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一例报告：胸骨柄楔形撕脱骨折致连枷胸的外科治疗

One case report: Surgical treatment of a flail chest caused by a wedge-shaped avulsion fracture of manubrium sterni.

作者信息

Xuantong Song, Jing Shi, Jincheng Guo, Boyi Zhang, Yongqiang Liu

机构信息

Department of Thoracic Surgery, Jiaozuo Municipal 2nd People's Hospital, Jiaozuo, Henan 454000, China.

出版信息

Trauma Case Rep. 2025 Jul 9;58:101216. doi: 10.1016/j.tcr.2025.101216. eCollection 2025 Aug.

DOI:10.1016/j.tcr.2025.101216
PMID:40698249
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12280338/
Abstract

OBJECTIVE

The surgical treatment experience of one case of sternal manubrium wedge-shaped avulsion fracture combined with multiple costal cartilage fractures resulting in anterior flail chest is summarized.

METHODS

A 53-year-old male patient with sternal manubrium avulsion fracture and costal cartilage fractures caused by a bull goring injury was treated with a multi-material combined fixation strategy (wire cerclage reduction + titanium plate and screw fixation + memory alloy embracing device). The wire threading technique and flexible costal cartilage fixation technique were optimized during the surgery.

RESULTS

The surgery successfully achieved stable fixation of the sternum and costal cartilage, with postoperative CT showing good alignment and disappearance of paradoxical breathing. The patient did not undergo any loosening of the internal fixation, recovering smoothly.

CONCLUSION

The combined application of wire cerclage, plate fixation, and memory alloy internal fixation can effectively treat sternal manubrium avulsion fractures combined with flail chest.

摘要

目的

总结1例胸骨柄楔形撕脱骨折合并多根肋软骨骨折致前胸壁连枷胸的手术治疗经验。

方法

对1例因公牛顶撞伤致胸骨柄撕脱骨折及肋软骨骨折的53岁男性患者，采用多材料联合固定策略（钢丝环扎复位+钛板螺钉固定+记忆合金环抱器）治疗。术中对钢丝穿引技术及柔性肋软骨固定技术进行了优化。

结果

手术成功实现胸骨及肋软骨的稳定固定，术后CT显示对位良好，反常呼吸消失。患者内固定未出现松动，恢复顺利。

结论

钢丝环扎、钢板固定及记忆合金内固定联合应用可有效治疗胸骨柄撕脱骨折合并连枷胸。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b013/12280338/17b4241ed38e/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b013/12280338/68309e3c975a/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b013/12280338/533fb0727737/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b013/12280338/83284fded7b0/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b013/12280338/521c7ec78883/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b013/12280338/68a51501ef39/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b013/12280338/d78368d1bfcc/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b013/12280338/815a22941053/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b013/12280338/17b4241ed38e/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b013/12280338/68309e3c975a/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b013/12280338/533fb0727737/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b013/12280338/83284fded7b0/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b013/12280338/521c7ec78883/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b013/12280338/68a51501ef39/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b013/12280338/d78368d1bfcc/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b013/12280338/815a22941053/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b013/12280338/17b4241ed38e/gr8.jpg

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Surgical treatment of sternum comminuted fracture with memory alloy embracing fixator.记忆合金环抱器治疗胸骨粉碎性骨折
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Simultaneous Surgical Treatment of Sternum and Costal Cartilage Fractures.胸骨和肋软骨骨折的同期手术治疗。
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Do low profile implants provide reliable stability in fixing the sternal fractures as a "fourth vertebral column" in sternovertebral injuries?低轮廓植入物在将胸骨骨折固定为胸骨椎体损伤中的“第四脊柱柱”时能否提供可靠的稳定性？
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