Osteosynthesis in isolated sternum fracture in a boy athlete

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Abstract

BACKGROUND: Currently, the number of childhood patients with chest injuries is increasing – about 12% of peacetime injuries. This is primarily due to non-compliance with various safety measures and increased traffic accidents.

CLINICAL CASE: This article presents a rare clinical observation of a 9-year-old male with a sternal fracture with displacement of fragments. The presented clinical observation draws attention to the treatment option – open reposition of fragments with their further fixation with lavsan threads.

DISCUSSION: In cases of treating sternal fractures with fragment displacement, various versions of osteosynthesis can be used: external fixation (with a plate and screws), intraosseous (spoke osteosynthesis), transosseous (application of a serclay or lavsan suture), off-collar (external fixing devices, original author’s designs). The described method is easy to execute and accessible to almost every surgical or trauma hospital providing care to children.

CONCLUSIONS: One option for osteosynthesis in isolated sternal fractures in children between 10 and 12 years old is the application of lavsan sutures in the open reposition of fragments. An important advantage of this technique is the absence of the need to remove fixing structures, which is accompanied by tissue injuries and increased patient hospital stays, reducing the quality of life. In addition, the described method has low trauma and noteworthy cosmetic results.

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About the authors

Vasily P. Gavriluk

Kursk State Medical University

Email: wvas@mail.ru
ORCID iD: 0000-0003-4792-1862
SPIN-code: 2730-4515
Scopus Author ID: 57219595437
ResearcherId: H-2186-2013

MD, PhD, Dr. Sci. (Med.), Associate Professor

Russian Federation, Kursk

Stanislav V. Kostin

Kursk State Medical University

Email: drkostin@inbox.ru
ORCID iD: 0000-0003-0857-6437
SPIN-code: 7242-5368

MD, PhD, Cand. Sci. (Med.), Associate Professor

Russian Federation, Kursk

Dmitry A. Severinov

Kursk State Medical University

Author for correspondence.
Email: dmitriy.severinov.93@mail.ru
ORCID iD: 0000-0003-4460-1353
SPIN-code: 1966-0239
Scopus Author ID: 57192996740
ResearcherId: G-4584-2017

MD, PhD, Cand. Sci. (Med.)

Russian Federation, Kursk

Lada O. Mashoshina

Kursk State Medical University

Email: lada-mashoshina@yandex.ru
ORCID iD: 0000-0002-4402-5723

4th year student

Russian Federation, Kursk

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Supplementary files

Supplementary Files
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1. Fig. 1. X-ray of the chest organs: a — in the lateral projection (the arrow indicates the fracture site); b - in direct projection

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2. Fig. 2. 3D reconstruction of the patient's chest at the stage of diagnosis: a — in direct projection; b - in the lateral projection (the arrow indicates the fracture site)

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3. Fig. 3. Intraoperative photo: a — formation of canals in fragments; b - lavsan threads are inserted into the channels

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4. Fig. 4. Photo of the patient: a — view of the postoperative wound at the end of the surgical intervention; b — view of the postoperative wound 6 months later. (front view); c — side view, deformation in the sternum is not determined; d — control radiography of the chest organs in the lateral projection one month after the operation

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5. Fig. 1. X-ray of the chest organs: a, lateral projection (the arrow indicates the fracture site); b, frontal view

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6. Fig. 2. 3D reconstruction of the patient’s chest at diagnostics: a, frontal view; b, lateral projection (the arrow indicates the fracture site)

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7. Fig. 3. Intraoperative photo: a, formation of canals in fragments; b, lavsan threads are inserted into the channels

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8. Fig. 4. Photo of the patient: a, the postoperative wound at the end of the surgical intervention; b, the postoperative wound 6 months later (front view); c, lateral view, the sternum deformity is not determined; d, control radiography of the chest organs in the lateral view 1 month after the surgery

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Copyright (c) 2022 Gavriluk V.P., Kostin S.V., Severinov D.A., Mashoshina L.O.

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This work is licensed under a Creative Commons Attribution 4.0 International License.

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