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Ann Thorac Surg 2006;81:726-728
© 2006 The Society of Thoracic Surgeons

Case report

Surgical Repair of a Chronic Traumatic Sternal Fracture

Dominic R. Gallo, MD, Earl D. Lett, MD, William C. Conner, MD *

Department of Surgery, Brooke Army Medical Center, Fort Sam Houston, Texas

Accepted for publication November 24, 2004.

* Address correspondence to Dr Conner, Department of Surgery, Brooke Army Medical Center, Fort Sam Houston, TX 78234 (Email: william.conner{at}amedd.army.mil).

Chronic sternal fracture nonunion is usually reported after median sternotomy, but rarely after blunt chest trauma. Most traumatic fractures of the sternum are managed nonoperatively if they are asymptomatic and nondisplaced. Acute surgical therapy is indicated for debilitating chest pain usually associated with fracture displacement. We report a case of debilitating chest pain associated with a chronic sternal fracture. Our surgical technique is discussed and the literature is reviewed.






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