Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling

Schulz-Drost, Stefan; Oppel, Pascal; Grupp, Sina; Schmitt, Sonja; Carbon, R.; Mauerer, Andreas; Hennig, F. F.; Buder, Thomas

doi:10.3791/52124-v

Cited by 2 publications

(1 citation statement)

References 6 publications

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“…Therefore, for isolated or stable sternal fractures without injury to other organs or the bone marrow, analgesic treatment and thoracic band fixation is recommended; 3 for injuries caused by high-speed impact or a fall from a height, which can result in serious displacement of the fracture, open reduction and fixation is required. 13 In the present case, the indication for surgery was severe chest pain.…”

Section: Discussionmentioning

confidence: 54%

Minimally invasive plate osteosynthesis for the treatment of sternal fracture in the lower chest: a case report

et al. 2019

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Sternal fracture is a common complication of chest trauma but has a low incidence. Various treatments have been developed to reconstruct sternal fractures. Among these approaches, analgesia, corset fixation, and open reduction with plate internal fixation have been suggested. The use of newly developed minimally invasive plate osteosynthesis is a feasible method. In this study, we report a case involving a 54-year-old man with a sternal fracture accompanied by bilateral pleural effusion and a small amount of right-sided pneumothorax. The patient was treated with minimally invasive plate osteosynthesis. The operation was successful and the postoperative recovery was good. No pneumothorax or complications such as chest pain, paresthesia, or wound infection were observed at the 1-year follow-up visit. Additionally, the bilateral pleural effusion had been completely absorbed. The incision in the lower chest was aesthetic and minimally traumatic. This case describes a novel method for internal fixation of sternal fractures.

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Section: Discussionmentioning

confidence: 54%

Minimally invasive plate osteosynthesis for the treatment of sternal fracture in the lower chest: a case report

et al. 2019

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A decade of treating traumatic sternal fractures in a single-center experience in Korea: a retrospective cohort study

Lee,

Kim,

Kim

et al. 2023

J Trauma Inj

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Purpose: Clinical reports on treatment outcomes of sternal fractures are lacking. This study details the clinical features, treatment approaches, and outcomes related to traumatic sternal fractures over a 10-year period at a single institution.Methods: A retrospective cohort study was conducted of patients admitted to a regional trauma center between January 2012 and December 2021. Among 7,918 patients with chest injuries, 266 were diagnosed with traumatic sternal fractures. Patient data were collected, including demographics, injury mechanisms, severity, associated injuries, sternal fracture characteristics, hospital stay duration, mortality, respiratory complications, and surgical details. Surgical indications encompassed emergency cases involving intrathoracic injuries, unstable fractures, severe dislocations, flail chest, malunion, and persistent high-grade pain.Results: Of 266 patients with traumatic sternal fractures, 260 were included; 98 underwent surgical treatment for sternal fractures, while 162 were managed conservatively. Surgical indications ranged from intrathoracic organ or blood vessel injuries necessitating thoracotomy to unstable fractures with severe dislocations. Factors influencing surgical treatment included flail motion and rib fracture. The median length of intensive care unit stay was 5.4 days (interquartile range [IQR], 1.5–18.0 days) for the nonsurgery group and 8.6 days (IQR, 3.3–23.6 days) for the surgery group. The median length of hospital stay was 20.9 days (IQR, 9.3–48.3 days) for the nonsurgery group and 27.5 days (IQR, 17.0 to 58.0 days) for the surgery group. The between-group differences were not statistically significant. Surgical interventions were successful, with stable bone union and minimal complications. Flail motion in the presence of rib fracture was a crucial consideration for surgical intervention.Conclusions: Surgical treatment recommendations for sternal fractures vary based on flail chest presence, displacement degree, and rib fracture. Surgery is recommended for patients with offset-type sternal fractures with rib and segmental sternal fractures. Surgical intervention led to stable bone union and minimal complications.

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Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling

Cited by 2 publications

References 6 publications

Minimally invasive plate osteosynthesis for the treatment of sternal fracture in the lower chest: a case report

Minimally invasive plate osteosynthesis for the treatment of sternal fracture in the lower chest: a case report

A decade of treating traumatic sternal fractures in a single-center experience in Korea: a retrospective cohort study

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