Figure 1: A 64-year-old male fell down from a height of 4 meters. He had chest wall contusion with fractures of the 3^rd–6^th and 10^th ribs and left costophrenic angle blunting. (a) The initial plain chest film. (b) The arrows indicate the fracture line, and the circle indicates the thickness of the 3^rd rib (8 mm). The designed plates (3^rd–6^th) are fixed on the model with locking screws. (c) The incision (6.5 cm) at the left 5^th intercostal space. (d) The postoperative plain chest film