Stephanie S. Chou, BA, Matthew J. Sena, MD, Michael S. Wong, MD

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Use of SternaLock Plating System in Acute Treatment of Unstable Traumatic Sternal Fractures Stephanie S. Chou, BA, Matthew J. Sena, MD, Michael S. Wong, MD The Annals of Thoracic Surgery Volume 91, Issue 2, Pages 597-599 (February 2011) DOI: 10.1016/j.athoracsur.2010.07.083 Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 The preoperative midsagittal view computed tomography scan of patient 2, a 55-year-old woman, demonstrates a displaced midsternal fracture. The Annals of Thoracic Surgery 2011 91, 597-599DOI: (10.1016/j.athoracsur.2010.07.083) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Before plate fixation, manual reduction of the sternal fracture in patient 1 was assisted by the use of bone reduction forceps placed within the surrounding intercostal spaces. Two temporary screws were placed to assist with fracture reduction, providing stable posts for wire tightening. The Annals of Thoracic Surgery 2011 91, 597-599DOI: (10.1016/j.athoracsur.2010.07.083) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 After fracture reduction was achieved in patient 1, the sternum was rigidly fixed with an 8-holed SternaLock X-plate (Biomet Microfixation Inc, Jacksonville, FL). The Annals of Thoracic Surgery 2011 91, 597-599DOI: (10.1016/j.athoracsur.2010.07.083) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 A midsagittal view postoperative computed tomography scan demonstrates reduction and rigid fixation of the fractured sternum for patient 1. The Annals of Thoracic Surgery 2011 91, 597-599DOI: (10.1016/j.athoracsur.2010.07.083) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions