报告一例胸骨柄楔形撕脱性骨折致连枷胸的外科治疗

Q4 Medicine

Trauma Case Reports Pub Date : 2025-07-09 DOI:10.1016/j.tcr.2025.101216

Song Xuantong, Shi Jing, Guo Jincheng, Zhang Boyi, Liu Yongqiang

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引用次数: 0

摘要

目的总结1例胸骨柄楔状撕脱骨折合并多发肋软骨骨折致前连枷胸的手术治疗经验。方法对53岁男性公牛击伤致胸骨柄撕脱骨折及肋软骨骨折患者采用金属丝环复位+钛板螺钉固定+记忆合金拥抱器的多材料联合固定策略进行治疗。术中对穿线技术和肋软骨柔性固定技术进行了优化。结果手术成功实现了胸骨和肋软骨的稳定固定，术后CT显示胸骨和肋软骨排列良好，呼吸异常消失。患者未发生内固定松动，恢复顺利。结论胸骨柄撕脱性骨折合并连枷胸联合应用钢丝环扎、钢板内固定、记忆合金内固定能有效治疗。

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One case report: Surgical treatment of a flail chest caused by a wedge-shaped avulsion fracture of manubrium sterni

Objective

The surgical treatment experience of one case of sternal manubrium wedge-shaped avulsion fracture combined with multiple costal cartilage fractures resulting in anterior flail chest is summarized.

Methods

A 53-year-old male patient with sternal manubrium avulsion fracture and costal cartilage fractures caused by a bull goring injury was treated with a multi-material combined fixation strategy (wire cerclage reduction + titanium plate and screw fixation + memory alloy embracing device). The wire threading technique and flexible costal cartilage fixation technique were optimized during the surgery.

Results

The surgery successfully achieved stable fixation of the sternum and costal cartilage, with postoperative CT showing good alignment and disappearance of paradoxical breathing. The patient did not undergo any loosening of the internal fixation, recovering smoothly.

Conclusion

The combined application of wire cerclage, plate fixation, and memory alloy internal fixation can effectively treat sternal manubrium avulsion fractures combined with flail chest.

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来源期刊

Trauma Case Reports Medicine-Emergency Medicine

CiteScore

0.60

自引率

0.00%

发文量

131

审稿时长

26 weeks

期刊介绍： Trauma Case Reports is the only open access, online journal dedicated to the publication of case reports in all aspects of trauma care and accident surgery. Case reports on all aspects of trauma management, surgical procedures for all tissues, resuscitation, anaesthesia and trauma and tissue healing will be considered for publication by the international editorial team and will be subject to peer review. Bringing together these cases from an international authorship will shed light on surgical problems and help in their effective resolution.