An Innovative Use of Maxillofacial Implants for the Open Reduction and Internal Fixation of a Displaced Sternal Fracture: A Case Report.

Sternal fractures resulting from blunt chest trauma often present unique surgical challenges. While conservative management is common, cases with significant displacement, delayed union, or painful dyspnea may require surgical intervention to improve structural stability and relieve symptoms. Here, we report the case of a 46-year-old man who sustained a displaced sternal fracture in a motor vehicle accident. The fracture was complicated by posterior displacement of the proximal bone fragment, causing persistent chest pain and deformity that did not resolve with conservative treatment. The patient underwent open reduction and internal fixation (ORIF) using maxillofacial implants, including intermaxillary fixation (IMF) screws and maxillofacial locking plates. This innovative approach facilitated controlled reduction and stable fixation of the displaced fracture. A multidisciplinary team performed the surgery, highlighting the importance of collaboration in the management of complex chest injuries. Postoperative imaging confirmed anatomical alignment, and the patient reported significant relief of symptoms at one-month follow-up. This case highlights the versatility and effectiveness of maxillofacial implants in the treatment of particularly challenging sternal fractures, such as chronic cases where traditional fixation methods are inadequate. The purpose of this report is to highlight the potential of maxillofacial implants as a safe and effective alternative to traditional methods in the treatment of complex sternal fractures and to encourage further research into their broader clinical application.