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[Treatment of sternum fractures]
Insights
Sternal fractures, though infrequent, can necessitate surgical intervention. This study reviews 5 cases, highlighting operative treatments for sternal injuries, including delayed osteosynthesis and management of associated vascular damage.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Thoracic Surgery
Context:
- Sternal fractures are uncommon injuries, often resulting from blunt chest trauma.
- Management strategies for sternal fractures vary, ranging from conservative care to surgical repair.
- Associated injuries, such as vascular damage, can complicate sternal fracture treatment.
Purpose:
- To discuss the frequency and treatment of sternal fractures.
- To present a case series of patients with sternal fractures.
- To evaluate the outcomes of surgical versus non-surgical management.
Summary:
- Five patients with sternal fractures were treated, with three undergoing surgery.
- Surgical interventions included early osteosynthesis in one case and delayed repair three years post-injury in another.
- A third patient required surgery due to a sternal fragment damaging the left internal mammary artery.
Impact:
- Highlights the potential need for surgical intervention in sternal fractures, particularly with associated complications.
- Provides insights into the timing and techniques for sternal osteosynthesis.
- Emphasizes the importance of considering vascular integrity in sternal fracture management.
Abstract:
The frequency and the treatment of the sternal fractures is discussed by the authors. 5 patients with sternal fractures have been treated by the authors, and 3 of them were operated on. In one patient early operation has been performed, and in another the osteosynthesis of the sternum has been carried out 3 years after the lesion. In the 3d patient the bone piece broken down from the sternum damaged the arteria mammaria int. sin., necessitating thus surgical intervention.