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[PMID]:28935331
[Au] Autor:Cortés-Julián G; Bushra-Nuritu HB; Buenfil-Fuentes R; Merino Rajme JA
[Ad] Endereço:Pneumology and Thoracic Surgery Department, Centro Médico Nacional 20 de Noviembre del Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, Mexico City, Mexico. Electronic address: gildardounam@hotmail.com.
[Ti] Título:Modified Ravitch Procedure for Left Poland Syndrome Combined With Pectus Excavatum.
[So] Source:Ann Thorac Surg;104(4):e337-e339, 2017 Oct.
[Is] ISSN:1552-6259
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:Poland Syndrome is a rare disease with an incidence of 1 in 30,000. This disease is characterized by agenesis of the pectoralis major, hypoplasia of mammarian tissue and the nipple complex, and limb abnormalities. The severe form of this disease can be associated with rib and sternal malformations like pectus excavatum. A 19-year-old man with severe Poland syndrome with cardiac extrasystoles and restrictive ventilation as shown by a spirometry test is presented. A total sternal reconstruction with partial osteotomies and bilateral resection of cartilage was performed. The sternum was stabilized with underlying titanium bars and clips. The cosmetic result was satisfactory.
[Mh] Termos MeSH primário: Tórax em Funil/cirurgia
Síndrome de Poland/cirurgia
Procedimentos Cirúrgicos Reconstrutivos/métodos
Esterno/cirurgia
Tomografia Computadorizada por Raios X/métodos
[Mh] Termos MeSH secundário: Seguimentos
Tórax em Funil/complicações
Tórax em Funil/diagnóstico por imagem
Seres Humanos
Fixadores Internos
Masculino
Osteotomia/métodos
Medição da Dor
Posicionamento do Paciente
Músculos Peitorais/anormalidades
Músculos Peitorais/cirurgia
Síndrome de Poland/complicações
Síndrome de Poland/diagnóstico por imagem
Qualidade de Vida
Doenças Raras
Procedimentos Cirúrgicos Reconstrutivos/instrumentação
Índice de Gravidade de Doença
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171004
[Lr] Data última revisão:
171004
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170923
[St] Status:MEDLINE


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[PMID]:28734456
[Au] Autor:Olland A; Reeb J; Guinard S; Seitlinger J; Santelmo N; Kessler R; Falcoz PE; Massard G
[Ad] Endereço:Lung Transplantation Group, Nouvel Hôpital Civil, University Hospital Strasbourg, Strasbourg, France; EA7293 SVTT, Translational Medicine Federation, Medicine School Strasbourg, University of Strasbourg, Strasbourg, France. Electronic address: anne.olland@chru-strasbourg.fr.
[Ti] Título:Clamshell Closure With Absorbable Sternal Pins in Lung Transplant Recipients.
[So] Source:Ann Thorac Surg;104(2):e207-e209, 2017 Aug.
[Is] ISSN:1552-6259
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:Clamshell (bilateral anterolateral thoracotomy combined to transverse sternotomy) is an invasive surgical approach that is helpful in particular situations, especially bilateral lung transplantation. The closure technique remains challenging because clamshell incision can end with override, separation, or sternal pseudarthrosis complications. We describe the use of new absorbable sternal pins to stabilize the sternal closure and to help avoid additional sternal complications.
[Mh] Termos MeSH primário: Implantes Absorvíveis
Pinos Ortopédicos
Transplante de Pulmão
Esternotomia/efeitos adversos
Deiscência da Ferida Operatória/cirurgia
Toracotomia/efeitos adversos
Técnicas de Fechamento de Ferimentos
[Mh] Termos MeSH secundário: Seres Humanos
Esterno/cirurgia
Transplantados
[Pt] Tipo de publicação:JOURNAL ARTICLE; TECHNICAL REPORT; VIDEO-AUDIO MEDIA
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170901
[Lr] Data última revisão:
170901
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170724
[St] Status:MEDLINE


