Multiple rib fractures with a flail chest segment

The upper image is a 3-D reconstruction of the chest of the patient who was involved in a motor vehicle accident. The arrows are pointing to the rib fracture sites. Several ribs were broken in two or more places creating a flail chest segment with a paradoxical chest movement. Considering the extent of the ribs fractures, the patient was taken to OR for a chest wall stabilization (image below).