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Osteosynthesis of traumatic manubriosternal dislocations and sternal fractures with a 3.5/4.0 mm fixed-angle plate (LCP)

  • Trauma Surgery
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Abstract

Introduction

We present a case series of three patients with manubriosternal dislocation and/or sternal fractures.

Method

We describe our experiences of invasive surgical treatment with 3.5/4.0 mm fixed-angle plate (Locking compression plate, LCP) in this group of patients. Recommended nonoperative treatment options, e.g. correction tape or plaster bandage, symptomatic pain treatment, application of ice, and several weeks without sports are associated with a not inconsiderable rate of subluxations or reluxations with an increased risk of pseudarthrosis and chronic pain syndrome.

Results

Due to a small number of cases and the lack of controlled studies, a standardized operative procedure could, therefore, so far not been established.

Conclusion

Our positive experiences with the operative treatment using 3.5/4.0 mm fixed-angle plate (LCP) may help to establish the operative procedure of first choice in this group of patients.

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Authors and Affiliations

  1. Trauma Unit, Department of Surgery, Cantonal Hospital Winterthur, Brauerstrasse 15, Postfach 834, 8401, Winterthur, Switzerland

    Marcel A. Gloyer, Hans-Curd Frei, Thomas K. Hotz & Kurt P. Käch

Authors
  1. Marcel A. Gloyer
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  2. Hans-Curd Frei
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  3. Thomas K. Hotz
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  4. Kurt P. Käch
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Corresponding author

Correspondence to Marcel A. Gloyer.

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Gloyer, M.A., Frei, HC., Hotz, T.K. et al. Osteosynthesis of traumatic manubriosternal dislocations and sternal fractures with a 3.5/4.0 mm fixed-angle plate (LCP). Arch Orthop Trauma Surg 131, 1261–1266 (2011). https://doi.org/10.1007/s00402-011-1297-2

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  • DOI: https://doi.org/10.1007/s00402-011-1297-2

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