Evaluation and operative technique to repair isolated sternal fractures
1Department of Surgery, University of Minnesota, Minneapolis, MN 55455, USA. molin001@umn.edu
Abstract:
A series of 12 patients with traumatic sternal fractures without internal organ injury are reported to have had their fractures repaired with a standard operative technique that has proved to be effective up to 17 years of follow-up. Although sternal fractures are often seen in emergency departments of trauma centers, rarely are they recommended for correction. Often patients experience physical deformity, chronic pain, and abnormal physical habits. A standard operative technique is proposed with highly satisfactory results. Thoracic surgeons should be familiar with this problem and with available standard methods to correct it.
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Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...