Department of Thoracic Surgery, Shanghai Jiaotong University Affiliated Sixth People's Hospital, Shanghai, 200233, China.
J Cardiothorac Surg. 2022 Mar 28;17(1):57. doi: 10.1186/s13019-022-01801-1.
This study aim to evaluate surgical procedures for titanium plate internal fixation of costal cartilage fractures with displacement or nonunion.
From January 2019 to October 2020, 13 patients with costal cartilage fractures were treated with titanium plate internal fixation in the thoracic surgery department of the Shanghai Sixth People's Hospital. Pain severity scale scores and respiratory function were evaluated preoperatively and postoperatively. All the patients had a 6-month follow-up for treatment evaluation.
The mean hospital length of stay was 10.7 days. A statistically significant difference (P < 0.05) was found between preoperative and postoperative pain severity scores (7.69 vs. 5.00). VC (24.6% vs. 44.5%) and FEV1 (25.3% vs. 44.0%) were also significantly different before operation and after operation (P < 0.05). At follow-up, healing of the nonunion or fracture was confirmed in all the cases.
The rigid titanium plate application ensured a safe and easy management of costal cartilage fractures and nonunion with a good prognosis as compared with other methods.
本研究旨在评估钛板内固定治疗移位或不愈合的肋软骨骨折的手术方法。
2019 年 1 月至 2020 年 10 月，上海第六人民医院胸外科采用钛板内固定治疗 13 例肋软骨骨折患者。术前和术后评估疼痛严重程度评分和呼吸功能。所有患者均进行了 6 个月的随访，以评估治疗效果。
平均住院时间为 10.7 天。术前和术后疼痛严重程度评分（7.69 与 5.00）差异有统计学意义（P<0.05）。VC（24.6%与 44.5%）和 FEV1（25.3%与 44.0%）在术前和术后也有显著差异（P<0.05）。随访时，所有病例均证实骨折或骨不连愈合。
与其他方法相比，刚性钛板的应用确保了肋软骨骨折和骨不连的安全、简单处理，具有良好的预后。
