胸骨柄的网板手术固定及术中安全技术

Takeda Shinsuke, Yamamoto Michiro, Mitsuya So, Hashimoto Kumiko, Hirata Hitoshi, Yamauchi Ken-Ichi

Trauma and Microsurgery Center, Toyohashi Municipal Hospital, Toyohashi, Japan.

Department of Orthopaedic Surgery, Toyohashi Municipal Hospital, Toyohashi, Japan.

Trauma Case Rep. 2021 Mar 17;33:100462. doi: 10.1016/j.tcr.2021.100462. eCollection 2021 Jun.

Plate osteosynthesis for oblique fracture of the manubrium sterni is quite rare. We present a case of a 37-year-old man with oblique fracture of the manubrium sterni caused by a traumatic injury. He was operated on using a variable-angle locking compression plate Mesh Plate 2.4/2.7 and had a good postoperative result. We also discuss intraoperative safe techniques such as use of a cement spatula for reduction support tools and depth-limited drilling to prevent excess drilling of the opposite cortex.

胸骨柄斜形骨折的钢板内固定术相当少见。我们报告一例37岁男性因外伤导致胸骨柄斜形骨折的病例。他接受了使用2.4/2.7可变角度锁定加压钢板（Mesh钢板）的手术，术后效果良好。我们还讨论了术中安全技术，如使用水泥抹刀作为复位支撑工具以及进行深度受限钻孔以防止对侧皮质过度钻孔。