Sternal Fracture Fixation with a Steel Wire: The New “Timala” Technique

Purpose Traumatic sternal fractures are rare but quite disabling injuries. Timely fixation of sternal fractures reduces pain and prevents respiratory complications. However, the fixation technique should be simple, effective, and readily available in local circumstances. Methods From January 2014 to...

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Main Authors: Rabindra Bhakta Timala, Nirmal Panthee
Format: Article
Language:English
Published: Korean Society of Traumatology 2021-09-01
Series:Journal of Trauma and Injury
Subjects:
Online Access:http://jtraumainj.org/upload/pdf/jti-2021-0014.pdf
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author Rabindra Bhakta Timala
Nirmal Panthee
author_facet Rabindra Bhakta Timala
Nirmal Panthee
author_sort Rabindra Bhakta Timala
collection DOAJ
description Purpose Traumatic sternal fractures are rare but quite disabling injuries. Timely fixation of sternal fractures reduces pain and prevents respiratory complications. However, the fixation technique should be simple, effective, and readily available in local circumstances. Methods From January 2014 to March 2020, seven patients with sternal fracture/ dislocation underwent steel wire fixation with the new “Timala” technique. In this technique, adjacent ribs are anchored with two steel wires to form an “X” in front of the fractured segment of the sternum. Patients were followed up clinically and radiologically. Results Six of the patients were men and one was a female. Five of them had injuries due to falls and two were injured in road traffic accidents. Their age ranged from 18 years to 76 years, with a median age of 41 years. All seven patients experienced immediate recovery from pain and showed evidence of fracture healing on postoperative chest X-rays and clinical examinations. Conclusions Anchoring ribs to fix the sternum with steel wire is a safe, effective, easily available, and reproducible method to fix sternal fractures or dislocations.
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spelling doaj-art-7112ae7b6c474b969d2e62871be53ab42025-01-16T02:21:32ZengKorean Society of TraumatologyJournal of Trauma and Injury2799-43172287-16832021-09-0134317017610.20408/jti.2021.00141087Sternal Fracture Fixation with a Steel Wire: The New “Timala” TechniqueRabindra Bhakta Timala0Nirmal Panthee1 Department of Cardiothoracic and Vascular Surgery, B & B Hospital, Lalitpur, Nepal Department of Cardiac Surgery, Shahid Gangalal National Heart Center, Kathmandu, NepalPurpose Traumatic sternal fractures are rare but quite disabling injuries. Timely fixation of sternal fractures reduces pain and prevents respiratory complications. However, the fixation technique should be simple, effective, and readily available in local circumstances. Methods From January 2014 to March 2020, seven patients with sternal fracture/ dislocation underwent steel wire fixation with the new “Timala” technique. In this technique, adjacent ribs are anchored with two steel wires to form an “X” in front of the fractured segment of the sternum. Patients were followed up clinically and radiologically. Results Six of the patients were men and one was a female. Five of them had injuries due to falls and two were injured in road traffic accidents. Their age ranged from 18 years to 76 years, with a median age of 41 years. All seven patients experienced immediate recovery from pain and showed evidence of fracture healing on postoperative chest X-rays and clinical examinations. Conclusions Anchoring ribs to fix the sternum with steel wire is a safe, effective, easily available, and reproducible method to fix sternal fractures or dislocations.http://jtraumainj.org/upload/pdf/jti-2021-0014.pdffracturesternumbone wires
spellingShingle Rabindra Bhakta Timala
Nirmal Panthee
Sternal Fracture Fixation with a Steel Wire: The New “Timala” Technique
Journal of Trauma and Injury
fracture
sternum
bone wires
title Sternal Fracture Fixation with a Steel Wire: The New “Timala” Technique
title_full Sternal Fracture Fixation with a Steel Wire: The New “Timala” Technique
title_fullStr Sternal Fracture Fixation with a Steel Wire: The New “Timala” Technique
title_full_unstemmed Sternal Fracture Fixation with a Steel Wire: The New “Timala” Technique
title_short Sternal Fracture Fixation with a Steel Wire: The New “Timala” Technique
title_sort sternal fracture fixation with a steel wire the new timala technique
topic fracture
sternum
bone wires
url http://jtraumainj.org/upload/pdf/jti-2021-0014.pdf
work_keys_str_mv AT rabindrabhaktatimala sternalfracturefixationwithasteelwirethenewtimalatechnique
AT nirmalpanthee sternalfracturefixationwithasteelwirethenewtimalatechnique