Using shape-memory alloy staples to treat comminuted manubrium sterni fractures: A case report  

作　　者：Min Zhang Wei Jiang Ze-Xue Wang Zhi-Ming Zhou 

机构地区：[1]Department of Thoracic Surgery,Central Hospital Affiliated to Shenyang Medical College,Shenyang 110024,Liaoning Province,China

出　　处：《World Journal of Clinical Cases》2023年第30期7386-7392,共7页世界临床病例杂志

基　　金：Supported by Shenyang Medical College Youth Scientific Research Fund,No.20202027.

摘　　要：BACKGROUND Comminuted manubrium sterni fractures are rare,and internal fixation methods are limited.This report explored a practical and feasible method of internal fixation for comminuted manubrium sterni fractures.CASE SUMMARY A 17-year-old female was injured in a car accident for which she underwent debridement and suturing of her head and anterior chest wounds in another hospital.Eight days later,the patient was transferred to our hospital for surgical treatment.The manubrium sterni was found intraoperatively to be split into three irregular fragments with obvious overlap and separation displacement.Meanwhile,a manubriosternal joint dislocation and left first rib cartilage fracture were observed.The retraction force of the shape-memory alloy staples was used to pull the fracture fragments together.Two more titanium locking plates were then used to fix the manubrium sterni and corpus sterni longitudinally,and the left first rib cartilage fracture was repositioned and fixed with a titanium locking plate.A postoperative computed tomography scan showed reduced and rigid fixation of the comminuted manubrium sterni fractures.The patient recovered well with no significant complaints of discomfort.The patient was discharged 10 days postoperatively after the stitches had been removed.CONCLUSION Shape-memory alloy staples had the advantage of being safe and effective during the repositioning and internal fixation of comminuted manubrium sterni fractures.Therefore,they provided a new surgical option for comminuted manubrium sterni fractures.

关 键 词：Shape-memory alloy staples Fracture fixation Manubrium sterni Internal fixation Manubriosternal joint dislocation Case report 

分 类 号：R738.1[医药卫生—肿瘤] R445.2[医药卫生—临床医学]