{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,12]],"date-time":"2025-02-12T05:14:17Z","timestamp":1739337257057,"version":"3.37.0"},"reference-count":17,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,12,29]],"date-time":"2024-12-29T00:00:00Z","timestamp":1735430400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>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\u2010costal cartilage (22 sites), bone (sternum, rib)\u2010 costal cartilage (24 sites), and bone (sternum)\u2010 costal cartilage\u2010bone (rib) (14 sites). Follow\u2010ups at 1, 3, 6, and 12\u00a0months postoperatively included CT assessments to evaluate injury healing and the presence of displacement or screw loosening.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>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\u2010up period was 90\u00a0months, with 6 cases lost to follow\u2010up (3 at 1\u00a0month postoperatively, affecting 4 fixation sites, and 3 at 3\u00a0months 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\u00a0month postoperatively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Titanium plate fixation with locking screws is a safe and effective method for treating costal cartilage injuries, with all patients showing good injury healing.<\/jats:p><\/jats:sec>","DOI":"10.1002\/wjs.12470","type":"journal-article","created":{"date-parts":[[2024,12,30]],"date-time":"2024-12-30T02:46:04Z","timestamp":1735526764000},"page":"327-333","source":"Crossref","is-referenced-by-count":0,"title":["Investigation of the safety of position\u2010based titanium plate fixation for costal cartilage injuries"],"prefix":"10.1002","volume":"49","author":[{"given":"Zexin","family":"Xie","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic Surgery The Third Hospital of Shijiazhuang City  Shijiazhuang China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lei","family":"Feng","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery The Third Hospital of Shijiazhuang City  Shijiazhuang China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xuetao","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery The Third Hospital of Shijiazhuang City  Shijiazhuang China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yang","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery The Third Hospital of Shijiazhuang City  Shijiazhuang China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zheng","family":"Liang","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery The Third Hospital of Shijiazhuang City  Shijiazhuang 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Consensus on Diagnosis and Treatment of Traumatic Rib and Sternal Fractures","volume":"39","author":"Society, CCIR","year":"2023","journal-title":"Chinese Journal of Thoracic and Cardiovascular Surgery"},{"issue":"3","key":"e_1_2_11_16_1","first-page":"204","article-title":"Diagnostic Value of Multi\u2010Slice Spiral CT Three\u2010Dimensional Reconstruction and Cardiac 1 Preset Reconstruction in Costal Cartilage Fracture","volume":"33","author":"Yajun S.","year":"2021","journal-title":"The Chinese Journal of Burns Wounds & Surface Ulcers"},{"issue":"8","key":"e_1_2_11_17_1","first-page":"1443","article-title":"Value of CT Three\u2010Dimensional Reconstruction in the Diagnosis of Rib and Costal Cartilage Injuries","author":"Zeting J.","year":"2022","journal-title":"Journal of Medical Imaging"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.2106\/jbjs.st.19.00032"}],"container-title":["World Journal of 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