2013
DOI: 10.1055/s-0033-1356864 View full text |Buy / Rent full text
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Abstract: The term "stairway phenomenon" describes the dislocation of sternocostal joints. Observed after open pectus excavatum correction it can trigger substantial physical complaints. Thus, preserving those joints during pectus repair is strongly recommended. Locking titanium plates are a safe alternative to sternocostal suture fixation and is characterized by high patient satisfaction.

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“…12 Another case series of surgically treated patients for sternocostal dislocation after pectus excavatum repair showed no hardware complications and good patient satisfaction at 1 year after treatment. 2 In this patient, hardware was fixated with screws on the anterior osseous rib surface, costal cartilage and the sternum, offering sufficient compression and grip, resulting in union of all fractures and no material dislocation or complications at 7 months after trauma. Multiple rib fractures are known to cause long-term pain, morbidity and a significant functional reduction with a low percentage of patients returning to full-time work.…”
Section: Discussionmentioning
“…1 The costal cartilage sector is a biomechanically demanding region due to the symmetrical and asymmetrical tractive, compressive and shearing forces, which can result in sternocostal dislocation and has previously been described after pectus excavatum repair. 2 Whereas Schulz-Drost has presented satisfactory results after surgical stabilisation of sternocostal dislocation, this operative treatment has, to the best of our knowledge, not been described in the literature for patients with traumatic sternocostal or costochondral dislocation.…”
Section: Introductionmentioning
“…The fixation of each fragment using at least three screws usually shows a proper stabilization for transverse as well as for oblique and longitudinal fractures (Figure 5a, b). Fixing separated ribs to the sternum can be performed by sterno-costal plating as well leading to a stable conjunction 26 (Figure 5b).…”
Section: Representative Resultsmentioning