Ciriaco Paola, Casiraghi Monica, Negri Giampiero, Gioia Giuseppe, Carretta Angelo, Melloni Giulio, Zannini Piero
Department of Thoracic Surgery, Scientific Institute and University Vita-Salute H. San Raffaele, Milan, Italy.
J Trauma. 2009 Feb;66(2):462-4. doi: 10.1097/TA.0b013e31814b2c5e.
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.
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.
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.
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.
我们回顾了通过急诊科收治到胸外科的单纯性创伤性胸骨骨折（TSF）患者的手术治疗及随访经验。
在5年期间，6例患者接受了单纯性TSF的手术治疗。存在身体畸形或急性持续性疼痛被视为手术修复的指征。通过目前脊柱手术中使用的钛制颈椎板系统在创伤后1周内进行手术修复。
无术后并发症。平均住院时间为3天。所有患者在6至8周时胸骨愈合正常。1例患者因持续胸部不适在3年后取出了钢板。
对于存在身体畸形或急性持续性疼痛的单纯性TSF病例，提倡早期手术修复。钛制颈椎板系统能有效修复骨折，长期效果令人满意。
