A multidisciplinary approach to managing rib fracture non- or malunion with bridging heterotopic ossification: a case report and surgical technique

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Abstract
Rib nonunion with malunion and heterotopic ossification (HO) is a rare complication of rib fractures. It is associated with significant morbidity and quality-of-life impairments owing to pain. Management is complex and requires a multidisciplinary approach involving surgery and appropriate multimodal pain management strategies, including systemic and locoregional interventions. We report a case of rib fracture nonunion with malunion and HO formation resulting in significant disability, successfully managed with surgical intervention and chronic pain management strategies employing radiofrequency ablation.