GKD Anest Yoð Bak Dern Derg. 2019; 25(3): 198-201 | DOI: 10.5222/GKDAD.2019.50490

Locking Placement And Surgical Management In Sternal Fractures: Case Report

AYSUN Kosýf, Onur Derdiyok, Serdar Evman
University of Heath Sciences Sureyyapasa Chest Diseases and Thoracic Surgery Training and Research Hospital Department of Thoracic Surgery

Flail chest is the most severe form of blunt thoracic trauma and is defined as the disruption of the sternum fractures or costochondral joints as a result of at least two fractures of three or more of the ribs on the anterior or lateral side of the chest wall. Life-threatening physiopathologic changes can affect the clinical condition of patients at any moment. Flail chest is defined as the movement of the broken segment to the inside while breathing while moving to the outside. Surgical is the only option in the case of significant deformity involving the chest wall, inconsistent breathing dynamics, lung or diaphragmatic injury, and prolonged mechanical ventilation. In this article, we presented a reconstruction of the chest wall with AO-ASIF (Arbeitsgemeindschaft fur Osteosynthesefragen) osteosynthesis plate, which we performed in a patient with post-traumatic sternal fracture and paradoxal respiration.

Keywords: Sternum fractures, locking compaction place, thoracic surgery

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Sternal Kýrýklarýnda Kilitleme Ýle Yerleþtirme Ve Cerrahi Yönetimi: Olgu Sunumu

AYSUN Kosýf, Onur Derdiyok, Serdar Evman
Saðlýk Bilimleri Üniversitesi Sureyyapasa Gogus Hastaliklari ve Gogus Cerrahisi Egitim ve Arastirma Hastanesi Gögüs Cerrahisi Klinigi

Yelken göðüs künt toraks travmasýnýn en aðýr þeklidir ve göðüs duvarýnýn ön veya lateral tarafýnda kaburgalarýn üç veya daha fazlasýnýn kýrýlmasýnýn bir sonucu olarak sternum kýrýklarýnýn veya kostokondral eklemlerin bozulmasý olarak tanýmlanýr. Hayatý tehdit edici fizyopatolojik deðiþiklikler, herhangi bir anda hastalarýn klinik durumunu etkileyebilir. Yelken göðüs, dýþa doðru hareket ederken nefes alýrken kýrýlan bölümün iç tarafa hareketi olarak da tanýmlanýr. Göðüs duvarýný, tutarsýz solunum dinamiklerini, akciðer veya diyafragma yaralanmasýný ve uzun süreli mekanik ventilasyonu içeren önemli bir deformite durumunda cerrahi tek seçenek. Bu yazýda, travma sonrasý sternum kýrýðý ve paradoksal solunum hastalarýnda yaptýðýmýz AO-ASIF (Arbeitsgemeindschaft fur Osteosynthesefragen) osteosentez plakasý ile göðüs duvarý rekonstrüksiyonu sunuldu.

Anahtar Kelimeler: Sternum kýrýklarý, kilitleme kompaksiyon plak, torasik cerrahi

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