ArticleJournal of visualized experiments : JoVE2015
Surgical fixation of sternal fractures: preoperative planning and a safe surgical technique using locked titanium plates and depth limited drilling.
Article in Journal of visualized experiments : JoVE, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
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Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.
- Current treatment and outcomes of traumatic sternal fractures-a systematic review.International orthopaedics · 2019Pooled it
- Rigid anterior plating for open transverse sternal fracture traversing previous sternotomy: a case report.Journal of cardiothoracic surgery · 2026Article
- Spontaneous reduction of type I traumatic manubriosternal joint dislocation: A case report.The Journal of international medical research · 2026Article
- Operative management of unstable sternal fracture in polytrauma: a case report and literature review.Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery · 2026Review
- Incidental sternal foramen discovered during the evaluation of a traumatic fracture: a case report.Journal of surgical case reports · 2025Article
- Awake sternal fixation; comparison of technical details and early results with sternal fixation methods performed via general anaesthesia.Interdisciplinary cardiovascular and thoracic surgery · 2024Article
- Treatment approach for coexisting chest wall fractures and unstable thoracolumbar spine fractures in polytrauma patients requiring prone spine surgery.Trauma surgery & acute care open · 2024Article
- Secondary manubriosternal joint dislocation displacement in a teenager patient.Trauma surgery & acute care open · 2024Article
- A decade of treating traumatic sternal fractures in a single-center experience in Korea: a retrospective cohort study.Journal of trauma and injury · 2023Article
- A Novel Approach to Sternal Fracture Repair With the Implementation of a Compression/Distraction Device.Cureus · 2023Article
- Sternal fixation for isolated traumatic sternal fractures improves pain and upper extremity range of motion.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Postoperative transverse sternal nonunion with a chest wall defect managed by a tibial locking plate and a Gore-Tex dual mesh membrane: a case report.Journal of cardiothoracic surgery · 2021Article
- Surgical fixation by mesh plate and intraoperative safe techniques for the manubrium sterni.Trauma case reports · 2021Article
- Surgical treatment of sternum comminuted fracture with memory alloy embracing fixator.Journal of thoracic disease · 2021Article
- Sternal reconstruction using locking compression plates (LCP): our experience in Egypt, a case series.Journal of cardiothoracic surgery · 2020Article
- Osteosynthesis of sternal fractures with double locking compression plate fixation: a retrospective cohort study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2020Article
- Minimally invasive plate osteosynthesis for the treatment of sternal fracture in the lower chest: a case report.The Journal of international medical research · 2019Article
- [Lesions of the anterior chest wall-significance of additional fractures of the spine].Der Unfallchirurg · 2018Review
- Fractures of the manubrium sterni: treatment options and a possible classification of different types of fractures.Journal of thoracic disease · 2018Article
- The modified Ravitch approach for the management of severe anterior flail chest with bilateral sternochondral dislocations: a case report.Surgical case reports · 2018Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Different ways to stabilize a sternal fracture are described in literature. Respecting different mechanisms of trauma such as the direct impact to the anterior chest wall or the flexion-compression injury of the trunk, there is a need to retain each sternal fragment in the correct position while neutralizing shearing forces to the sternum. Anterior sternal plating provides the best stability and is therefore increasingly used in most cases. However, many surgeons are reluctant to perform sternal osteosynthesis due to possible complications such as difficulties in preoperative planning, severe injuries to mediastinal organs, or failure of the performed method. This manuscript describes one possible safe way to stabilize different types of sternal fractures in a step by step guidance for anterior sternal plating using low profile locking titanium plates. Before surgical treatment, a detailed survey of the patient and a three dimensional reconstructed computed tomography is taken out to get detailed information of the fracture's morphology. The surgical approach is usually a midline incision. Its position can be described by measuring the distance from upper sternal edge to the fracture and its length can be approximated by the summation of 60 mm for the basis incision, the thickness of presternal soft tissue and the greatest distance between the fragments in case of multiple fractures. Performing subperiosteal dissection along the sternum while reducing the fracture, using depth limited drilling, and fixing the plates prevents injuries to mediastinal organs and vessels. Transverse fractures and oblique fractures at the corpus sterni are plated longitudinally, whereas oblique fractures of manubrium, sternocostal separation and any longitudinally fracture needs to be stabilized by a transverse plate from rib to sternum to rib. Usually the high convenience of a patient is seen during follow up as well as a precise reconstruction of the sternal morphology.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.