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[PMID]:28694310
[Au] Autor:Sade R; Aydin Y
[Ad] Endereço:Departments of Radiology (Sade) and Thoracic Surgery (Aydin), Ataturk University, Medical Faculty, Erzurum, Turkey.
[Ti] Título:Stairlike fracture of the sternum.
[So] Source:CMAJ;189(27):E914, 2017 07 10.
[Is] ISSN:1488-2329
[Cp] País de publicação:Canada
[La] Idioma:eng
[Mh] Termos MeSH primário: Fraturas Ósseas/diagnóstico por imagem
Esterno/lesões
Tomografia Computadorizada por Raios X
[Mh] Termos MeSH secundário: Adulto
Seres Humanos
Imagem Tridimensional
Masculino
Esterno/diagnóstico por imagem
Tomografia Computadorizada por Raios X/métodos
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170712
[St] Status:MEDLINE
[do] DOI:10.1503/cmaj.161344


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[PMID]:28665964
[Au] Autor:Grapow M; Haug M; Tschung C; Winkler B; Banerjee P; Heinisch PP; Fassl J; Reuthebuch O; Eckstein F
[Ad] Endereço:Department of Cardiac Surgery, University Hospital, Basel, Switzerland.
[Ti] Título:Therapy options in deep sternal wound infection: Sternal plating versus muscle flap.
[So] Source:PLoS One;12(6):e0180024, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Management of deep sternal wound infection (DSWI) in cardiac surgical patients still remains challenging. A variety of treatment strategies has been described. Aim of this cohort study was to analyse two different treatment strategies for DSWI: titanium sternal plating system (TSFS) and muscle flap coverage (MFC). METHODS: Between January 2007 and December 2011, from 3122 patients undergoing cardiac surgery 42 were identified with DSWI and treated with one of the above mentioned strategies. In-hospital data were collected, follow-up performed by telephone and assessment of Quality of Life (QoL) using the SF-12 Health Survey Questionnaire. RESULTS: 20 patients with deep sternal wound infection were stabilized with TSFS and 22 patients treated with MFC. Preoperative demographics and risk factors did not reveal any significant differences. Patients treated with TSFS had a significantly shorter operation time (p<0.05) and shorter hospitalization (p<0.05). A tendency towards lower mortality rate (p = n.s.) and less re-interventions were also noted (plating 0.6 vs. flap 1.17 per patient, n.s.). Quality of Life in the TSFS group for the physical-summary-score was significantly elevated compared to the MFC group (p<0.05). Relating to chest stability and cosmetic result the treatment with TSFS showed superior results, but the usage of MFC gave the patients more freedom in breathing and less chest pain. CONCLUSION: Our results demonstrate that the use of TSFS is a feasible and safe alternative in DSWI. However, MFC remains an absolutely essential option for complicated DSWI since the amount of perfused tissue can be the key for infection control.
[Mh] Termos MeSH primário: Procedimentos Cirúrgicos Cardíacos/efeitos adversos
Esterno/cirurgia
Retalhos Cirúrgicos
Infecção da Ferida Cirúrgica/terapia
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Feminino
Seres Humanos
Masculino
Meia-Idade
Estudos Retrospectivos
Fatores de Risco
Infecção da Ferida Cirúrgica/etiologia
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171002
[Lr] Data última revisão:
171002
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170701
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0180024


