2005
DOI: 10.1016/j.injury.2004.10.028
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Open reduction and internal fixation of a non-united transverse sternal fracture

Abstract: A 60-year-old male crane-driver slipped at work and fell onto his anterior chest against a concrete bar. This caused a transverse fracture of the body of his sternum. The pain in his anterior chest wall and sternum caused him such severe pain that, 4 months after the injury he was still taking daily morphine derivatives and was unable to work. On examination, he had a very painful and tender area at the site of the fracture, with mobility and crepitus. Sternal radiographs showed a transverse, posteriorly displ… Show more

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Cited by 4 publications
(5 citation statements)
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“…Little has been published on for sternal fracture reduction to reapproximate the fractured segments and provide compression across the fracture line. The articles cited in this report either briefly state that the fracture was reduced using bone clamps or reduction forceps [1][2][3]6] or make no mention of the technique used for fracture reduction [4,5].…”
Section: Discussionmentioning
confidence: 99%
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“…Little has been published on for sternal fracture reduction to reapproximate the fractured segments and provide compression across the fracture line. The articles cited in this report either briefly state that the fracture was reduced using bone clamps or reduction forceps [1][2][3]6] or make no mention of the technique used for fracture reduction [4,5].…”
Section: Discussionmentioning
confidence: 99%
“…Surgical repair of sternal fractures is not well studied in the literature, which primarily consists of case reports and case series, but there are specific scenarios where surgical repair is warranted. In particular, surgical fixation should be considered in cases of severe pain, respiratory failure or dependency on mechanical ventilation, cosmetic deformity, malunion, disunion, and compression of the heart [1][2][3][4][5][6]. A variety of surgical approaches to sternal fracture fixation have been documented (steel wire, suture materials, a seven-hole aluminum plate, an eight-holed Sternolock X plate, a sternum-osteosynthesis plate, t-shaped plate).…”
Section: Introductionmentioning
confidence: 99%
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“…The sternal defect was also bone grafted with a tricortical iliac crest autograft. Bone grafting was advocated for and performed in some other published cases of transverse sternal nonunion with a bone defect [ 1 , 2 , 19 , 20 ]. Common late complications of the sternal plating are local pain and irritation caused by the prominent material, requiring removal of the plate in 15.4% and 27% of the patients, respectively [ 5 , 11 ].…”
Section: Discussionmentioning
confidence: 99%
“…The sternal defect was also bone grafted with a tricortical iliac crest autograft. Bone grafting was also advocated for and performed in some other published cases of transverse sternal nonunion with a bone defect [1,5,16,17]. Important late complications of the sternal plating are pain and irritation, caused by the prominent material, requiring removal of the plate in 15.4% and in 27% of the patients, respectively [2,9].…”
Section: Discussionmentioning
confidence: 99%