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Related Experiment Video

Updated: Jul 3, 2026

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling

Published on: January 5, 2015

[Treatment in unstable thorax. Case report].

Juan Matus Jiménez¹, Gustavo Carbajal Aguilar, Juan Francisco Alonso Macías

¹Hospital General "La Villa". jmatusj@hotmail.com

Acta Ortopedica Mexicana

|August 5, 2008

Summary

A severe chest injury involving bilateral costochondral joint luxation required immediate stabilization and surgical intervention. This case highlights a successful treatment approach for a floating sternum, enabling patient recovery and return to daily activities.

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Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling

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Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

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Published on: November 8, 2024

Area of Science:

Trauma Surgery
Thoracic Surgery
Orthopedic Surgery

Background:

Costochondral joint luxation is a rare but severe chest wall injury.
Traumatic injuries to the sternum and costochondral joints can lead to significant respiratory compromise.
Management of extensive chest wall disruption requires careful surgical planning and execution.

Observation:

A 45-year-old male sustained bilateral luxation of all costochondral joints and a floating sternum after a workplace accident.
The patient presented with ventilatory compromise, necessitating intubation and positive pressure ventilation.
Initial management included temporary fixation of costochondral joints with sutures.

Findings:

A novel surgical technique involving sternal anchors and an external aluminum support was employed for definitive fixation.
The patient demonstrated successful lung reexpansion under positive pressure ventilation.
Anchors were removed after four weeks, with full reintegration into labor and daily activities achieved within three months.

Implications:

This case demonstrates the efficacy of a specific surgical fixation method for severe bilateral costochondral luxation and floating sternum.
The described technique offers a viable solution for complex chest wall reconstruction, promoting functional recovery.
Successful outcomes underscore the importance of advanced surgical stabilization in managing life-threatening thoracic trauma.