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[PMID]:28592450
[Au] Autor:Brenna G; Antozzi C; Montomoli C; Baggi F; Mantegazza R; INCB-MG Group
[Ad] Endereço:From the Department of Neuroimmunology and Neuromuscular Diseases (G.B., C.A., F.B., R.M.), Fondazione Istituto Neurologico "Carlo Besta," Milan; and Dipartimento di Sanità Pubblica (C.M.), Medicina Sperimentale e Forense, Unità di Biostatistica e Epidemiologia Clinica, Università di Pavia, Italy.
[Ti] Título:A propensity score analysis for comparison of T-3b and VATET in myasthenia gravis.
[So] Source:Neurology;89(2):189-195, 2017 Jul 11.
[Is] ISSN:1526-632X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: We performed propensity score (PS) models to compare the outcome of patients with myasthenia gravis (MG) submitted to 2 different surgical approaches: extended transsternal (T-3b) or thoracoscopic extended thymectomy (VATET). METHODS: Patients' clinical data were retrieved from the MG database of the C. Besta Neurologic Institute Foundation. In the PS analysis, a matching ratio of 1:1 of the main clinical variables was obtained for the 2 groups of patients and treatment effect was estimated by comparing their outcome. RESULTS: A total of 210 patients met the inclusion criteria, by having a complete set of clinical data, and were included in the PS model; a matched dataset of 122 participants (61 per group) showed an adequate balance of all the covariates. Our analysis demonstrated that 68.9% of patients who had thymectomy by the VATET technique reached the pharmacologic remission/remission status at 2 years from thymectomy compared to 34.4% of those operated on by the T-3b technique ( < 0.001), had a lower INCB-MG score ( < 0.001), and had less muscle fatigability ( = 0.004). Similar results were found considering only nonthymomatous patients with MG. Results were also confirmed by paired statistical tests. CONCLUSIONS: Our PS matching analysis showed that VATET is a reliable and effective surgical approach alternative to T-3b in patients with MG who are candidates for thymectomy. CLASSIFICATION OF EVIDENCE: This study provides Class IV evidence that for patients with MG, VATET is more effective than T-3b thymectomy.
[Mh] Termos MeSH primário: Miastenia Gravis/cirurgia
Avaliação de Processos e Resultados (Cuidados de Saúde)
Esterno/cirurgia
Toracoscopia/métodos
Timectomia/métodos
[Mh] Termos MeSH secundário: Adulto
Assistência ao Convalescente
Idoso
Feminino
Seres Humanos
Masculino
Meia-Idade
Pontuação de Propensão
Indução de Remissão
Toracoscopia/normas
Timectomia/normas
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170719
[Lr] Data última revisão:
170719
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170609
[St] Status:MEDLINE
[do] DOI:10.1212/WNL.0000000000004082


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[PMID]:28538579
[Au] Autor:Brown RH; Sharabi SE; Kania KE; Hollier LH; Izaddoost SA
[Ad] Endereço:Houston, Texas From the Division of Plastic and Reconstructive Surgery, Baylor College of Medicine.
[Ti] Título:The Split Pectoralis Flap: Combining the Benefits of Pectoralis Major Advancement and Turnover Techniques in One Flap.
[So] Source:Plast Reconstr Surg;139(6):1474-1477, 2017 Jun.
[Is] ISSN:1529-4242
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The pectoralis major is a versatile flap used as an advancement or turnover flap for sternal wound treatment. The advancement flap provides suboptimal inferior sternal coverage and poorly fills mediastinal dead space. The turnover flap covers the inferior sternum and fills dead space but requires disinsertion of the muscle from the humerus, resulting in functional loss and cosmetic deformity. METHODS: The authors describe a new technique of splitting the pectoralis muscle along its fibers, using the superior portion as an advancement flap and the inferior portion as a turnover flap. RESULTS: Eleven patients underwent the described technique. Nine patients healed without complications or repeated operations. One patient had a recurrent aortic graft infection requiring reoperation. One patient had a postoperative seroma requiring incision and drainage. CONCLUSION: Using the pectoralis as an advancement and turnover flap allows inferior sternum and mediastinum coverage using one donor site and maintaining the function of the muscle and preventing cosmetic deformity.
[Mh] Termos MeSH primário: Músculos Peitorais/transplante
Procedimentos Cirúrgicos Reconstrutivos/métodos
Retalhos Cirúrgicos/transplante
Ferida Cirúrgica/cirurgia
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Estudos de Coortes
Desbridamento/métodos
Feminino
Rejeição de Enxerto
Sobrevivência de Enxerto
Seres Humanos
Masculino
Meia-Idade
Prognóstico
Estudos Retrospectivos
Medição de Risco
Esterno/cirurgia
Retalhos Cirúrgicos/irrigação sanguínea
Infecção da Ferida Cirúrgica/diagnóstico
Infecção da Ferida Cirúrgica/cirurgia
Resultado do Tratamento
Cicatrização/fisiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170901
[Lr] Data última revisão:
170901
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170525
[St] Status:MEDLINE
[do] DOI:10.1097/PRS.0000000000003328


