This document addresses the treatment of rib fracture(s) using an open approach and an internal fixation system. Operative reduction and internal fixation with the use of simple pins, wires or plates, without use of specially designed internal rib fixation devices, is not addressed in this document.

Position Statement

Medically Necessary:

The use of an internal rib fixation system is considered medically necessary for the open treatment of flail chest in individuals dependent (require > 4 hours per day of positive pressure ventilation) on mechanical ventilation in the absence of other causes of ventilator dependency such as severe brain injury.

Investigational and Not Medically Necessary:

The use of an internal rib fixation system is considered investigational and not medically necessary for all other indications.