Fracture of sternum, fixation with blade and screws. Review of the literature on a case
DOI:
https://doi.org/10.5281/http://dx.doi.org/10.5281/zenodo.118770Keywords:
sternum fracture, fixing with sheet and screws.Abstract
Introduction: isolated fractures of the sternum are infrequent, representing 8% of the income from chest trauma, and there are few reports in the medical literature. The treatment usually consists of resting, taking medications to relieve pain and encouraging deep breathing exercises to avoid localized collapse of the lungs. In more severe sternal fractures, such as those with bone displacement, they may require surgical intervention to restore bone alignment and fix the bones, using wires, nails or plates with screws.Objective: to demonstrate the efficacy of osteosynthesis with lamina and screws in the sternal fracture with bone displacement.
Method: We present a case through a work where we describe the diagnosis and treatment of a patient who suffered a rainfall of around 5 meters and received a direct trauma to the anterior aspect of the thorax, with the diagnosis of isolated fracture of the sternum with large bone displacement. Intense chest pain
Results: we carried out a surgical treatment to restore the bone alignment and fix the bones by using foil and screws, the evolution was satisfactory and in the ten months after the patient remained without symptoms and we removed the lamina.
Conclusions: this modality of reduction and osteosynthesis is a fast and effective procedure, without leaving sequels or some degree of disability related to the rupture.
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References
Zhao Y, Yang Y, Gao Z, Wu W, He W, Zhao T. Treatment of traumatic sternal fractures with titanium plate internal fixation: a retrospective study. J Cardiothorac Surg [Internet]. 2017 [11 Ene 2019];12:22. Disponible en: https://doi.org/10.1186/s13019-017-0580-x
Krinner S, Grupp S, Oppel P, Langenbach A, Hennig FF, SchulzDrost S. Do low profile implants provide reliable stability in fixing the sternal fractures as a •fourth vertebral column• in sternovertebral injuries? J Thorac Dis [Internet]. 2017 [11 Ene 2019];9:1054•64. Disponible en: https://doi.org/10.21037/jtd.2017.03.37
Athanassiadi K, Gerazounis M, Moustardas M, Metaxas E. Sternal fractures: retrospective analysis of 100 cases. World J Surg [Internet]. 2002 [11 Ene 2019];26:1243•6. Disponible en: https://doi.org/10.1007/s00268-002-6511-5
Harston A, Roberts C. Fixation of sternal fractures: a systematic review. J Trauma - Inj Infect Crit Care [Internet]. 2011 [11 Ene 2019];71(6):1875•9. Disponible en: https://doi.org/10.1097/TA.0b013e31823c46e8
Kälicke T, Frangen TM, Müller EJ, Muhr G, Hopf F. Traumatic manubriosternal dislocation. Arch Orthop Trauma Surg [Internet]. 2006 [15 Feb 2019];126:411•6. Disponible en: https://doi.org/10.1007/s00402-006-0145-2
Byun CS, Park IH, Hwang WJ, Lee Y, Cho HM. Analysis of sternal fixation results according to plate type in sternal fracture. Korean J Thorac Cardiovasc Surg [Internet]. 2016 [11 Ene 2019];49:361•5. Disponible en: https://doi.org/10.5090/kjtcs.2016.49.5.361
Divisi D, Crisci R. Use of demineralized bone matrix and plate for sternal stabilization after traumatic dislocation. Gen Thorac Cardiovasc Surg [Internet]. 2011 [11 Ene 2019];59:52•6. Disponible en: https://doi.org/10.1007/s11748010-0596-9
