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The Thoracic Cage: Sternum01:17

The Thoracic Cage: Sternum

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The thoracic or rib cage forms the body's thorax (chest) portion. Its primary function in the body is to protect vital organs in the thoracic cavity, such as the heart and the lungs. It consists of 12 pairs of ribs with their costal cartilages and the sternum. The ribs are anchored posteriorly to the 12 thoracic vertebrae (T1-T12).
The sternum is the elongated bony structure on the anterior side of the thoracic cage. It consists of three parts: the manubrium, the body, and the xiphoid...
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Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
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Related Experiment Video

Updated: Apr 21, 2026

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling
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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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Multidimensional sternal fixation to overcome a "floating" sternum.

William Rothstein1, Tyler Spata1, Bryan Whitson2

  • 1Department of Surgery, The Ohio State University Wexner Medical Center, 410 W. 10th Avenue, Columbus, OH 43210, USA.

Case Reports in Surgery
|November 8, 2014
PubMed
Summary

This case report details a successful sternal dehiscence repair using sternal wires, manubrial plates, and a Talon device. This rigid fixation method offers a viable alternative for preventing sternal wound complications after median sternotomy.

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Area of Science:

  • Cardiothoracic Surgery
  • Surgical Innovation
  • Wound Healing

Background:

  • Sternal dehiscence is a rare but serious complication following median sternotomy.
  • It significantly increases patient morbidity and healthcare costs.
  • Traditional sternal wire closure may be insufficient in high-risk patients.

Purpose of the Study:

  • To describe a novel surgical technique for repairing complete sternal dehiscence.
  • To evaluate the efficacy of rigid, multidimensional sternal fixation in managing this complication.
  • To present a case demonstrating the use of sternal wires, manubrial plates, and a Talon closure device.

Main Methods:

  • A case report detailing the surgical repair of lower right sternal dehiscence.
  • Utilized a combination of sternal wires, manubrial plates, and a Talon closure device for fixation.
  • Emphasized rigid, multidimensional sternal stabilization.

Main Results:

  • Successful repair of complete sternal dehiscence was achieved.
  • The employed fixation method provided stable and multidimensional sternal closure.
  • The patient experienced a favorable outcome without signs of re-dehiscence.

Conclusions:

  • Rigid fixation using sternal plates and adjunctive devices like the Talon closure system is a viable and effective alternative for sternal closure.
  • This technique offers a promising solution for preventing sternal dehiscence in high-risk patient populations.
  • Further studies are warranted to compare outcomes with traditional methods.