Traumatic Sternal Fractures can be Safely Treated Conservatively - A 13-Year Retrospective Cohort Study.

Autor:	Klei DS; Department of Trauma Surgery, University Medical Centre Utrecht, Utrecht, The Netherlands., Schutte H; Department of Trauma Surgery, University Medical Centre Utrecht, Utrecht, The Netherlands., Öner FC; Department Orthopaedic Surgery, University Medical Centre Utrecht, Utrecht, The Netherlands., van Baal MC; Department of Trauma Surgery, University Medical Centre Utrecht, Utrecht, The Netherlands., Leenen LP; Department of Trauma Surgery, University Medical Centre Utrecht, Utrecht, The Netherlands., van Wessem KJ; Department of Trauma Surgery, University Medical Centre Utrecht, Utrecht, The Netherlands.
Jazyk:	angličtina
Zdroj:	Journal of surgery and research [J Surg Res (Houst)] 2021; Vol. 4 (4), pp. 572-587. Date of Electronic Publication: 2021 Oct 25.
DOI:	10.26502/jsr.10020170
Abstrakt:	Background: Traumatic sternal fractures are rare injuries with little evidence supporting the best treatment strategy. This study assessed treatment outcomes from our level-I trauma centre. Methods: A retrospective cohort study was conducted, including all sternal fracture patients admitted to our level-I trauma centre between 2007 and 2019. Patients with sternal fractures due to cardiopulmonary resuscitation, patients <16 years, patients who died during initial hospital stay, and patients lost to follow-up were excluded from analysis. Results: In 13 years, 355 patients with traumatic sternal fractures were admitted, corresponding to 2% of all trauma patients. 262 patients were included in analysis. Mean age was 52 years and 71% of patients were male. Mean ISS was 19 (range 4-66). The majority of sternal fractures was located in the sternal body. Six patients (2%) underwent primary sternal fixation. Treatment failure occurred in three patients (1%) and was significantly higher in the surgical treatment group (p=0.001). There was no difference in treatment failure between patients with and without concomitant spinal fractures. Conclusions: Conservative treatment is safe and effective for traumatic sternal fractures. Surgical treatment should be reserved for rare cases, such as imminent respiratory failure or debilitating symptomatic non-union. Competing Interests: Conflict of interest: All authors declare that they have no conflict of interest.
Databáze:	MEDLINE
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