Schulz-Drost S, Oppel P, Grupp S, Taylor D, Krinner S, Langenbach A, et al. The oblique fracture of the manubrium sterni caused by a seatbelt•a rare injury? Treatment options based on the experiences gained in a level I trauma centre. Int Orthop [Internet]. 2016 [3 Ene 2019];40:791•8. Disponible en: https://doi.org/10.1007/s00264-015-2801-z
Scheyerer MJ, Zimmermann SM, Bouaicha S, Simmen H-P, Wanner GA, Werner CML. Location of sternal fractures as a possible marker for associated injuries. Emerg Med Int [Internet]. 2013 [11 Ene 2019]; . Disponible en: https://doi.org/10.1155/2013/407589
Knobloch K, Wagner S, Haasper C, Probst C, Krettek C, Otte D, et al. Sternal fractures occur most often in old cars to seat-belted drivers without any airbag often with concomitant spinal injuries: clinical findings and technical collision variables among 42,055 crash victims. Ann Thorac Surg [Internet]. 2006 [11 Ene 2019];82:444•50. Disponible en: https://doi.org/10.1016/j.athoracsur.2006.03.046
Ahmad K, Katballe N, Pilegaard H. Fixation of sternal fracture using absorbable plating system, three years follow-up. J Thorac Dis [Internet]. 2015 [3 Ene 2019];7:E131•4. Disponible en: https://doi.org/10.3978/j.issn.2072- 1439.2015.05.03
Schulz-Drost S, Oppel P, Grupp S, Schmitt S, Carbon RT, Mauerer A, et al. Surgical fixation of sternal fractures: Preoperative planning and a safe surgical technique using locked titanium plates and depth limited drilling. J Vis Exp [Internet]. 2015 [11 Ene 2019];:e52124. Disponible en: https://doi.org/10.3791/52124
Ciriaco P, Casiraghi M, Negri G, Gioia G, Carretta A, Melloni G, et al. Early surgical repair of isolated traumatic sternal fractures using a cervical plate system. J Trauma - Inj Infect Crit Care [Internet]. 2009 [11 Ene 2019];66(2):462•4. Disponible en: https://doi.org/10.1097/TA.0b013e31814b2c5e
Severson EP, Thompson CA, Resig SG, Swiontkowski MF. Falta de unión esternal transversal, reparación y revisión: reporte de un caso y revisión de la literatura. J. Trauma. 2009;66(5):1485-8
Queitsch C, et al. Tratamiento de la no unión del esternón postraumático con una placa de esternosteosis bloqueada (TiFix). Lesión. 2011;42(1):44•6
Thomas KP, Sainudeen S, Jose S, Nadhari MY, Macaire PB Ultrasound-guided parasternal block allows optimal pain relief and ventilation improvement after a sternal fracture. Pain Ther [Internet]. 2016 [15 Feb 2019];5:115•22. Disponible en: https://doi.org/10.1007/s40122-016-0050-5
Appelboam A, McLauchlan CAJ, Murdoch J, MacIntyre PA. Delivery of local anaesthetic via a sternal catheter to reduce the pain caused by sternal fractures: first case series using the new technique. Emerg Med J [Internet]. 2006 [11 Ene 2019];23:791•3. Disponible en: https://doi.org/10.1136/emj.2005.032169
Nazerali RS, Hinchcliff K, Wong MS. Rigid fixation for the prevention and treatment of sternal complications. Ann Plast Surg [Internet]. 2014 [11 Ene 2019];72:S27•30. Disponible en: https://doi.org/10.1097/SAP.0000000000000155
Schulz-Drost S, Mauerer A, Grupp S, Hennig FF, Blanke M Fijación quirúrgica de las fracturas de esternón: fijación de la placa bloqueada por perfil bajo Placas de titanio - seguridad quirúrgica mediante perforación de profundidad limitada. T Ortopedia. 2014;38(1):133-9
Schulz-Drost S, Oppel P, Group S, Schmitt S, Carbon RT, MAuerer A, et al. Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling. Disponible en: http://www.jove.com/video/52124
Klei DS, de Jong MB, Öner FC, Leenen LP, van Wessem KJ. Current treatment and outcomes of traumatic sternal fractures-a systematic review. International Orthopaedics. 2018:1-10.
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