Xie Ze-Xin, Zhou Xue-Tao, Zhang Dong-Sheng, Yang Yang, Zhang Guo-Liang, Chen Meng-Hui, Liang Zheng
Department of Cardiothoracic Surgery, Shijiazhuang Third Hospital, Shijiazhuang, China.
J Int Med Res. 2019 Aug;47(8):4033-4038. doi: 10.1177/0300060519865074. Epub 2019 Jul 31.
Sternal fracture is a common complication of chest trauma but has a low incidence. Various treatments have been developed to reconstruct sternal fractures. Among these approaches, analgesia, corset fixation, and open reduction with plate internal fixation have been suggested. The use of newly developed minimally invasive plate osteosynthesis is a feasible method. In this study, we report a case involving a 54-year-old man with a sternal fracture accompanied by bilateral pleural effusion and a small amount of right-sided pneumothorax. The patient was treated with minimally invasive plate osteosynthesis. The operation was successful and the postoperative recovery was good. No pneumothorax or complications such as chest pain, paresthesia, or wound infection were observed at the 1-year follow-up visit. Additionally, the bilateral pleural effusion had been completely absorbed. The incision in the lower chest was aesthetic and minimally traumatic. This case describes a novel method for internal fixation of sternal fractures.
胸骨骨折是胸部创伤的常见并发症，但发病率较低。目前已开发出多种治疗胸骨骨折的方法。在这些方法中，有人提出了镇痛、胸带固定以及钢板内固定切开复位等方法。使用新开发的微创钢板接骨术是一种可行的方法。在本研究中，我们报告了一例54岁男性胸骨骨折患者，伴有双侧胸腔积液和少量右侧气胸。该患者接受了微创钢板接骨术治疗。手术成功，术后恢复良好。在1年的随访中，未观察到气胸或胸痛、感觉异常或伤口感染等并发症。此外，双侧胸腔积液已完全吸收。下胸部切口美观且创伤极小。本病例描述了一种胸骨骨折内固定的新方法。
