{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T17:31:27Z","timestamp":1790962287147,"version":"4.1.0"},"reference-count":15,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2020,8,21]],"date-time":"2020-08-21T00:00:00Z","timestamp":1597968000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,8,21]],"date-time":"2020-08-21T00:00:00Z","timestamp":1597968000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Cardiothorac Surg"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Sternal fractures are rare accounting for about 3\u20138% of traumatic chest. There are many lines of treatments for sternal fractures which can be classified as conservative or surgical. Surgical techniques include wire fixation and sternal plating. There are no standardization of indications for each line of management.<\/jats:p>\n                    <jats:p>We explore if sternal reconstruction using locking titanium plates and self-tapping screws provide the patient with the best chance of proper sternal healing avoiding chronic pain and its complications and allow the patient early mobilization and rapid restoring of his normal life at its maximum.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Our inclusion criteria are patients of both gender from 20 to 60\u2009years of age presented with traumatic sternal fracture at any site or pathological fracture due to metastatic or primary tumors infiltrating the sternum. High Associated Injury Scale scores were excluded. Exclusion criteria also included patients younger than 20\u2009years or older than 60\u2009years. Primary outcome is post-operative pain score and is measured using numerical pain scale ranging from zero to 10 where zero means there is no pain at all and ten is the worst imaginable pain ever.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Sternal reconstruction using titanium plates has proven to be an efficient method of stabilization with tremendous immediate relief of pain showed by the differences between pre-operative and post-operative pain scale scores in our patients (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20095) with Median scores being 7 and 1.5 with range being from 7 to 9 and 1 to 3 respectively (\n                      <jats:italic>p<\/jats:italic>\n                      -value\u2009=\u2009.039). Operative time range between 150\u2009min and 90\u2009min with median of 120\u2009min. Extubation of patients was smooth with no events with median time of extubation being 120\u2009min. From our experience, there were no observed wound complications except at the third patient who suffered a small wound hematoma that was resolved by gentle compressing only and needed no further intervention.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>We recommend adopting sternal reconstruction using titanium plating systems more readily encouraging even larger clinical trials on the way to a clear guidelines. Plating systems show promising results with least pain, better stability, less complications and rapid, smooth recovery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration<\/jats:title>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/clinicaltrials.gov\/ct2\/show\/NCT04092374?term=NCT04092374&amp;draw=2&amp;rank=1\">NCT04092374<\/jats:ext-link>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s13019-020-01266-0","type":"journal-article","created":{"date-parts":[[2020,8,21]],"date-time":"2020-08-21T01:19:34Z","timestamp":1597972774000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Sternal reconstruction using locking compression plates (LCP): our experience in Egypt, a case series"],"prefix":"10.1186","volume":"15","author":[{"given":"Kareem","family":"Ahmed","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed Alaa","family":"Nady","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2020,8,21]]},"reference":[{"issue":"1","key":"1266_CR1","doi-asserted-by":"publisher","first-page":"145","DOI":"10.1093\/icvts\/ivt456","volume":"18","author":"P Demondion","year":"2014","unstructured":"Demondion P, Mercier O, Kolb F, Fadel E. Sternal replacement with a custom-made titanium plate after resection of a solitary breast cancer metastasis. Interact Cardiovasc Thorac Surg. 2014;18(1):145\u20137.","journal-title":"Interact Cardiovasc Thorac Surg"},{"issue":"5","key":"1266_CR2","doi-asserted-by":"publisher","first-page":"824","DOI":"10.1097\/TA.0b013e3182a686a5","volume":"75","author":"D Divisi","year":"2013","unstructured":"Divisi D, Di Leonardo G, Crisci R. Surgical management of traumatic isolated sternal fracture and manubriosternal dislocation. J Trauma Acute Care Surg. 2013;75(5):824\u20139.","journal-title":"J Trauma Acute Care Surg"},{"issue":"2","key":"1266_CR3","doi-asserted-by":"publisher","first-page":"67","DOI":"10.1556\/maseb.62.2009.2.3","volume":"62","author":"I Hartyanszky","year":"2009","unstructured":"Hartyanszky I, Veres G, Huttl T, Moravcsik E, Kayser S, Daroczi L, et al. Osteosynthesis with plates for full sternal dehiscence (titanium sternal fixation system Synthes) -- first use in Hungary. 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The study is approved by Faculty Of Medicine, Assiut University Ethical Committee.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"All patents have signed consent to publish. However, no personal data that may reveal identity of the patients were shared.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"224"}}