Vichard P, Zeil A, Dreyfus-Schmidt G
Chirurgie. 1989;115(2):89-97; discussion 97-9.
In general, fractures of the sternum are of little interest. This is unfair since unstable fractures may be the cause of paradoxical respiration and hence respiratory distress. Fractures often result from automobile accidents and occur in passengers wearing seat belts. In these circumstances, the seat belt in fact replaces the steering wheel as the causative agent. With reference to several cases this variety of injury is studied from the anatomo-pathological, clinical and therapeutic viewpoints. Osteosynthesis using a plate and screws limited to the sternum or including neighbouring rib fractures would appear to be the method of choice. Surgical fixation of the fracture site, the methods of which are discussed, is of value for both isolated lesions of the thoracic cage, and also in the context of single stage surgery in certain patients with multiple trauma.
一般来说，胸骨骨折不太受关注。这是不公平的，因为不稳定骨折可能是反常呼吸的原因，进而导致呼吸窘迫。骨折常由汽车事故引起，发生在系安全带的乘客身上。在这种情况下，安全带实际上取代了方向盘成为致伤因素。参考几例病例，从解剖病理学、临床和治疗角度对这种损伤类型进行了研究。使用仅局限于胸骨或包括相邻肋骨骨折的钢板和螺钉进行骨合成似乎是首选方法。骨折部位的手术固定，其方法将在文中讨论，这对于胸廓的孤立损伤以及某些多发伤患者的一期手术均有价值。
