Investigation of the safety of position-based titanium plate fixation for costal cartilage injuries.

IF 2.3 3区医学 Q2 SURGERY World Journal of Surgery Pub Date : 2024-12-29 DOI:10.1002/wjs.12470

Zexin Xie, Lei Feng, Xuetao Zhou, Yang Yang, Zheng Liang, Menghui Chen, Chunjuan Hou, Dongsheng Zhang

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Abstract

Background: Costal cartilage injuries are unappreciated, and there is a paucity of reports on fixation methods. This study aims to evaluate the safety of titanium plate internal fixation for costal cartilage injuries.

Methods: A retrospective analysis was conducted on 30 patients with costal cartilage injuries who underwent titanium plate internal fixation between April 2016 and November 2022 at our hospital. The internal fixation devices consisted of titanium plates and locking screws, securing 60 costal cartilage injury sites. Injuries were classified based on the fixation location: costal cartilage-costal cartilage (22 sites), bone (sternum, rib)- costal cartilage (24 sites), and bone (sternum)- costal cartilage-bone (rib) (14 sites). Follow-ups at 1, 3, 6, and 12 months postoperatively included CT assessments to evaluate injury healing and the presence of displacement or screw loosening.

Results: The average lengths of the titanium plates used for the three different fixation positions were 6, 7, and 10 holes, respectively, with at least two locking screws securing each end. The maximum follow-up period was 90 months, with 6 cases lost to follow-up (3 at 1 month postoperatively, affecting 4 fixation sites, and 3 at 3 months postoperatively, affecting 6 fixation sites). Excluding these cases, all fixed costal cartilage injuries healed without nonunion or displacement, with two instances of screw loosening observed at 1 month postoperatively.

Conclusion: Titanium plate fixation with locking screws is a safe and effective method for treating costal cartilage injuries, with all patients showing good injury healing.

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位基钛板固定治疗肋软骨损伤的安全性探讨。

背景：肋软骨损伤不被重视，且关于固定方法的报道较少。本研究旨在评价钛板内固定治疗肋软骨损伤的安全性。方法：对2016年4月至2022年11月在我院行钛板内固定治疗的30例肋软骨损伤患者进行回顾性分析。内固定装置由钛板和锁定螺钉组成，固定60个肋软骨损伤部位。根据固定部位对损伤进行分类：肋软骨-肋软骨（22个部位）、骨（胸骨、肋骨）-肋软骨（24个部位）、骨（胸骨）-肋软骨-骨（肋骨）（14个部位）。术后1、3、6和12个月随访，包括CT评估损伤愈合情况、有无移位或螺钉松动。结果：三种不同固定位置使用的钛板平均长度分别为6孔、7孔和10孔，每端至少有2枚锁紧螺钉固定。最长随访时间为90个月，失访6例（术后1个月3例，影响4个固定部位；术后3个月3例，影响6个固定部位）。除上述病例外，所有固定肋软骨损伤均愈合，无骨不连或移位，术后1个月观察到2例螺钉松动。结论：锁定螺钉钛板固定是治疗肋软骨损伤安全有效的方法，所有患者损伤愈合良好。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

World Journal of Surgery 医学-外科

CiteScore

5.10

自引率

3.80%

发文量

460

审稿时长

3 months

期刊介绍： World Journal of Surgery is the official publication of the International Society of Surgery/Societe Internationale de Chirurgie (iss-sic.com). Under the editorship of Dr. Julie Ann Sosa, World Journal of Surgery provides an in-depth, international forum for the most authoritative information on major clinical problems in the fields of clinical and experimental surgery, surgical education, and socioeconomic aspects of surgical care. Contributions are reviewed and selected by a group of distinguished surgeons from across the world who make up the Editorial Board.