Abstract
We report a case of intercostal neuralgia after rib fixation using KANI®, which was treated by plate removal. A 53-year-old woman suffered an injury after falling while riding a motorcycle. She was admitted to our hospital with multiple left rib fractures, pulmonary contusion, and hemothorax. On the 23rd day after the injury, she underwent rib fixation. One month after the surgery, she developed a sensation of a foreign body and lateral chest pain due to body movement and was diagnosed with intercostal neuralgia caused by physical stimulation of a partially deviated KANI®. She was treated with Pregabalin, but her condition continued to worsen, and at 12 months postoperatively, removal of the deviated plate was performed. Judet-like struts, including KANI®, may cause intercostal neuralgia; however, there are no reports of this in Japan. Further, although there is no definitive treatment for such cases, plate removal was effective in the present case.
