title: Treatment of traumatic sternal fractures with titanium plate internal fixation: a retrospective study.
abstract: BACKGROUND
  This study aim to evaluate surgical procedures for titanium plate internal fixation of sternal fractures with displacement or nonunion.
  
  
  METHODS
  From January 2010 to December 2014, 64 patients with sternal fractures were treated with titanium plate internal fixation in the thoracic surgery department of the Shanghai Sixth People's Hospital. Pain severity scale scores were analyzed preoperatively and postoperatively. All the patients had a 2-month follow-up for treatment evaluation.
  
  
  RESULTS
  The mean hospital length of stay was 16.89 days. Forty-five patients underwent surgery for combined injuries. A statistically significant difference (P < 0.05) was found between preoperative and postoperative pain severity scores (7.74 ± 0.89 vs. 3.80 ± 0.79, respectively). At follow-up, healing of the nonunion or fracture was confirmed in all the cases.
  
  
  CONCLUSIONS
  The rigid titanium plate application ensured a safe and easy management of traumatic sternal fractures and nonunion with a good prognosis as compared with other methods.
authors.affiliation: Department of Thoracic Surgery, Shanghai Sixth People's Hospital, Shanghai, 200233, People's Republic of China.
authors.forename: Yonghong
authors.initials: Y
authors.lastname: Zhao
authors.affiliation: Department of Thoracic Surgery, Shanghai Sixth People's Hospital, Shanghai, 200233, People's Republic of China.
authors.forename: Yi
authors.initials: Y
authors.lastname: Yang
authors.affiliation: Department of Thoracic Surgery, Shanghai Sixth People's Hospital, Shanghai, 200233, People's Republic of China.
authors.forename: Zongli
authors.initials: Z
authors.lastname: Gao
authors.affiliation: Department of Thoracic Surgery, Shanghai Sixth People's Hospital, Shanghai, 200233, People's Republic of China.
authors.forename: Weiming
authors.initials: W
authors.lastname: Wu
authors.affiliation: Department of Thoracic Surgery, Shanghai Sixth People's Hospital, Shanghai, 200233, People's Republic of China.
authors.forename: Weiwei
authors.initials: W
authors.lastname: He
authors.affiliation: Department of Thoracic Surgery, Shanghai Sixth People's Hospital, Shanghai, 200233, People's Republic of China. zhaotc09125@sina.com.
authors.forename: Tiancheng
authors.initials: T
authors.lastname: Zhao
mesh_terms: D000328:Adult; D000368:Aged; D001860:Bone Plates; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000379:methods*; D050723:Fractures, Bone / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013249:Sternum / Q000293:injuries / Q000601:surgery*; D013898:Thoracic Injuries; D013997:Time Factors; D014025:Titanium; D014057:Tomography, X-Ray Computed; D055815:Young Adult
chemical_list: D014025:Titanium
keywords: Chest trauma; Internal fixation; Nonunion; Sternal fracture