Sternal fractures and their surgical treatment

Sternal fractures occur most frequently in vehicle accidents, then due to falls from a height and by other blunt chest trauma. Most of these injuries are simple, non-displaced fractures only rarely requiring surgical management. Based on a retrospective analysis, the authors present their experience...

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Veröffentlicht in:Acta chirurgiae orthopaedicae et traumatologiae Čechoslovaca 2015-02, Vol.82 (1), p.76-79
Hauptverfasser: Šafránek, J, V
Format: Artikel
Sprache:cze ; eng
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Zusammenfassung:Sternal fractures occur most frequently in vehicle accidents, then due to falls from a height and by other blunt chest trauma. Most of these injuries are simple, non-displaced fractures only rarely requiring surgical management. Based on a retrospective analysis, the authors present their experience with the treatment of sternal fractures, emphasizing the use of osteosynthesis. A group of 293 patients treated for fresh sternal fractures in the period from 2004 to 2013 were evaluated. Their median age was 47.5 years (range, 2 to 86 years). They were allocated to two groups according to the method of treatment, ie., conservative versus surgical. The two groups were compared in the following characteristics: mechanism and extent of trauma, methods of treating the fracture and associated injuries and troponin-T and myoglobin values. Of the 293 patients, 16 had surgery (surgical group) and the remaining patients were treated conservatively. Eleven patients (3.8%) had surgery for instability or chest wall deformity. Five patients (1.7%) underwent urgent cardiovascular surgery due to complications of sternum fracture. In the surgical group, comminuted fractures were more frequent (p=0.0003), rib fractures had a higher incidence rate (p=0.0442), concomitant abdominal injuries occurred more often (p=0.0173) and serum levels of troponin-T and myoglobin were higher (p
ISSN:0001-5415
2570-981X
DOI:10.55095/achot2015/010