Smoot E C, Weiman D
Department of Surgery, University of Tennessee, Memphis, USA.
Ann Plast Surg. 1998 Nov;41(5):464-7. doi: 10.1097/00000637-199811000-00002.
Longitudinally oriented bone plates of stainless steel adapted to each sternal half after midline sternotomy provide a reinforced construct for transverse wiring. A method for placement of these 3.5-mm screw diameter plates in a supraperiosteal position is described. Clinical indications for use have included sternal osteoporosis, previous pull through of conventional wires, segmental sternal fractures, and obese body habitus. This technique is presented as a method to avoid sternal instability and potential wound infection for those patients at risk for sternal separation with standard wiring techniques.
在胸骨正中切开术后,适应于每侧胸骨半体的纵向不锈钢接骨板为横向钢丝固定提供了一个强化结构。本文描述了一种将这些直径3.5毫米的螺钉接骨板置于骨膜上位置的方法。其临床应用指征包括胸骨骨质疏松、既往传统钢丝固定失败、节段性胸骨骨折以及肥胖体型。该技术作为一种方法被提出,用于避免那些采用标准钢丝固定技术有胸骨分离风险的患者发生胸骨不稳定和潜在的伤口感染。