Longitudinal plate fixation technique after gross resection of the sternum or multiple sternal fracture

Taşoğlu, İrfan

doi:10.5606/tgkdc.dergisi.2013.6962

Cited by 3 publications

(3 citation statements)

References 16 publications

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“…This might have higher incidence with transverse plates and reckless drilling or inappropriate length of screws. However, this should be least likely to occur with longitudinal plates [8]. We recommend cautious evaluation of the depth of drilling and length of the screws to be used.…”

Section: Discussionmentioning

confidence: 99%

Sternal reconstruction using locking compression plates (LCP): our experience in Egypt, a case series

Ahmed

Nady

2020

J Cardiothorac Surg

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Background: Sternal fractures are rare accounting for about 3-8% of traumatic chest. There are many lines of treatments for sternal fractures which can be classified as conservative or surgical. Surgical techniques include wire fixation and sternal plating. There are no standardization of indications for each line of management. We explore if sternal reconstruction using locking titanium plates and self-tapping screws provide the patient with the best chance of proper sternal healing avoiding chronic pain and its complications and allow the patient early mobilization and rapid restoring of his normal life at its maximum. Methods: Our inclusion criteria are patients of both gender from 20 to 60 years of age presented with traumatic sternal fracture at any site or pathological fracture due to metastatic or primary tumors infiltrating the sternum. High Associated Injury Scale scores were excluded. Exclusion criteria also included patients younger than 20 years or older than 60 years. Primary outcome is post-operative pain score and is measured using numerical pain scale ranging from zero to 10 where zero means there is no pain at all and ten is the worst imaginable pain ever. Results: Sternal reconstruction using titanium plates has proven to be an efficient method of stabilization with tremendous immediate relief of pain showed by the differences between pre-operative and post-operative pain scale scores in our patients (n = 5) with Median scores being 7 and 1.5 with range being from 7 to 9 and 1 to 3 respectively (p-value = .039). Operative time range between 150 min and 90 min with median of 120 min. Extubation of patients was smooth with no events with median time of extubation being 120 min. From our experience, there were no observed wound complications except at the third patient who suffered a small wound hematoma that was resolved by gentle compressing only and needed no further intervention. Conclusion: We recommend adopting sternal reconstruction using titanium plating systems more readily encouraging even larger clinical trials on the way to a clear guidelines. Plating systems show promising results with least pain, better stability, less complications and rapid, smooth recovery.

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Section: Discussionmentioning

confidence: 99%

Sternal reconstruction using locking compression plates (LCP): our experience in Egypt, a case series

Ahmed

Nady

2020

J Cardiothorac Surg

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“…However, this should be least likely to occur with longitudinal plates. (13) We recommend cautious evaluation of the depth of drilling and length of the screws to be used.…”

Section: Discussionmentioning

confidence: 99%

Sternal Reconstruction Using Locked Compression Plates (LCP): Our Experience in Egypt, A Case Series

Hosny

Mas

2020

Preprint

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Background: Sternal fractures are rare accounting for about 3-8% of traumatic chest. There are many lines of treatments for sternal fractures which can be classified as conservative or surgical. Surgical techniques include wire fixation and sternal plating. There are no standardization of indications for each line of management.We explore if sternal reconstruction using locking titanium plates and self-tapping screws provide the patient with the best chance of proper sternal healing avoiding chronic pain and its complications and allow the patient early mobilization and rapid restoring of his normal life at its maximumMethods: Our inclusion criteria are patients of both gender from 20-60 years of age presented with traumatic sternal fracture at any site or pathological fracture due to metastatic or primary tumors infiltrating the sternum. High Associated Injury Scale scores were excluded. Exclusion criteria also included patients younger than 20 years or older than 60 years. Primary outcome is post-operative pain score and is measured using numerical pain scale ranging from zero to 10 where zero means there is no pain at all and ten is the worst imaginable pain ever. Results: Sternal reconstruction using titanium plates has proven to be an efficient method of stabilization with tremendous immediate relief of pain showed by the differences between pre-operative and post-operative pain scale scores in our patients (n=5) with Median scores being 7 and 1.5 with range being from 7 to 9 and 1 to 3 respectively (p-value= .039). Operative time range between 150 minutes and 90 minutes with median of 120 minutes. Extubation of patients was smooth with no events with median time of extubation being 120 minutes. From our experience, there were no observed wound complications except at the third patient who suffered a small wound hematoma that was resolved by gentle compressing only and needed no further intervention. Conclusion: We recommend adopting sternal reconstruction using titanium plating systems more readily encouraging even larger clinical trials on the way to a clear guidelines. Plating systems show promising results with least pain, better stability, less complications and rapid, smooth recoveryTrial Registration: NCT04092374

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“…Throughout the years various techniques and materials have been described and used for sternal closure. 3 Transsternal-peristernal intermittent wiring and the figure-of-8 technique are among the most commonly used. In 1977, Robicsek and colleagues 4 described an alternative method with bilateral and longitudinal running wires that stabilize the fragile and broken sternum.…”

Section: Discussionmentioning

confidence: 99%

A novel modified Robicsek technique for sternal closure: “Double-check”

Lafçı

Yaşar

Çiçek

et al. 2013

Asian Cardiovasc Thorac Ann

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A median sternotomy is the most common approach for cardiac and great vessel surgery. After a median sternotomy, healing complications such as instability, nonunion, and infection, are rare but devastating. Predisposing factors for sternal complications are old age, diabetes, steroid treatment, postmenopause state, obesity, reoperation, and the use of bilateral internal mammary arteries. Patients with sternal dehiscence frequently require reoperation to maintain optimum sternal stability. The technique chosen for sternal closure must provide excellent sternal approximation. We describe a modified Robicsek procedure reinforced with figure-of-8 sternal wires. We named this technique "double-check".

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Longitudinal plate fixation technique after gross resection of the sternum or multiple sternal fracture

Cited by 3 publications

References 16 publications

Sternal reconstruction using locking compression plates (LCP): our experience in Egypt, a case series

Sternal reconstruction using locking compression plates (LCP): our experience in Egypt, a case series

Sternal Reconstruction Using Locked Compression Plates (LCP): Our Experience in Egypt, A Case Series

A novel modified Robicsek technique for sternal closure: “Double-check”

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