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A Devastating Chest Injury: A Case Report
Bikram Keshari Kar1, Sudarshan Behera1, Nitin Kashyap2
1Department of Orthopaedics, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India.
Journal of Orthopaedic Case Reports
|June 16, 2025
Summary
Sternal fractures can cause breathing problems and chest instability. Early surgical fixation with locking plates offers better stability and faster healing for these complex injuries.
Area of Science:
- Trauma Surgery
- Orthopedics
Background:
- Sternal fractures, though rare, present significant clinical challenges.
- Potential complications include respiratory compromise and chest wall instability.
- Prompt diagnosis and management are vital to minimize morbidity.
Observation:
- A 43-year-old male sustained displaced sternal and rib fractures after a road traffic accident.
- Surgical intervention involved open reduction and internal fixation.
- A 3.5 mm locking reconstruction plate secured the sternum, and a 2 mm plate fixed the rib.
Findings:
- Postoperative recovery was uneventful.
- The patient experienced significant pain relief and improved respiratory function.
- Locking plate fixation provided superior biomechanical stability.
Implications:
- Early surgical intervention is crucial for unstable sternal fractures.
- Locking plate fixation demonstrates advantages over traditional methods.
- This approach facilitates faster healing and reduces complications.
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