Efficacy of nickel‑titanium memory alloy in the treatment of multiple rib fracture combined with sternal fracture

Xiong, Ming; Hu, Wei; Li, Qiang; Yin, Shi; Wang, Xin

doi:10.3892/etm.2019.7597

Cited by 2 publications

(2 citation statements)

References 24 publications

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“…While in our study, only one patient was treated with mild steel wire displacement, clinicians have also reported good results using steel wire with a needle similar to that used in cardiac surgery to fix the fracture (25). Nickel-titanium memory alloy embracing fixator is a new type of material combining sensing with actuation (26). It is widely used for sternal fracture in our medical center and has favorable histocompatibility, excellent corrosion resistance, and self-pressurized function.…”

Section: Discussionmentioning

confidence: 99%

Surgical treatment of sternum comminuted fracture with memory alloy embracing fixator

Xu¹,

Zhu²,

Qian³

et al. 2021

J Thorac Dis

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Background: Sternal fracture can result from multiple types of severe chest trauma and carries significant risk. Surgical fixation is an effective method for sternal fracture. Methods:The clinical data of patients with sternal fractures who presented to our hospital between August 2016 and July 2019 were collected. The 42 patients were divided into three groups, with 15 patients treated by internal fixation with NI-TI memory alloy embracing fixator, 10 patients receiving steel wire fixation, and 17 who received non-surgical treatment and who was designated as a control (conservative) group. Differences in clinical indices included the duration of surgery, blood loss, hospitalization, wound healing, hospitalization expenses, VAS scores, and patient satisfaction scores between the three groups was compared.The analysis of variance and t-test were used for quantitative variables, which were approximately normally distributed. Dichotomous data were compared used Pearson χ 2 or Fisher's exact test, and a P value less than 0.05 was considered as statistically significant.Results: All patients were cured, and there were no significant differences in general clinical features between the three groups (P>0.05). Thoracic deformity in the surgical groups was corrected anatomically and received better pain scores, while patients in the NI-TI memory alloy embracing fixator group showed advantages of bleeding and patient satisfaction (P<0.05). Conclusions:Operative treatment for a sternal fracture is safe, effective and can quickly restore the stability of the thorax. Memory alloy embracing fixator is markedly superior to other fixator materials.

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Section: Discussionmentioning

confidence: 99%

Surgical treatment of sternum comminuted fracture with memory alloy embracing fixator

Xu¹,

Zhu²,

Qian³

et al. 2021

J Thorac Dis

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show abstract

“…Using rib fixation plates firstly comes into our minds when we encounter a patient with rib fractures [12]. However, it is not suitable for those severe patients who have too many fractured sites and large fractured areas both in ribs and sternum, especially with cartilage fractures.…”

Section: Discussionmentioning

confidence: 99%

Combining the use of Nuss procedure and rib fixation for severe flail chest: a case report

et al. 2020

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Background: Severe flail chest is a life-threatening situation. The Nuss procedure is a new effective treatment for severe flail chest patients who cannot be weaned from prolonged mechanical ventilation in the last few years. However, the procedure is not suitable when there are multiple fractures in both the anterior and lateral chest walls. Here, we reported a rare case of severe flail chest in a patient who suffered multiple fractures in both the anterior and lateral chest walls in a traffic accident. Case presentation: A 49-year-old patient suffered severe flail chest by a steering wheel in a traffic accident with multiple fractures in both the anterior and lateral chest walls. In the beginning, the patient was administrated with mechanical ventilation because of acute respiratory distress syndrome (ARDS) for more than 1 week. Then the patient suffered from a severe lung infection and decreased blood oxygen saturation. After a multidiscipline discussion (MDT), three rib fixation plates were first used to rebuild the stability of lateral chest walls, then two Nuss bars were inserted to eliminate paradoxical movement in the anterior chest wall. Finally, the patient recovered smoothly after the combining procedure. Conclusions: Severe flail chest patients with both the anterior and lateral chest walls after trauma are in a lifethreatening situation, and require an appropriate procedure to get out of danger in time. Rib fixation is an effective treatment when the fractured sites are few and the fractured area is small. The Nuss procedure is a new effective method for severe flail chest with multiple fractures in an anterior chest wall, which is also a minimally invasive and short time-consuming procedure. However, it does not suitable for the patient with multiple fractures in lateral chest walls. Combining the use of Nuss procedure and rib fixation can solve severe flail chest with multiple ribs and sternum fractures in both the anterior and lateral chest walls, and the outcome of this procedure is satisfying in the present rare case.

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Efficacy of nickel‑titanium memory alloy in the treatment of multiple rib fracture combined with sternal fracture

Cited by 2 publications

References 24 publications

Surgical treatment of sternum comminuted fracture with memory alloy embracing fixator

Surgical treatment of sternum comminuted fracture with memory alloy embracing fixator

Combining the use of Nuss procedure and rib fixation for severe flail chest: a case report

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