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In the mod Neurotrauma the medical system is overhauled, so you actually can break your ribs. To fix it, you need to open him up with standard surgery, drill his chest bones with a bone drill, insert ostiosynthesis implants, and stitch him back up.
Use the scalpel, if they start bleeding and get lacerations you failed the skill check. Once the surgical incision affliction reaches 100% use the hemostat, once the clamped bleeding affliction reached 100% use the skin retractors, once skin retraction reaches 100%, drill the rib cage using the surgical drill, once the drillved bones affliction is 100% apply osteosynthesis implants, once you get the stimulated bone growth affliction suture the incision shut. If they get a fever, get some some broad-spectrum antibiotics ASAP.
https://trello.com/b/cabkctsx/neurotrauma-guide
I'd also recommend downloading and playing through the entirety of Mercy Hospital, it's a map where you can practice and learn (almost) the entirety of Neurotrauma.