Divisi D, Mucilli F, Di Leonardo G, et al. - In this study, three approaches for parietal thoracic stabilization were compared by analyzing both early and long-term patient outcomes. Researchers conducted a retrospective study from January 2006 to January 2018 involving 65 surgical flail chest (25 plates,11 struts and 29 wires fixations). For managing flail chest, the preferable option is surgical management relative to non-invasive treatment. Observations revealed a lower rate of complications in correlation with using plates and struts fixation than wires technique. Wires approach is easy to conduct also in video-assisted thoracoscopic surgery.