Early Surgical Repair of Isolated Traumatic Sternal Fractures Using a Cervical Plate System

被引:28
作者
Ciriaco, Paola [1 ]
Casiraghi, Monica [1 ]
Negri, Giampiero [1 ]
Gioia, Giuseppe [2 ]
Carretta, Angelo [1 ]
Melloni, Giulio [1 ]
Zannini, Piero [1 ]
机构
[1] Univ Vita Salute, Dept Thorac Surg, H San Raffaele, Inst Sci, I-20312 Milan, Italy
[2] Univ Vita Salute, Dept Orthoped, H San Raffaele, Inst Sci, I-20312 Milan, Italy
来源
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE | 2009年 / 66卷 / 02期
关键词
Sternal fracture; Trauma; Surgery; RETROSPECTIVE ANALYSIS; INJURY;
D O I
10.1097/TA.0b013e31814b2c5e
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Background: We reviewed our experience of the surgical management and follow-up of patients admitted with an isolated traumatic sternal fracture (TSF) to a Thoracic Surgical Unit through the Emergency Department. Methods: During a 5-year period, six patients were surgically treated for an isolated TSF. Presence of physical deformity or acute and persistent pain were considered indications for surgical repair. Surgical repair was performed within 1 week from the trauma by means of a titanium cervical plate system currently in use in spine surgery. Results: There were no postoperative complications. Mean hospital stay was 3 days. All patients showed regular sternal healing at 6 to 8 weeks. In one patient the plate was removed after 3 years because of persistent chest discomfort. Conclusions: Early surgical repair of isolated TSF is advocated in cases of physical deformity or acute and persistent pain. The titanium cervical plate system provides effective repair of the fracture with satisfactory long-term results.
引用
收藏
页码:462 / 464
页数:3
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