Hulse John, Eriksson Evert
Surgery, Medical University of South Carolina, Charleston, USA.
Cureus. 2023 Jan 1;15(1):e33218. doi: 10.7759/cureus.33218. eCollection 2023 Jan.
Sternal fractures are common following blunt traumatic injury. Most sternal fractures can be managed successfully nonoperatively; however, surgical fixation should be considered in certain scenarios. Specifically, surgery may be indicated in cases of severe pain, respiratory failure or dependency on mechanical ventilation, cosmetic deformity, malunion, disunion, and compression of the heart. A variety of surgical approaches to sternal fracture fixation have been documented (steel wire, suture materials, a seven-hole aluminum plate, an eight-holed Sternolock X plate, sternum-osteosynthesis plate, t-shaped plate); however, few techniques have been discussed for the initial reduction of the sternal fracture prior to fixation. In this paper, we describe a novel surgical technique used to reduce sternal fractures and approximate the edges of the sternum using a compression/distraction device.
钝性创伤后胸骨骨折很常见。大多数胸骨骨折可通过非手术方法成功治疗；然而，在某些情况下应考虑手术固定。具体而言，在出现严重疼痛、呼吸衰竭或依赖机械通气、美容畸形、骨不连、骨不愈合以及心脏受压的情况下，可能需要进行手术。已经有多种用于胸骨骨折固定的手术方法被记录（钢丝、缝合材料、七孔铝板、八孔Sternolock X板、胸骨接骨板、T形板）；然而，对于固定前胸骨骨折的初始复位，很少有技术被讨论。在本文中，我们描述了一种新颖的手术技术，该技术使用压缩/撑开装置来复位胸骨骨折并使胸骨边缘靠拢。
