon Education: Sign up for one of our chest wall courses where you will learn about patient selection and get hands-on experience with our MatrixRIB™ Fixation System.
Upcoming schedule of Thoracic Trauma Symposium


Hospital Education: Useful information on rib fixation to help educate healthcare professionals.
Presentation slides with general information on rib fractures and rib fixation


MatrixRIB™ Fixation System

Interested in DePuy Synthes products for rib fixation?

The MatrixRIB Fixation System is indicated for the fixation & stabilization of rib fractures, fusions & osteotomies of normal & osteoporotic bone.

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  1. Bhatnagar A, Mayberry J, Nirula R. Rib fracture fixation for flail chest: what is the benefit? J Am Coll Surg. 2012;215(2):201-5. Healthcare Cost and Utilization Project (HCUP). 2011. ICD-9-CM principal diagnosis code 486: Pneumonia - Organism Nos.
  2. Nirula R, Allen B, Layman R, Falimirski ME, Somberg. Rib fracture stabilization in patients sustaining blunt chest injury. Am Surg 2006; 72:307–9.
  3. Simon B, Ebert J, Bokhari F, Capella J, Emhoff T, Hayward T 3rd, Rodriguez A, Smith L; Eastern Association for the Surgery of Trauma. Management of pulmonary contusion and flail chest: an Eastern Association for the Surgery of Trauma practice management guideline. J Trauma Acute Care Surg. 2012 Nov;73(5 Suppl 4):S351-61.
  4. Allen GS and Coates NE. Pulmonary contusion: A collective review. The American Surgeon 1996;62: 895-900.

*DePuy Synthes Companies makes no representation or warranty that the MatrixRIB Care Program represents a superior methodology for the treatment of rib fracture fixation or that the protocols posted on this website have been approved by any regulatory authority in the United States or elsewhere. Thus, the use of the Protocols should be considered at the user’s risk.


DSUS/JRC/1214/0658f 11/2017

Get started setting up your MatrixRIB Care Program: contact your local DePuy Synthes Sales Consultant or email us at: