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Operative Treatment of Sternal Fractures

Section of Cardio-Thoracic and Vascular Surgery, Department of General Surgery, Jordan University Hospital and Faculty of Medicine, Amman, Jordan

For reprint information contact: Abdullah Al-Qudah, MD Tel: 962 6 515 0669 Fax: 962 6 515 0669 Email: al_qudah_as{at}hotmail.com, Section of Cardio-Thoracic and Vascular Surgery, Jordan University Hospital, PO Box 13255 Amman 11942, Jordan.

Four patients with displaced sternal fractures complained of intractable pain following road traffic accidents. They all had bone deformities, but only one had associated traumatic injuries. All patients underwent operative reduction and fixation of the fractured sternum using a T-shaped compression-tension stainless steel plate and screws. Pain relief was often dramatic and all patients progressed to sternal union. None required reoperation. No infections occurred. Two plates have subsequently been removed. On follow-up, all patients had excellent results. Sternal plating, which is based on the tension-band principle, is an effective treatment for displaced sternal fractures.

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