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NCT Neumología y Cirugía de Tórax

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Antes Revista del Instituto Nacional de Enfermedades Respiratorias

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2009, Number 4

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Neumol Cir Torax 2009; 68 (4)

Sternum traumatic fractures: Priorities and strategic handling

Jacinto TJC, Santillán-Doherty P, Argote-Greene LM, Carranza-Martínez I, Duarte-Mancera D, Martín-del-Campo LA, Herrera-Zamora JJ
Full text How to cite this article

Language: Spanish
References: 8
Page: 151-155
PDF size: 177.50 Kb.


Key words:

Sternal traumatic fracture, associated organic lesions, reduction and external fixation.

ABSTRACT

Sternum fractures represent 8% of the patients seen for thoracic trauma in Emergency Rooms. Morbility and mortality are directly related to the severity of associated organic injuries and not specifically to the fracture. A case is presented, where a patient was diagnosed with a complete, oblique sternal fracture with displacement of the lower segment after a motor-vehicle accident. The patient had no other evident tissue injuries. An open reduction of the fracture was done, with internal fixation by means of a titanium plate. This case highlights the importance of a multidisciplinary evaluation before deciding surgical management for these patients and the technical aspects of this approach.


REFERENCES

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  2. Molina JE. Evaluation and operative technique to repair isolated sternal fractures. J Thorac Cardiovasc Surg 2005; 130(2): 445-8.

  3. Otremski I, et al. Fracture of the sternum in motor vehicle accidents and its association with mediastinal injury. Injury 1990; 21(2): 81-3.

  4. Brookes JG, Dunn RJ, Rogers IR. Sternal fractures: a retrospective analysis of 272 cases. J Trauma 1993; 35(1): 46-54.

  5. Ferguson LP, Wilkinson AG, Beattie TF. Fracture of the sternum in children. Emerg Med J 2003; 20(6): 518-20.

  6. Fowler AW. Flexion-compression injury of the sternum. J Bone Joint Surg Br 1957; 39-B(3): 487-97.

  7. Harley DP, Mena I. Cardiac and vascular sequelae of sternal fractures. J Trauma 1986; 26(6): 553-5.

  8. Bonney S, Lenczner E, Harvey EJ. Sternal fractures: anterior plating rationale. J Trauma 2004; 57(6): 1344-6.




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Neumol Cir Torax. 2009;68