Surgical fixation of sternal fractures: locked plate fixation by low-profile titanium plates—surgical safety through depth limited drilling
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- 作者：Stefan Schulz-Drost (1) (3)
Andreas Mauerer (1)
Sina Grupp (1)
Friedrich F. Hennig (1)
Matthias Blanke (2) - 关键词：Sternal fracture ; Locked plate ; Low profile plate ; Mediastinal injury ; MatrixRib?
- 刊名：International Orthopaedics
- 出版年：2014
- 出版时间：January 2014
- 年：2014
- 卷：38
- 期：1
- 页码：133-139
- 全文大小：388 KB
- 作者单位：Stefan Schulz-Drost (1) (3)
Andreas Mauerer (1)
Sina Grupp (1)
Friedrich F. Hennig (1)
Matthias Blanke (2)
1. Department of Orthopedic and Trauma Surgery, University Hospital, Friedrich-Alexander University Erlangen-Nuremberg, Krankenhausstr. 12, 91054, Erlangen, Germany
3. Department of Orthopedic and Trauma Surgery, University Hospital Erlangen, Krankenhausstr. 12, 91054, Erlangen, Germany
2. Department of Orthopedic and Trauma Surgery, Leopoldina Hospital Schweinfurt, Gustav-Adolf-Str. 6-8, Schweinfurt, Germany - ISSN：1432-5195
文摘
Purpose Operative treatment of sternal fractures has become a matter of increasing interest. Anterior plating seems to be the most appropriate method for fixing sternal fractures. However, there are several concerns in relation to the operative procedure such as severe injuries to mediastinal organs, patient comfort and proper stabilisation, for example. This paper describes a safe method of anterior sternal plating using locked plate fixation with limited depth drilling. Methods Ten patients with sternal fractures were included in this cohort study and were treated by anterior plating using one or two plates in parallel through a median approach to the sternum. Follow up was performed after six?weeks, 12?weeks and six?months. Results Follow up revealed no serious complications. One patient suffered from postoperative wound seroma. No problems were caused by the plates. Conclusions Sternal plating using low profile locked titanium plates seems to be a safe and stable method with a high level of patient comfort.