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[PMID]:28422830
[Au] Autor:Li YH; Zheng Z; Yang J; Su LL; Liu Y; Han F; Liu JQ; Hu DH
[Ad] Endereço:aDepartment of Burns and Cutaneous Surgery, Xijing Hospital, The Fourth Military Medical University bXi'an Jiaotong University Health Science Center, Xi'an, Shaanxi, China.
[Ti] Título:Management of the extensive thoracic defects after deep sternal wound infection with the rectus abdominis myocutaneous flap: A retrospective case series.
[So] Source:Medicine (Baltimore);96(16):e6391, 2017 Apr.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Deep sternal wound infection is a severe complication after open heart surgery. According to the different severity and dimensions of the deep sternal wound infection, the treatment method is different. In this study, we aimed to describe our experience with the rectus abdominis myocutaneous flap for large sternal wound management, especially when 1 or 2 internal mammary arteries were absent.Between October 2010 and January 2016, a retrospective review of 9 patients who suffered from the extensive thoracic defects after deep sternal wound infection was conducted. All of these sternal defects encompassed almost the full length of the sternum after debridement. Defect reconstruction was achieved by covering with a rectus abdominis myocutaneous flap. When the ipsilateral or bilateral internal mammary artery had been harvested previously, we took advantage of the inferior epigastric artery to provide additional blood supply to the rectus abdominis myocutaneous flap. Thus, this flap had a double blood supply.There was no recurrent infection in all 9 patients. Three patients received the rectus abdominis myocutaneous flap with a double blood supply. Flap complications occurred in 2 patients (22%). One patient who did not have the double blood supply flap suffered from necrosis on the distal part of the flap, which was then debrided and reconstructed with a split-skin graft. The other patient had a seroma at the abdomen donor site and was managed conservatively. None of the patients died during the hospital stay.This study suggests that the rectus abdominis myocutaneous flap may be a good choice to repair the entire length of sternal wound. When 1 or 2 internal mammary arteries have been harvested, the inferior epigastric artery can be anastomosed to the second intercostal artery or the internal mammary artery perforator to provide the rectus abdominis myocutaneous flap with a double blood supply.
[Mh] Termos MeSH primário: Retalho Miocutâneo
Reto do Abdome/cirurgia
Esterno/cirurgia
Infecção da Ferida Cirúrgica/terapia
[Mh] Termos MeSH secundário: Idoso
Procedimentos Cirúrgicos Cardíacos/efeitos adversos
Desbridamento
Artérias Epigástricas/cirurgia
Feminino
Seres Humanos
Masculino
Artéria Torácica Interna/cirurgia
Meia-Idade
Retalho Miocutâneo/efeitos adversos
Retalho Miocutâneo/irrigação sanguínea
Retalho Miocutâneo/patologia
Necrose
Reto do Abdome/irrigação sanguínea
Reto do Abdome/patologia
Estudos Retrospectivos
Infecção da Ferida Cirúrgica/patologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170501
[Lr] Data última revisão:
170501
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170420
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000006391


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[PMID]:28420845
[Au] Autor:Yoshizawa T; Iwazaki M; Jitsuiki K; Ishikawa K; Ohsaka H; Yanagawa Y
[Ad] Endereço:Department of Acute Critical Care Medicine, Shizuoka Hospital, Juntendo University, Japan.
[Ti] Título:Suffocation due to Thoracic Deformity Caused by Acromegaly.
[So] Source:Intern Med;56(8):949-951, 2017.
[Is] ISSN:1349-7235
[Cp] País de publicação:Japan
[La] Idioma:eng
[Ab] Resumo:A 61-year-old man with gigantism and acromegaly choked and fell into a coma. Immediate tracheal intubation resulted in a return of his consciousness. Enhanced computed tomography indicated that the trachea and left main bronchus were compressed by the thoracic spine and sternum. He required tracheotomy and positive end-expiratory pressure to maintain his pulmonary function. This is the first case of suffocation due to a thoracic deformity associated with acromegaly. Physicians should focus on clearing the tracheal airway using computed tomography to elucidate the anatomical relationship between the trachea and surrounding structures in acromegalic patients suffering from dyspnea.
[Mh] Termos MeSH primário: Acromegalia/complicações
Obstrução das Vias Respiratórias/etiologia
Asfixia/etiologia
Anormalidades Musculoesqueléticas/complicações
Estenose Traqueal/etiologia
[Mh] Termos MeSH secundário: Brônquios/diagnóstico por imagem
Seres Humanos
Intubação Intratraqueal/efeitos adversos
Masculino
Meia-Idade
Esterno/anormalidades
Vértebras Torácicas/anormalidades
Tomografia Computadorizada por Raios X/efeitos adversos
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170620
[Lr] Data última revisão:
170620
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170420
[St] Status:MEDLINE
[do] DOI:10.2169/internalmedicine.56.7615


