Severe chest wall injury and flail chest – those are very difficult injuries to treat. The greatest challenge is to wean those patients off mechanical ventilation and keep them off the ventilator. Pain control is a problem as well – often patients end up having epidural catheter for analgesia. The recovery is long and painful for the patients with severe chest wall injury. Not surprising, the functional capacity is diminished for many months after the discharge from the Hospital. There is a lot of literature out there about the treatment options of these injuries. In my practice, I have seen great benefits from a chest wall stabilization procedure (click on image above). In my experience it was easier to wean the patients off the ventilator, pain was better controlled and the patients, in general, did better from activity standpoint. Those are the observations from my practice. I do believe in this treatment modality and I hope to see it becoming the standard of care.