Inclusion Criteria:  Age 18 and above (inclusive) Simple rib fracture with ≥ 3 consecutive ribs, and the broken ends showed clear displacements Indicated for surgical repair of rib fractures using RibFix Blu Thoracic Fixation System or non-surgical treatment (analgesia and symptomatic management treatment) Willing and able to complete scheduled follow-up evaluations as described in the study protocol Has participated in the Informed Consent process and is willing and able to sign an Institutional Review Board or Ethics Committee (IRB/EC) approved Patient Information/ Informed consent Form (PICF)  Exclusion Criteria:  Flail chest rib fractures based on radiological or clinical findings Previous rib fractures or pulmonary problems, requiring continuous oxygen use at home pre-trauma Presence of any serious medical issues that placed patient in generally poor conditions such that he or she could not tolerate the surgery Chest trauma associated with severe craniocerebral injury, abdominal organ injury, severe spinal injury, limb fracture, or pelvic fracture requiring long-term bed rest Has serious medical disease that is a contraindication for general anesthesia, such as cerebral infarction, myocardial infarction and hemorrhagic syndrome  Any contraindications listed in the manufacturer's Instruction to use for RibFix Blu Thoracic Fixation System as per below:  Spanning a midline sternotomy Active Infection Foreign body sensitivity Is known to be pregnant Is a prisoner, known alcohol or drug user or mentally incompetent or unable to understand what participation in this study entails. Participation in another surgical intervention that may influence any of the outcome parameters.