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[PMID]:28393782
[Au] Autor:Jain N; Das S; Kanchi M
[Ad] Endereço:Department of Cardiac Anaesthesia and Critical Care, Narayana Hrudayalaya, Bengaluru, Karnataka, India.
[Ti] Título:Thyromental height test for prediction of difficult laryngoscopy in patients undergoing coronary artery bypass graft surgical procedure.
[So] Source:Ann Card Anaesth;20(2):207-211, 2017 Apr-Jun.
[Is] ISSN:0974-5181
[Cp] País de publicação:India
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Patients undergoing coronary artery bypass graft (CABG) procedures have higher incidence of difficult laryngoscopy and intubation than general surgery population. Accurate prediction of difficult laryngoscopy in CABG patients is desirable to reduce the hemodynamic response and myocardial oxygen requirements. Recently, thyromental height test (TMHT) has been proposed as one of the highly sensitive and specific bedside tests to predict difficult airway. We, in our prospective observational study, evaluated the accuracy of the TMHT in predicting difficult laryngoscopy. METHODOLOGY: A total of 345 patients undergoing CABG of either sex, in the age group of 35-80 years, American Society of Anesthesiologists 111, undergoing CABG, were studied. Airway assessment was performed with modified Mallampati test with the addition of thyromental distance, sternomental distance, and TMHT. Intraoperatively, direct laryngoscopy was done in accordance with Cormack and Lehane grade of laryngoscopy. The preoperative data and laryngoscopic findings were used together to evaluate the accuracy of TMHT. The sensitivity, specificity, positive and negative predictive values of other three tests were calculated according to standard formula. RESULTS: A total of 345 patients were in the group with mean age of study population at 56.7 (standard deviation 9.1) years (35-80 years). This study showed that almost all tests had good specificity, but sensitivity was poor. However, sensitivity of TMHT was 75% with accuracy of 95%. Receiver operating characteristic curve analysis of TMHT-derived cutoff was 52.17 which increased sensitivity to 81.25% and specificity to 92.3%. CONCLUSION: TMHT had a higher sensitivity compared to other tests along with good positive and negative predictive value and a very high specificity.
[Mh] Termos MeSH primário: Pesos e Medidas Corporais/métodos
Ponte de Artéria Coronária
Laringoscopia
Cuidados Pré-Operatórios/métodos
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Queixo/anatomia & histologia
Feminino
Seres Humanos
Masculino
Mandíbula/anatomia & histologia
Meia-Idade
Valor Preditivo dos Testes
Estudos Prospectivos
Reprodutibilidade dos Testes
Sensibilidade e Especificidade
Esterno/anatomia & histologia
Glândula Tireoide/anatomia & histologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170411
[St] Status:MEDLINE
[do] DOI:10.4103/aca.ACA_229_16


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[PMID]:28376814
[Au] Autor:Zhao Y; Yang Y; Gao Z; Wu W; He W; Zhao T
[Ad] Endereço:Department of Thoracic Surgery, Shanghai Sixth People's Hospital, Shanghai, 200233, People's Republic of China.
[Ti] Título:Treatment of traumatic sternal fractures with titanium plate internal fixation: a retrospective study.
[So] Source:J Cardiothorac Surg;12(1):22, 2017 Apr 04.
[Is] ISSN:1749-8090
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo: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. CONCLUSION: 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.
[Mh] Termos MeSH primário: Placas Ósseas
Fixação Interna de Fraturas/métodos
Fraturas Ósseas/cirurgia
Esterno/cirurgia
Traumatismos Torácicos
Titânio
[Mh] Termos MeSH secundário: Adulto
Idoso
Feminino
Seguimentos
Fraturas Ósseas/diagnóstico
Seres Humanos
Masculino
Meia-Idade
Estudos Retrospectivos
Esterno/lesões
Fatores de Tempo
Tomografia Computadorizada por Raios X
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
D1JT611TNE (Titanium)
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170517
[Lr] Data última revisão:
170517
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170406
[St] Status:MEDLINE
[do] DOI:10.1186/s13019-017-0580-x



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