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Updated: Jun 26, 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

[Renal stab wounds: about 20 cases].

Z Dahami¹, O Saghir, N Cherif Idrissi Elganouni

¹Service d'urologie, CHU Mohamed VI, Marrakech, Maroc. zdahami@gmail.com

Progres En Urologie : Journal De L'Association Francaise D'Urologie Et De La Societe Francaise D'Urologie

|January 13, 2009

Summary

This study on renal stab wounds found that most patients (75%) can be managed nonoperatively with proper resuscitation. Surgical intervention (nephrectomy) was reserved for severe cases (Grade V kidney trauma).

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Last Updated: Jun 26, 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

Area of Science:

Urology
Trauma Surgery
Nephrology

Background:

Penetrating kidney trauma from stab wounds presents a management challenge.
Determining operative versus nonoperative strategies is crucial for patient outcomes.

Purpose of the Study:

To evaluate the indications for operative and nonoperative management of renal stab wounds.
To analyze patient characteristics, management strategies, and outcomes in hospitalized patients.

Main Methods:

Retrospective study of 20 patients with penetrating kidney trauma over six years.
Data collected included admission signs, associated injuries, treatment, and complications.
Imaging modalities included ultrasonography and computed tomography (CT) scans.

Main Results:

Macroscopic hematuria was present in 95% of patients; 30% were hemodynamically unstable.
The American Association of Trauma Surgery (AATS) classification revealed a distribution from Grade I to V.
Nonoperative management was successful in 75% of cases; nephrectomy was performed in 25% (primarily Grade IV and V injuries).

Conclusions:

Advances in interventional radiology and intensive care support conservative management for selected renal stab wound patients.
Grade V kidney trauma remains a clear surgical indication, often necessitating nephrectomy.