Zimmer Biomet-RibFix Titan

Inclusion Criteria:

1. At least 18 years of age
2. Willing and able to sign an Institutional Review Board (IRB) approved Informed Consent Form and able to comply with study requirements, in the Investigator's opinion
3. Independent of study participation, patient qualifies for fixation, stabilization, and/or fusion of rib fractures or osteotomies of normal and osteoporotic bone with the study device

Exclusion Criteria:

1. Midline Sternotomy: sternotomy incisions crossing the midline
2. Active Infection: patients should not have any ongoing infections
3. Material Sensitivity: where sensitivity to materials is suspected, comprehensive testing should be conducted before implantation
4. Inability to Adhere to Post-operative Care: Patients must have the ability and willingness to comply with post-operative care instructions, which may not be possible for individuals with certain mental or neurological conditions
5. Patients not expected to survive the duration of follow-up due to the involvement of trauma situations
6. Patients with a history of alcohol or substance abuse, as well as vulnerable populations such as prisoners and pregnant women