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Case Reports
. 2021 Mar 17:33:100462.
doi: 10.1016/j.tcr.2021.100462. eCollection 2021 Jun.

Surgical fixation by mesh plate and intraoperative safe techniques for the manubrium sterni

Shinsuke Takeda  1   2 , Michiro Yamamoto  3 , So Mitsuya  1   2 , Kumiko Hashimoto  4 , Hitoshi Hirata  3 , Ken-Ichi Yamauchi  1   2
Affiliations
Case Reports

Surgical fixation by mesh plate and intraoperative safe techniques for the manubrium sterni

Shinsuke Takeda et al. Trauma Case Rep. .

Erratum in

Abstract

Plate osteosynthesis for oblique fracture of the manubrium sterni is quite rare. We present a case of a 37-year-old man with oblique fracture of the manubrium sterni caused by a traumatic injury. He was operated on using a variable-angle locking compression plate Mesh Plate 2.4/2.7 and had a good postoperative result. We also discuss intraoperative safe techniques such as use of a cement spatula for reduction support tools and depth-limited drilling to prevent excess drilling of the opposite cortex.

Keywords: Cement spatula; Depth-limited drilling; Manubrium sterni; Mesh plate; Plate osteosynthesis; Traumatic injury.

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Conflict of interest statement

The authors declare that there are no conflicts of interest.

Figures

Fig. 1
Fig. 1
Displaced and overlapped oblique fracture of the manubrium sterni.
Fig. 2
Fig. 2
A, The fracture site before reduction. B, The reduction by the bone gripping forceps, being supported by the cement spatula.
Fig. 3
Fig. 3
A, Depth-limited drilling. B, Drilling to prevent excess drilling of opposite cortex.
Fig. 4
Fig. 4
A, Intraoperative picture showing how eight locking screws were placed into the large fragment and four locking screws were placed into the small fragment. B, X-ray of mesh plate location on sternum. C and D, Computed tomography (CT) and three-dimensional CT showing postoperative findings.
See this image and copyright information in PMC

References

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