Abstract
BackgroundThis study aim to evaluate surgical procedures for titanium plate internal fixation of sternal fractures with displacement or nonunion.MethodsFrom January 2010 to December 2014, 64 patients with sternal fractures were treated with titanium plate internal fixation in the thoracic surgery department of the Shanghai Sixth People’s Hospital. Pain severity scale scores were analyzed preoperatively and postoperatively. All the patients had a 2-month follow-up for treatment evaluation.ResultsThe mean hospital length of stay was 16.89 days. Forty-five patients underwent surgery for combined injuries. A statistically significant difference (P < 0.05) was found between preoperative and postoperative pain severity scores (7.74 ± 0.89 vs. 3.80 ± 0.79, respectively). At follow-up, healing of the nonunion or fracture was confirmed in all the cases.ConclusionThe rigid titanium plate application ensured a safe and easy management of traumatic sternal fractures and nonunion with a good prognosis as compared with other methods.
Highlights
This study aim to evaluate surgical procedures for titanium plate internal fixation of sternal fractures with displacement or nonunion
We evaluated the status of sternal fractures by using computed tomography (CT) and three-dimensional (3-D) reconstruction imaging
At follow-up, healing of the nonunion or fracture was confirmed in all the cases
Summary
This study aim to evaluate surgical procedures for titanium plate internal fixation of sternal fractures with displacement or nonunion. Sternal fracture accounts for about 3–8% of admissions for thoracic trauma [1, 2]. It is not uncommon and is often caused by direct, frontal, blunt trauma to the sternum. Many authors reported the beneficial effect of plate internal fixation for sternal infection or nonunion after sternotomy. The steel wire sealing technique is suitable for longitudinal sternotomy, We evaluated the status of sternal fractures by using computed tomography (CT) and three-dimensional (3-D) reconstruction imaging. The purpose of this study was to evaluate the therapeutic effect of this internal fixation technique
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