Case ReportReoperative Surgical Stabilization of a Painful Nonunited Rib Fracture Using Bone Grafting and a Metal PlateCho, Yang Hyun MD; Kim, Hyun Koo MD, PhD; Kang, Du-Young MD; Choi, Young Ho MD, PhDAuthor Information From the Department of Thoracic & Cardiovascular Surgery, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea. Accepted for publication February 16, 2009. There is no conflict of interest. Reprints: Hyun Koo Kim, MD, PhD, Department of Thoracic & Cardiovascular Surgery, Korea University Guro Hospital, Korea University College of Medicine, 97 Gurodong-Gil, Guro-gu, Seoul 152-703, Korea (e-mail: email@example.com). Journal of Orthopaedic Trauma: September 2009 - Volume 23 - Issue 8 - p 605-606 doi: 10.1097/BOT.0b013e3181a16123 Buy Metrics Abstract We report a case of a nonunited sixth rib in a patient with multiple rib fractures who underwent internal fixation using a wire and Judet strut 3 times. During the following 3 years, the patient continued to complain of pain and instability. At surgery, a pseudarthrosis between the ends of the sixth rib was excised. A longitudinal gutter crossing the fracture site was fashioned and splinted with an inlay block of cancellous bone grafted from the iliac crest; stabilization was accomplished with a reconstruction plate and screws. The following 2 years of follow-up demonstrated no instability or pain. © 2009 Lippincott Williams & Wilkins, Inc.