Early surgical repair of isolated traumatic sternal fractures using a cervical plate system.

Paola Ciriaco, Monica Casiraghi, Giampiero Negri, Giuseppe Gioia, Angelo Carretta, Giulio Melloni, Piero Zannini

Research output: Contribution to journalArticlepeer-review

Abstract

BACKGROUND: We reviewed our experience of the surgical management and follow-up of patients admitted with an isolated traumatic sternal fracture (TSF) to a Thoracic Surgical Unit through the Emergency Department. METHODS: During a 5-year period, six patients were surgically treated for an isolated TSF. Presence of physical deformity or acute and persistent pain were considered indications for surgical repair. Surgical repair was performed within 1 week from the trauma by means of a titanium cervical plate system currently in use in spine surgery. RESULTS: There were no postoperative complications. Mean hospital stay was 3 days. All patients showed regular sternal healing at 6 to 8 weeks. In one patient the plate was removed after 3 years because of persistent chest discomfort. CONCLUSIONS: Early surgical repair of isolated TSF is advocated in cases of physical deformity or acute and persistent pain. The titanium cervical plate system provides effective repair of the fracture with satisfactory long-term results.

Original languageEnglish
Pages (from-to)462-464
Number of pages3
JournalThe Journal of trauma
Volume66
Issue number2
Publication statusPublished - Feb 2009

ASJC Scopus subject areas

  • Medicine(all)

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